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Provider 1477810315

NPI: 1477810315Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.9M

$10,894,104

Total Claims

301K

Beneficiaries

237K

1.3 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$798K
+64%
2019
$1.3M
+0%
2020
$1.3M
+64%
2021
$2.1M
-4%
2022
$2.1M
-8%
2023
$1.9M
-28%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 23% of total spending.

99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$2.5M

48K claims · 23.3%

Your Cost: $52.39/claim|Median: $37.81
1.4× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$1.8M

80K claims · 16.8%

Your Cost: $22.83/claim|Median: $121.16
0.2× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$1.1M

15K claims · 10.4%

Your Cost: $73.92/claim|Median: $53.41
1.4× median
59409Normal range

Vaginal delivery only

$632K

1,061 claims · 5.8%

Your Cost: $595.20/claim|Median: $619.91
1.0× median
59425Normal range

Antepartum care only, 4-6 visits

$599K

8,719 claims · 5.5%

Your Cost: $68.66/claim|Median: $63.63
1.1× median
59426Normal range

Antepartum care only, high risk, additional visits

$447K

5,975 claims · 4.1%

Your Cost: $74.84/claim|Median: $122.30
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$446K

14K claims · 4.1%

Your Cost: $30.76/claim|Median: $25.06
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$421K

5,286 claims · 3.9%

Your Cost: $79.69/claim|Median: $75.18
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$407K

5,407 claims · 3.7%

Your Cost: $75.18/claim|Median: $69.35
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$271K

3,702 claims · 2.5%

Your Cost: $73.19/claim|Median: $74.82
1.0× median
D9999Normal range

Unspecified adjunctive procedure, by report

$196K

8,158 claims · 1.8%

Your Cost: $24.01/claim|Median: $37.60
0.6× median
99395Normal range

Preventive medicine, established patient, age 18-39

$152K

2,038 claims · 1.4%

Your Cost: $74.76/claim|Median: $72.71
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$144K

1,990 claims · 1.3%

Your Cost: $72.53/claim|Median: $80.15
0.9× median
90472Normal range

Immunization administration, each additional vaccine

$140K

9,058 claims · 1.3%

Your Cost: $15.49/claim|Median: $11.79
1.3× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$137K

14K claims · 1.3%

Your Cost: $9.78/claim|Median: $9.80
1.0× median
D0330Normal range

Panoramic radiographic image

$131K

3,089 claims · 1.2%

Your Cost: $42.54/claim|Median: $37.36
1.1× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$108K

1,826 claims · 1.0%

Your Cost: $59.39/claim|Median: $57.85
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$103K

2,813 claims · 0.9%

Your Cost: $36.56/claim|Median: $43.38
0.8× median
90834Normal range

Psychotherapy, 45 minutes

$82K

1,703 claims · 0.8%

Your Cost: $48.04/claim|Median: $63.65
0.8× median
D0140Normal range

Limited oral evaluation, problem focused

$80K

2,453 claims · 0.7%

Your Cost: $32.45/claim|Median: $27.07
1.2× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$78K

2,675 claims · 0.7%

Your Cost: $29.28/claim|Median: $32.07
0.9× median
D0120Normal range

Periodic oral evaluation, established patient

$73K

4,221 claims · 0.7%

Your Cost: $17.31/claim|Median: $24.34
0.7× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$59K

1,180 claims · 0.5%

Your Cost: $50.17/claim|Median: $71.00
0.7× median
D0274Normal range

Bitewings, four radiographic images

$56K

2,516 claims · 0.5%

Your Cost: $22.34/claim|Median: $22.54
1.0× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$55K

842 claims · 0.5%

Your Cost: $65.15/claim|Median: $73.46
0.9× median
D0210Normal range

Intraoral, complete series of radiographic images

$46K

2,756 claims · 0.4%

Your Cost: $16.78/claim|Median: $46.33
0.4× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$42K

652 claims · 0.4%

Your Cost: $63.86/claim|Median: $74.78
0.9× median
G0467Normal range

Federally qualified health center visit, mental health

$40K

1,798 claims · 0.4%

Your Cost: $22.46/claim|Median: $21.91
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$34K

891 claims · 0.3%

Your Cost: $38.33/claim|Median: $54.60
0.7× median
D1120Normal range

Prophylaxis, adult

$33K

1,367 claims · 0.3%

Your Cost: $24.23/claim|Median: $33.86
0.7× median
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