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Provider 1538508015

NPI: 1538508015Share
Active Billing Period:2018-01→2020-11(32 months)
Billing appears to have stoppedLast active: 2020-11

Total Paid

$11.3M

$11,281,679

Total Claims

167K

Beneficiaries

132K

1.3 claims/patient

Avg Cost/Claim

$68

Monthly Spending Trend

Yearly Spending

2018
$5.3M
-14%
2019
$4.5M
-66%
2020
$1.5M

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 86% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$9.7M

70K claims · 86.0%

Your Cost: $137.86/claim|Median: $121.16
1.1× median
98940Top 1%

$727K

4,953 claims · 6.4%

Your Cost: $146.84/claim|Median: $14.55
10.1× median
99213Normal range

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

$370K

36K claims · 3.3%

Your Cost: $10.26/claim|Median: $37.81
0.3× median
G9008Top 5%

Coordination of long-term care services, per month

$121K

273 claims · 1.1%

Your Cost: $444.74/claim|Median: $66.78
6.7× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$82K

4,510 claims · 0.7%

Your Cost: $18.14/claim|Median: $59.72
0.3× median
99214Normal range

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

$59K

7,482 claims · 0.5%

Your Cost: $7.91/claim|Median: $53.41
0.1× median
99203Top 25%

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

$57K

605 claims · 0.5%

Your Cost: $94.13/claim|Median: $57.85
1.6× median
99212Normal range

Office/outpatient visit, low complexity

$41K

5,825 claims · 0.4%

Your Cost: $7.07/claim|Median: $25.06
0.3× median
92552Normal range

Pure tone audiometry, air only, each ear

$21K

2,615 claims · 0.2%

Your Cost: $8.16/claim|Median: $12.63
0.6× median
J3490Top 10%

Unclassified drugs

$14K

190 claims · 0.1%

Your Cost: $75.83/claim|Median: $5.70
13.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$11K

482 claims · 0.1%

Your Cost: $23.05/claim|Median: $80.15
0.3× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$5K

121 claims · 0.0%

Your Cost: $44.45/claim|Median: $74.78
0.6× median
90715Normal range

Tdap vaccine

$5K

511 claims · 0.0%

Your Cost: $10.30/claim|Median: $10.32
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$5K

296 claims · 0.0%

Your Cost: $15.60/claim|Median: $74.82
0.2× median
90688Normal range

$4K

426 claims · 0.0%

Your Cost: $10.36/claim|Median: $9.00
1.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$4K

986 claims · 0.0%

Your Cost: $4.26/claim|Median: $11.48
0.4× median
99215Normal range

Office/outpatient visit, high complexity

$4K

435 claims · 0.0%

Your Cost: $8.92/claim|Median: $74.09
0.1× median
90660Normal range

$4K

1,133 claims · 0.0%

Your Cost: $3.36/claim|Median: $5.71
0.6× median
82962Normal range

Blood glucose test by monitoring device

$4K

2,614 claims · 0.0%

Your Cost: $1.43/claim|Median: $1.40
1.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$3K

616 claims · 0.0%

Your Cost: $5.66/claim|Median: $5.50
1.0× median
85018Normal range

$3K

4,463 claims · 0.0%

Your Cost: $0.74/claim|Median: $1.71
0.4× median
90658Normal range

$3K

392 claims · 0.0%

Your Cost: $7.97/claim|Median: $8.96
0.9× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$2K

996 claims · 0.0%

Your Cost: $2.20/claim|Median: $7.18
0.3× median
90651Normal range

HPV vaccine, 9-valent

$2K

335 claims · 0.0%

Your Cost: $6.22/claim|Median: $8.93
0.7× median
81025Normal range

Urine pregnancy test

$2K

1,504 claims · 0.0%

Your Cost: $1.27/claim|Median: $4.81
0.3× median
99211Normal range

Office/outpatient visit, minimal complexity

$2K

1,681 claims · 0.0%

Your Cost: $1.11/claim|Median: $12.93
0.1× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$2K

98 claims · 0.0%

Your Cost: $17.55/claim|Median: $83.63
0.2× median
99204Normal range

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

$2K

62 claims · 0.0%

Your Cost: $26.57/claim|Median: $84.03
0.3× median
99401Normal range

$2K

170 claims · 0.0%

Your Cost: $9.21/claim|Median: $16.53
0.6× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$1K

14 claims · 0.0%

Your Cost: $103.98/claim|Median: $114.71
0.9× median
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