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Provider 1538294483

NPI: 1538294483Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.0M

$17,004,938

Total Claims

265K

Beneficiaries

181K

1.5 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+49%
2019
$2.8M
-8%
2020
$2.6M
-5%
2021
$2.4M
+12%
2022
$2.7M
-6%
2023
$2.6M
-23%
2024
$2.0M

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 92% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$15.6M

118K claims · 92.0%

Your Cost: $132.78/claim|Median: $121.16
1.1× median
D0999Normal range

Unspecified diagnostic procedure, by report

$1.1M

11K claims · 6.6%

Your Cost: $99.99/claim|Median: $101.33
1.0× median
T1040Normal range

Medicaid certified CCBHC services

$121K

1,777 claims · 0.7%

Your Cost: $68.26/claim|Median: $130.29
0.5× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$22K

720 claims · 0.1%

Your Cost: $30.86/claim|Median: $25.93
1.2× median
0064ATop 25%

$19K

463 claims · 0.1%

Your Cost: $41.41/claim|Median: $34.17
1.2× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$18K

485 claims · 0.1%

Your Cost: $38.00/claim|Median: $33.85
1.1× median
H2015Normal range

Comprehensive community support services, per 15 min

$16K

788 claims · 0.1%

Your Cost: $20.18/claim|Median: $96.24
0.2× median
99213Normal range

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

$7K

49K claims · 0.0%

Your Cost: $0.15/claim|Median: $37.81
0.0× median
H2010Normal range

Comprehensive medication services, per 15 min

$7K

223 claims · 0.0%

Your Cost: $32.34/claim|Median: $62.69
0.5× median
D0140Normal range

Limited oral evaluation, problem focused

$7K

2,289 claims · 0.0%

Your Cost: $3.12/claim|Median: $27.07
0.1× median
0134ATop 25%

$7K

162 claims · 0.0%

Your Cost: $41.09/claim|Median: $33.54
1.2× median
99214Normal range

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

$3K

23K claims · 0.0%

Your Cost: $0.14/claim|Median: $53.41
0.0× median
G2012Normal range

Brief communication technology-based service

$2K

223 claims · 0.0%

Your Cost: $7.82/claim|Median: $8.79
0.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$2K

985 claims · 0.0%

Your Cost: $1.75/claim|Median: $108.91
0.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$1K

1,129 claims · 0.0%

Your Cost: $1.08/claim|Median: $57.39
0.0× median
0094ANormal range

$1K

29 claims · 0.0%

Your Cost: $38.92/claim|Median: $32.30
1.2× median
D0120Normal range

Periodic oral evaluation, established patient

$1K

964 claims · 0.0%

Your Cost: $1.04/claim|Median: $24.34
0.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$991

4,360 claims · 0.0%

Your Cost: $0.23/claim|Median: $40.11
0.0× median
99204Normal range

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

$772

2,025 claims · 0.0%

Your Cost: $0.38/claim|Median: $84.03
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$515

7,065 claims · 0.0%

Your Cost: $0.07/claim|Median: $25.06
0.0× median
90832Normal range

Psychotherapy, 30 minutes

$431

7,030 claims · 0.0%

Your Cost: $0.06/claim|Median: $41.28
0.0× median
90834Normal range

Psychotherapy, 45 minutes

$382

4,097 claims · 0.0%

Your Cost: $0.09/claim|Median: $63.65
0.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$257

2,116 claims · 0.0%

Your Cost: $0.12/claim|Median: $10.51
0.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$257

465 claims · 0.0%

Your Cost: $0.55/claim|Median: $72.71
0.0× median
96156Normal range

$225

3,083 claims · 0.0%

Your Cost: $0.07/claim|Median: $22.36
0.0× median
90837Normal range

Psychotherapy, 60 minutes

$177

1,846 claims · 0.0%

Your Cost: $0.10/claim|Median: $85.66
0.0× median
99203Normal range

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

$173

3,413 claims · 0.0%

Your Cost: $0.05/claim|Median: $57.85
0.0× median
87426Normal range

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

$141

72 claims · 0.0%

Your Cost: $1.96/claim|Median: $30.04
0.1× median
96152Normal range

Health behavior intervention, individual

$117

1,608 claims · 0.0%

Your Cost: $0.07/claim|Median: $20.02
0.0× median
90853Normal range

Group psychotherapy

$88

353 claims · 0.0%

Your Cost: $0.25/claim|Median: $25.02
0.0× median
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