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Provider 1518969211

NPI: 1518969211Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.1M

$14,091,397

Total Claims

262K

Beneficiaries

235K

1.1 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-47%
2019
$1.0M
+88%
2020
$2.0M
+28%
2021
$2.5M
-20%
2022
$2.0M
+16%
2023
$2.3M
-0%
2024
$2.3M

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 90% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$12.7M

108K claims · 90.5%

Your Cost: $118.41/claim|Median: $121.16
1.0× median
00003Normal range

Anesthesia services

$1.1M

6,887 claims · 7.9%

Your Cost: $161.60/claim|Median: $223.77
0.7× median
99213Normal range

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

$101K

55K claims · 0.7%

Your Cost: $1.84/claim|Median: $37.81
0.0× median
G0467Normal range

Federally qualified health center visit, mental health

$22K

732 claims · 0.2%

Your Cost: $29.49/claim|Median: $21.91
1.3× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$19K

6,917 claims · 0.1%

Your Cost: $2.79/claim|Median: $39.70
0.1× median
99214Normal range

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

$11K

4,895 claims · 0.1%

Your Cost: $2.28/claim|Median: $53.41
0.0× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$10K

2,931 claims · 0.1%

Your Cost: $3.58/claim|Median: $30.53
0.1× median
0012ATop 10%

COVID-19 vaccine admin, Moderna, 2nd dose

$9K

143 claims · 0.1%

Your Cost: $59.50/claim|Median: $33.85
1.8× median
0011ATop 25%

COVID-19 vaccine admin, Moderna, 1st dose

$7K

178 claims · 0.0%

Your Cost: $39.52/claim|Median: $25.93
1.5× median
0064ANormal range

$4K

117 claims · 0.0%

Your Cost: $37.22/claim|Median: $34.17
1.1× median
0004ATop 25%

$4K

94 claims · 0.0%

Your Cost: $45.62/claim|Median: $35.62
1.3× median
90715Normal range

Tdap vaccine

$4K

596 claims · 0.0%

Your Cost: $6.10/claim|Median: $10.32
0.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$4K

2,695 claims · 0.0%

Your Cost: $1.30/claim|Median: $75.18
0.0× median
99203Normal range

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

$3K

1,309 claims · 0.0%

Your Cost: $2.43/claim|Median: $57.85
0.0× median
90750Normal range

$3K

243 claims · 0.0%

Your Cost: $12.91/claim|Median: $96.16
0.1× median
99212Normal range

Office/outpatient visit, low complexity

$3K

7,955 claims · 0.0%

Your Cost: $0.39/claim|Median: $25.06
0.0× median
0001ATop 10%

COVID-19 vaccine admin, Pfizer, 1st dose

$3K

56 claims · 0.0%

Your Cost: $55.04/claim|Median: $33.72
1.6× median
99393Normal range

Preventive medicine, established patient, age 5-11

$2K

1,829 claims · 0.0%

Your Cost: $1.22/claim|Median: $74.82
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$2K

1,195 claims · 0.0%

Your Cost: $1.78/claim|Median: $80.15
0.0× median
0072ATop 5%

$2K

27 claims · 0.0%

Your Cost: $67.00/claim|Median: $39.57
1.7× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$2K

784 claims · 0.0%

Your Cost: $2.30/claim|Median: $5.50
0.4× median
90677Normal range

$2K

423 claims · 0.0%

Your Cost: $4.10/claim|Median: $12.96
0.3× median
0071ATop 10%

$1K

26 claims · 0.0%

Your Cost: $56.69/claim|Median: $38.71
1.5× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$1K

1,949 claims · 0.0%

Your Cost: $0.70/claim|Median: $7.18
0.1× median
0054ATop 25%

$1K

28 claims · 0.0%

Your Cost: $43.07/claim|Median: $35.83
1.2× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$1K

747 claims · 0.0%

Your Cost: $1.39/claim|Median: $40.11
0.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$980

1,643 claims · 0.0%

Your Cost: $0.60/claim|Median: $69.35
0.0× median
90739Normal range

$896

121 claims · 0.0%

Your Cost: $7.41/claim|Median: $74.43
0.1× median
90633Normal range

$596

892 claims · 0.0%

Your Cost: $0.67/claim|Median: $3.56
0.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$566

5,725 claims · 0.0%

Your Cost: $0.10/claim|Median: $11.48
0.0× median
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