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Provider 1538180245

NPI: 1538180245Share
Active Billing Period:2018-01→2024-08(72 months)

Total Paid

$9.1M

$9,141,702

Total Claims

198K

Beneficiaries

165K

1.2 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$1.8M
-14%
2019
$1.6M
+22%
2020
$1.9M
-5%
2021
$1.8M
-26%
2022
$1.4M
-51%
2023
$660K
-99%
2024
$5K

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 99% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$9.0M

97K claims · 98.6%

Your Cost: $92.77/claim|Median: $121.16
0.8× median
G0467Normal range

Federally qualified health center visit, mental health

$100K

3,366 claims · 1.1%

Your Cost: $29.75/claim|Median: $21.91
1.4× median
G9012Normal range

Other specified case management service, per 15 minutes

$10K

229 claims · 0.1%

Your Cost: $41.90/claim|Median: $137.85
0.3× median
99213Normal range

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

$4K

32K claims · 0.0%

Your Cost: $0.13/claim|Median: $37.81
0.0× median
0064ANormal range

$3K

99 claims · 0.0%

Your Cost: $34.75/claim|Median: $34.17
1.0× median
98940Normal range

$3K

5,081 claims · 0.0%

Your Cost: $0.54/claim|Median: $14.55
0.0× median
0072ANormal range

$3K

65 claims · 0.0%

Your Cost: $40.00/claim|Median: $39.57
1.0× median
0071ANormal range

$1K

37 claims · 0.0%

Your Cost: $40.00/claim|Median: $38.71
1.0× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$836

1,403 claims · 0.0%

Your Cost: $0.60/claim|Median: $20.83
0.0× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$560

17 claims · 0.0%

Your Cost: $32.94/claim|Median: $33.72
1.0× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$560

15 claims · 0.0%

Your Cost: $37.33/claim|Median: $36.70
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$523

5,133 claims · 0.0%

Your Cost: $0.10/claim|Median: $25.06
0.0× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$470

268 claims · 0.0%

Your Cost: $1.75/claim|Median: $25.93
0.1× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$464

227 claims · 0.0%

Your Cost: $2.04/claim|Median: $33.85
0.1× median
96110Normal range

Developmental screening, per standardized instrument

$443

4,409 claims · 0.0%

Your Cost: $0.10/claim|Median: $9.10
0.0× median
99203Normal range

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

$395

743 claims · 0.0%

Your Cost: $0.53/claim|Median: $57.85
0.0× median
G2025Normal range

$270

16 claims · 0.0%

Your Cost: $16.89/claim|Median: $15.63
1.1× median
99214Normal range

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

$195

9,564 claims · 0.0%

Your Cost: $0.02/claim|Median: $53.41
0.0× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$171

3,315 claims · 0.0%

Your Cost: $0.05/claim|Median: $24.33
0.0× median
87426Normal range

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

$141

41 claims · 0.0%

Your Cost: $3.45/claim|Median: $30.04
0.1× median
99204Normal range

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

$137

1,445 claims · 0.0%

Your Cost: $0.09/claim|Median: $84.03
0.0× median
G0071Normal range

$124

46 claims · 0.0%

Your Cost: $2.70/claim|Median: $7.20
0.4× median
90674Normal range

$68

497 claims · 0.0%

Your Cost: $0.14/claim|Median: $15.16
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$45

1,694 claims · 0.0%

Your Cost: $0.03/claim|Median: $7.18
0.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$37

742 claims · 0.0%

Your Cost: $0.05/claim|Median: $75.18
0.0× median
92552Normal range

Pure tone audiometry, air only, each ear

$34

2,627 claims · 0.0%

Your Cost: $0.01/claim|Median: $12.63
0.0× median
81025Normal range

Urine pregnancy test

$17

1,007 claims · 0.0%

Your Cost: $0.02/claim|Median: $4.81
0.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$12

115 claims · 0.0%

Your Cost: $0.11/claim|Median: $76.06
0.0× median
82947Normal range

Blood glucose level test

$10

1,777 claims · 0.0%

Your Cost: $0.01/claim|Median: $2.38
0.0× median
90715Normal range

Tdap vaccine

$9

70 claims · 0.0%

Your Cost: $0.13/claim|Median: $10.32
0.0× median
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