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Provider 1497006126

NPI: 1497006126Share
Active Billing Period:2018-01→2024-12(82 months)

Total Paid

$7.8M

$7,814,985

Total Claims

110K

Beneficiaries

86K

1.3 claims/patient

Avg Cost/Claim

$71

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+6%
2019
$1.2M
-30%
2020
$845K
+51%
2021
$1.3M
-12%
2022
$1.1M
+0%
2023
$1.1M
-1%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 98% of total spending.

T1015Top 10%

Clinic visit/encounter, all-inclusive

$7.6M

30K claims · 97.8%

Your Cost: $255.66/claim|Median: $121.16
2.1× median
99213Normal range

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

$82K

29K claims · 1.1%

Your Cost: $2.80/claim|Median: $37.81
0.1× median
98940Top 5%

$32K

791 claims · 0.4%

Your Cost: $40.34/claim|Median: $14.55
2.8× median
99214Normal range

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

$24K

4,808 claims · 0.3%

Your Cost: $4.92/claim|Median: $53.41
0.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$9K

2,488 claims · 0.1%

Your Cost: $3.51/claim|Median: $75.18
0.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$5K

2,125 claims · 0.1%

Your Cost: $2.21/claim|Median: $69.35
0.0× median
G0467Top 25%

Federally qualified health center visit, mental health

$3K

58 claims · 0.0%

Your Cost: $55.42/claim|Median: $21.91
2.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$2K

758 claims · 0.0%

Your Cost: $3.06/claim|Median: $39.70
0.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$2K

728 claims · 0.0%

Your Cost: $3.07/claim|Median: $74.82
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$2K

1,789 claims · 0.0%

Your Cost: $1.17/claim|Median: $25.06
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$1K

2,023 claims · 0.0%

Your Cost: $0.61/claim|Median: $7.18
0.1× median
90670Normal range

$966

1,953 claims · 0.0%

Your Cost: $0.49/claim|Median: $5.94
0.1× median
90723Normal range

DTaP-HepB-IPV vaccine

$753

1,378 claims · 0.0%

Your Cost: $0.55/claim|Median: $5.78
0.1× median
92552Normal range

Pure tone audiometry, air only, each ear

$710

1,641 claims · 0.0%

Your Cost: $0.43/claim|Median: $12.63
0.0× median
90647Normal range

$574

1,309 claims · 0.0%

Your Cost: $0.44/claim|Median: $4.31
0.1× median
90680Normal range

$518

1,182 claims · 0.0%

Your Cost: $0.44/claim|Median: $5.58
0.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$411

212 claims · 0.0%

Your Cost: $1.94/claim|Median: $80.15
0.0× median
99381Normal range

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

$390

163 claims · 0.0%

Your Cost: $2.39/claim|Median: $73.46
0.0× median
90633Normal range

$376

679 claims · 0.0%

Your Cost: $0.55/claim|Median: $3.56
0.2× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$371

565 claims · 0.0%

Your Cost: $0.66/claim|Median: $5.50
0.1× median
90471Normal range

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

$332

640 claims · 0.0%

Your Cost: $0.52/claim|Median: $9.80
0.1× median
90685Normal range

$274

443 claims · 0.0%

Your Cost: $0.62/claim|Median: $5.96
0.1× median
G9964Top 1%

$269

535 claims · 0.0%

Your Cost: $0.50/claim|Median: $0.50
1.0× median
C9803Normal range

$259

166 claims · 0.0%

Your Cost: $1.56/claim|Median: $13.20
0.1× median
85018Normal range

$197

1,339 claims · 0.0%

Your Cost: $0.15/claim|Median: $1.71
0.1× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$157

36 claims · 0.0%

Your Cost: $4.36/claim|Median: $65.64
0.1× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$128

17 claims · 0.0%

Your Cost: $7.54/claim|Median: $91.47
0.1× median
82962Normal range

Blood glucose test by monitoring device

$114

629 claims · 0.0%

Your Cost: $0.18/claim|Median: $1.40
0.1× median
90700Normal range

$101

137 claims · 0.0%

Your Cost: $0.74/claim|Median: $4.56
0.2× median
90715Normal range

Tdap vaccine

$95

129 claims · 0.0%

Your Cost: $0.74/claim|Median: $10.32
0.1× median
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