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Provider 1538300488

NPI: 1538300488Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.0M

$15,992,958

Total Claims

409K

Beneficiaries

390K

1.1 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$3.1M
-22%
2019
$2.4M
-26%
2020
$1.8M
-2%
2021
$1.8M
+7%
2022
$1.9M
+21%
2023
$2.3M
+17%
2024
$2.7M

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 72% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$11.5M

100K claims · 71.9%

Your Cost: $114.80/claim|Median: $121.16
0.9× median
96110Top 5%

Developmental screening, per standardized instrument

$504K

9,433 claims · 3.2%

Your Cost: $53.41/claim|Median: $9.10
5.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$418K

12K claims · 2.6%

Your Cost: $35.74/claim|Median: $74.82
0.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$376K

13K claims · 2.3%

Your Cost: $29.88/claim|Median: $75.18
0.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$370K

7,851 claims · 2.3%

Your Cost: $47.15/claim|Median: $80.15
0.6× median
99213Normal range

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

$344K

59K claims · 2.2%

Your Cost: $5.82/claim|Median: $37.81
0.2× median
59425Normal range

Antepartum care only, 4-6 visits

$344K

4,523 claims · 2.1%

Your Cost: $75.95/claim|Median: $63.63
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$216K

7,812 claims · 1.4%

Your Cost: $27.65/claim|Median: $69.35
0.4× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$128K

1,486 claims · 0.8%

Your Cost: $86.05/claim|Median: $106.79
0.8× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$118K

19K claims · 0.7%

Your Cost: $6.30/claim|Median: $7.18
0.9× median
99214Normal range

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

$116K

16K claims · 0.7%

Your Cost: $7.49/claim|Median: $53.41
0.1× median
92551Normal range

Screening audiometry, pure tone, air only

$114K

26K claims · 0.7%

Your Cost: $4.37/claim|Median: $6.61
0.7× median
99204Normal range

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

$99K

1,174 claims · 0.6%

Your Cost: $84.50/claim|Median: $84.03
1.0× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$89K

1,935 claims · 0.6%

Your Cost: $46.12/claim|Median: $121.58
0.4× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$70K

3,559 claims · 0.4%

Your Cost: $19.60/claim|Median: $58.55
0.3× median
99243Normal range

Office or other outpatient consultation, low complexity

$70K

1,939 claims · 0.4%

Your Cost: $35.93/claim|Median: $82.43
0.4× median
87426Normal range

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

$66K

1,916 claims · 0.4%

Your Cost: $34.48/claim|Median: $30.04
1.1× median
99203Normal range

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

$63K

1,352 claims · 0.4%

Your Cost: $46.69/claim|Median: $57.85
0.8× median
90651Normal range

HPV vaccine, 9-valent

$51K

5,534 claims · 0.3%

Your Cost: $9.27/claim|Median: $8.93
1.0× median
90670Normal range

$49K

7,163 claims · 0.3%

Your Cost: $6.82/claim|Median: $5.94
1.1× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$48K

7,499 claims · 0.3%

Your Cost: $6.40/claim|Median: $3.67
1.7× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$44K

969 claims · 0.3%

Your Cost: $45.76/claim|Median: $74.78
0.6× median
76819Normal range

Fetal biophysical profile with non-stress test

$44K

835 claims · 0.3%

Your Cost: $52.20/claim|Median: $49.45
1.1× median
90715Normal range

Tdap vaccine

$43K

2,842 claims · 0.3%

Your Cost: $15.30/claim|Median: $10.32
1.5× median
90647Normal range

$38K

5,114 claims · 0.2%

Your Cost: $7.34/claim|Median: $4.31
1.7× median
90734Normal range

$37K

4,194 claims · 0.2%

Your Cost: $8.75/claim|Median: $6.40
1.4× median
90633Normal range

$36K

4,450 claims · 0.2%

Your Cost: $8.11/claim|Median: $3.56
2.3× median
0072ATop 25%

$36K

661 claims · 0.2%

Your Cost: $54.05/claim|Median: $39.57
1.4× median
99212Normal range

Office/outpatient visit, low complexity

$36K

9,720 claims · 0.2%

Your Cost: $3.67/claim|Median: $25.06
0.1× median
90723Normal range

DTaP-HepB-IPV vaccine

$36K

4,906 claims · 0.2%

Your Cost: $7.26/claim|Median: $5.78
1.3× median
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