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Provider 1538130893

NPI: 1538130893Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.0M

$18,023,623

Total Claims

1.5M

Beneficiaries

1.3M

1.1 claims/patient

Avg Cost/Claim

$12

Monthly Spending Trend

Yearly Spending

2018
$8.1M
-14%
2019
$7.0M
-63%
2020
$2.6M
-96%
2021
$94K
-93%
2022
$7K
+934%
2023
$72K
-4%
2024
$70K

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 88% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$15.9M

144K claims · 88.4%

Your Cost: $110.69/claim|Median: $121.16
0.9× median
00003Normal range

Anesthesia services

$1.0M

7,456 claims · 5.6%

Your Cost: $135.44/claim|Median: $223.77
0.6× median
99213Normal range

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

$613K

155K claims · 3.4%

Your Cost: $3.95/claim|Median: $37.81
0.1× median
99212Normal range

Office/outpatient visit, low complexity

$115K

149K claims · 0.6%

Your Cost: $0.77/claim|Median: $25.06
0.0× median
99214Normal range

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

$71K

8,248 claims · 0.4%

Your Cost: $8.63/claim|Median: $53.41
0.2× median
G0467Normal range

Federally qualified health center visit, mental health

$52K

2,635 claims · 0.3%

Your Cost: $19.57/claim|Median: $21.91
0.9× median
D1120Normal range

Prophylaxis, adult

$51K

9,905 claims · 0.3%

Your Cost: $5.18/claim|Median: $33.86
0.2× median
J3490Top 10%

Unclassified drugs

$43K

607 claims · 0.2%

Your Cost: $70.75/claim|Median: $5.70
12.4× median
D1310Normal range

Nutritional counseling for control of dental disease

$27K

2,648 claims · 0.2%

Your Cost: $10.37/claim|Median: $40.52
0.3× median
D1206Normal range

Topical application of fluoride varnish

$21K

9,969 claims · 0.1%

Your Cost: $2.06/claim|Median: $18.12
0.1× median
D0603Normal range

$13K

5,552 claims · 0.1%

Your Cost: $2.32/claim|Median: $6.54
0.4× median
D1351Normal range

Sealant, per tooth

$12K

2,907 claims · 0.1%

Your Cost: $4.13/claim|Median: $26.10
0.2× median
81025Normal range

Urine pregnancy test

$11K

12K claims · 0.1%

Your Cost: $0.92/claim|Median: $4.81
0.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$6K

12K claims · 0.0%

Your Cost: $0.53/claim|Median: $74.82
0.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$6K

12K claims · 0.0%

Your Cost: $0.49/claim|Median: $75.18
0.0× median
G2025Normal range

$5K

398 claims · 0.0%

Your Cost: $11.89/claim|Median: $15.63
0.8× median
92552Normal range

Pure tone audiometry, air only, each ear

$5K

28K claims · 0.0%

Your Cost: $0.16/claim|Median: $12.63
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$4K

7,428 claims · 0.0%

Your Cost: $0.48/claim|Median: $80.15
0.0× median
92081Normal range

$3K

9,425 claims · 0.0%

Your Cost: $0.27/claim|Median: $11.63
0.0× median
D0602Normal range

$2K

739 claims · 0.0%

Your Cost: $2.99/claim|Median: $6.95
0.4× median
77067Normal range

Screening mammography, bilateral, including CAD

$2K

3,600 claims · 0.0%

Your Cost: $0.55/claim|Median: $39.33
0.0× median
99211Top 10%

Office/outpatient visit, minimal complexity

$2K

27 claims · 0.0%

Your Cost: $70.93/claim|Median: $12.93
5.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$2K

5,647 claims · 0.0%

Your Cost: $0.33/claim|Median: $69.35
0.0× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$2K

70K claims · 0.0%

Your Cost: $0.02/claim|Median: $0.79
0.0× median
90651Normal range

HPV vaccine, 9-valent

$2K

2,996 claims · 0.0%

Your Cost: $0.53/claim|Median: $8.93
0.1× median
81000Normal range

Urinalysis with microscopy, non-automated

$1K

43K claims · 0.0%

Your Cost: $0.03/claim|Median: $2.51
0.0× median
36415Normal range

Collection of venous blood by venipuncture

$746

82K claims · 0.0%

Your Cost: $0.01/claim|Median: $1.57
0.0× median
99000Normal range

$743

7,874 claims · 0.0%

Your Cost: $0.09/claim|Median: $2.30
0.0× median
90633Normal range

$628

4,293 claims · 0.0%

Your Cost: $0.15/claim|Median: $3.56
0.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$611

625 claims · 0.0%

Your Cost: $0.98/claim|Median: $72.71
0.0× median
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