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Provider 1528580404

NPI: 1528580404Share
Active Billing Period:2018-12→2024-12(73 months)

Total Paid

$17.6M

$17,644,202

Total Claims

348K

Beneficiaries

287K

1.2 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$49K
+2571%
2019
$1.3M
+24%
2020
$1.6M
+71%
2021
$2.8M
+32%
2022
$3.6M
+26%
2023
$4.6M
-20%
2024
$3.7M

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

$15.8M

106K claims · 89.7%

Your Cost: $149.02/claim|Median: $121.16
1.2× median
99214Normal range

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

$856K

43K claims · 4.8%

Your Cost: $20.07/claim|Median: $53.41
0.4× median
99213Normal range

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

$234K

32K claims · 1.3%

Your Cost: $7.30/claim|Median: $37.81
0.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$93K

8,057 claims · 0.5%

Your Cost: $11.58/claim|Median: $75.18
0.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$81K

7,228 claims · 0.5%

Your Cost: $11.21/claim|Median: $69.35
0.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$61K

6,223 claims · 0.3%

Your Cost: $9.86/claim|Median: $74.82
0.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$40K

4,948 claims · 0.2%

Your Cost: $8.12/claim|Median: $7.18
1.1× median
90670Normal range

$38K

3,678 claims · 0.2%

Your Cost: $10.33/claim|Median: $5.94
1.7× median
90648Normal range

$27K

3,680 claims · 0.2%

Your Cost: $7.42/claim|Median: $4.08
1.8× median
90633Normal range

$21K

2,206 claims · 0.1%

Your Cost: $9.66/claim|Median: $3.56
2.7× median
99203Normal range

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

$21K

1,035 claims · 0.1%

Your Cost: $20.59/claim|Median: $57.85
0.4× median
99204Normal range

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

$19K

361 claims · 0.1%

Your Cost: $53.39/claim|Median: $84.03
0.6× median
90681Normal range

$18K

1,983 claims · 0.1%

Your Cost: $9.22/claim|Median: $5.74
1.6× median
90723Normal range

DTaP-HepB-IPV vaccine

$18K

2,525 claims · 0.1%

Your Cost: $7.11/claim|Median: $5.78
1.2× median
87804Normal range

Influenza virus detection, rapid test

$18K

9,786 claims · 0.1%

Your Cost: $1.82/claim|Median: $12.59
0.1× median
90698Top 25%

$18K

1,358 claims · 0.1%

Your Cost: $13.01/claim|Median: $6.32
2.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$18K

2,633 claims · 0.1%

Your Cost: $6.67/claim|Median: $80.15
0.1× median
D1206Normal range

Topical application of fluoride varnish

$17K

3,551 claims · 0.1%

Your Cost: $4.93/claim|Median: $18.12
0.3× median
99070Normal range

$14K

2,261 claims · 0.1%

Your Cost: $6.31/claim|Median: $8.08
0.8× median
90688Top 25%

$14K

767 claims · 0.1%

Your Cost: $18.46/claim|Median: $9.00
2.1× median
90744Top 25%

$13K

948 claims · 0.1%

Your Cost: $13.40/claim|Median: $5.00
2.7× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$12K

5,081 claims · 0.1%

Your Cost: $2.46/claim|Median: $11.48
0.2× median
99215Normal range

Office/outpatient visit, high complexity

$11K

333 claims · 0.1%

Your Cost: $34.49/claim|Median: $74.09
0.5× median
92551Normal range

Screening audiometry, pure tone, air only

$11K

12K claims · 0.1%

Your Cost: $0.85/claim|Median: $6.61
0.1× median
90671Normal range

$10K

1,965 claims · 0.1%

Your Cost: $5.29/claim|Median: $8.59
0.6× median
99173Normal range

$9K

13K claims · 0.1%

Your Cost: $0.73/claim|Median: $2.16
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$9K

1,426 claims · 0.0%

Your Cost: $6.18/claim|Median: $25.06
0.2× median
81002Normal range

Urinalysis, non-automated without microscopy

$8K

14K claims · 0.0%

Your Cost: $0.61/claim|Median: $2.00
0.3× median
90687Top 10%

$7K

365 claims · 0.0%

Your Cost: $19.30/claim|Median: $3.45
5.6× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$7K

11K claims · 0.0%

Your Cost: $0.67/claim|Median: $3.67
0.2× median
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