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Provider 1528128899

NPI: 1528128899Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.9M

$7,866,773

Total Claims

101K

Beneficiaries

85K

1.2 claims/patient

Avg Cost/Claim

$78

Monthly Spending Trend

Yearly Spending

2018
$279K
+205%
2019
$851K
-17%
2020
$710K
+97%
2021
$1.4M
-2%
2022
$1.4M
-19%
2023
$1.1M
+93%
2024
$2.1M

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 50% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$4.0M

28K claims · 50.4%

Your Cost: $142.17/claim|Median: $121.16
1.2× median
99214Top 25%

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

$1.6M

18K claims · 20.2%

Your Cost: $89.36/claim|Median: $53.41
1.7× median
99213Top 25%

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

$588K

9,602 claims · 7.5%

Your Cost: $61.23/claim|Median: $37.81
1.6× median
90832Top 5%

Psychotherapy, 30 minutes

$346K

2,254 claims · 4.4%

Your Cost: $153.37/claim|Median: $41.28
3.7× median
99204Top 25%

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

$258K

2,068 claims · 3.3%

Your Cost: $124.58/claim|Median: $84.03
1.5× median
99215Top 10%

Office/outpatient visit, high complexity

$187K

1,223 claims · 2.4%

Your Cost: $152.73/claim|Median: $74.09
2.1× median
90837Normal range

Psychotherapy, 60 minutes

$167K

2,075 claims · 2.1%

Your Cost: $80.26/claim|Median: $85.66
0.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$148K

1,134 claims · 1.9%

Your Cost: $130.67/claim|Median: $108.91
1.2× median
99203Normal range

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

$128K

1,918 claims · 1.6%

Your Cost: $66.57/claim|Median: $57.85
1.2× median
99212Top 10%

Office/outpatient visit, low complexity

$118K

1,928 claims · 1.5%

Your Cost: $61.03/claim|Median: $25.06
2.4× median
90834Top 1%

Psychotherapy, 45 minutes

$62K

211 claims · 0.8%

Your Cost: $292.31/claim|Median: $63.65
4.6× median
99211Top 10%

Office/outpatient visit, minimal complexity

$56K

984 claims · 0.7%

Your Cost: $56.66/claim|Median: $12.93
4.4× median
36415Top 5%

Collection of venous blood by venipuncture

$54K

2,480 claims · 0.7%

Your Cost: $21.80/claim|Median: $1.57
13.9× median
T1017Normal range

Targeted case management, per 15 min

$22K

845 claims · 0.3%

Your Cost: $26.17/claim|Median: $69.56
0.4× median
91320Top 25%

$20K

171 claims · 0.3%

Your Cost: $117.13/claim|Median: $72.65
1.6× median
90471Normal range

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

$19K

1,664 claims · 0.2%

Your Cost: $11.56/claim|Median: $9.80
1.2× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$13K

1,298 claims · 0.2%

Your Cost: $9.99/claim|Median: $30.04
0.3× median
90791Normal range

Psychiatric diagnostic evaluation

$12K

664 claims · 0.2%

Your Cost: $18.21/claim|Median: $99.21
0.2× median
91322Top 25%

$11K

85 claims · 0.1%

Your Cost: $130.80/claim|Median: $76.28
1.7× median
D7140Normal range

Extraction, erupted tooth or exposed root

$9K

378 claims · 0.1%

Your Cost: $24.90/claim|Median: $57.39
0.4× median
91313

$8K

211 claims · 0.1%

80053Normal range

Comprehensive metabolic panel

$7K

1,391 claims · 0.1%

Your Cost: $5.10/claim|Median: $7.24
0.7× median
91312Top 1%

$7K

133 claims · 0.1%

Your Cost: $50.42/claim|Median: $0.01
5041.6× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$6K

216 claims · 0.1%

Your Cost: $29.69/claim|Median: $38.83
0.8× median
90750Normal range

$6K

56 claims · 0.1%

Your Cost: $107.83/claim|Median: $96.16
1.1× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$6K

2,288 claims · 0.1%

Your Cost: $2.64/claim|Median: $5.50
0.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$5K

1,110 claims · 0.1%

Your Cost: $4.59/claim|Median: $4.71
1.0× median
90677Normal range

$4K

129 claims · 0.1%

Your Cost: $32.73/claim|Median: $12.96
2.5× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$4K

1,130 claims · 0.0%

Your Cost: $3.46/claim|Median: $18.03
0.2× median
86803Normal range

Hepatitis C antibody

$4K

1,030 claims · 0.0%

Your Cost: $3.47/claim|Median: $10.17
0.3× median
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