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Provider 1548515091

NPI: 1548515091Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.6M

$10,589,213

Total Claims

314K

Beneficiaries

280K

1.1 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-7%
2019
$1.2M
+18%
2020
$1.4M
+7%
2021
$1.5M
-27%
2022
$1.1M
+62%
2023
$1.8M
+21%
2024
$2.2M

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 63% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$6.7M

34K claims · 62.8%

Your Cost: $193.42/claim|Median: $121.16
1.6× median
99213Normal range

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

$2.0M

106K claims · 18.9%

Your Cost: $18.97/claim|Median: $37.81
0.5× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$500K

23K claims · 4.7%

Your Cost: $21.88/claim|Median: $17.85
1.2× median
99214Normal range

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

$244K

12K claims · 2.3%

Your Cost: $20.09/claim|Median: $53.41
0.4× median
99392Normal range

Preventive medicine, established patient, age 1-4

$142K

3,659 claims · 1.3%

Your Cost: $38.67/claim|Median: $75.18
0.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$109K

2,261 claims · 1.0%

Your Cost: $48.08/claim|Median: $74.82
0.6× median
87426Normal range

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

$88K

3,417 claims · 0.8%

Your Cost: $25.80/claim|Median: $30.04
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$84K

3,330 claims · 0.8%

Your Cost: $25.31/claim|Median: $69.35
0.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$82K

11K claims · 0.8%

Your Cost: $7.47/claim|Median: $7.18
1.0× median
90461Normal range

Immunization admin, additional vaccine, counseling

$74K

4,468 claims · 0.7%

Your Cost: $16.67/claim|Median: $6.93
2.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$71K

1,370 claims · 0.7%

Your Cost: $52.07/claim|Median: $80.15
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$40K

2,520 claims · 0.4%

Your Cost: $16.01/claim|Median: $25.06
0.6× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$40K

1,210 claims · 0.4%

Your Cost: $32.88/claim|Median: $33.85
1.0× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$36K

3,308 claims · 0.3%

Your Cost: $10.85/claim|Median: $9.80
1.1× median
96110Normal range

Developmental screening, per standardized instrument

$36K

3,071 claims · 0.3%

Your Cost: $11.59/claim|Median: $9.10
1.3× median
92551Normal range

Screening audiometry, pure tone, air only

$32K

8,283 claims · 0.3%

Your Cost: $3.83/claim|Median: $6.61
0.6× median
99211Normal range

Office/outpatient visit, minimal complexity

$30K

2,273 claims · 0.3%

Your Cost: $13.36/claim|Median: $12.93
1.0× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$28K

1,208 claims · 0.3%

Your Cost: $22.84/claim|Median: $25.93
0.9× median
90677Normal range

$23K

547 claims · 0.2%

Your Cost: $42.13/claim|Median: $12.96
3.3× median
99396Normal range

Preventive medicine, established patient, age 40-64

$22K

533 claims · 0.2%

Your Cost: $42.15/claim|Median: $76.06
0.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$17K

2,594 claims · 0.2%

Your Cost: $6.39/claim|Median: $11.48
0.6× median
82947Normal range

Blood glucose level test

$16K

7,987 claims · 0.2%

Your Cost: $2.04/claim|Median: $2.38
0.9× median
0064ANormal range

$16K

500 claims · 0.2%

Your Cost: $32.48/claim|Median: $34.17
1.0× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$13K

343 claims · 0.1%

Your Cost: $37.06/claim|Median: $36.70
1.0× median
0071ANormal range

$12K

307 claims · 0.1%

Your Cost: $38.83/claim|Median: $38.71
1.0× median
90651Top 25%

HPV vaccine, 9-valent

$11K

343 claims · 0.1%

Your Cost: $33.36/claim|Median: $8.93
3.7× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$10K

446 claims · 0.1%

Your Cost: $22.93/claim|Median: $24.33
0.9× median
0072ANormal range

$10K

264 claims · 0.1%

Your Cost: $38.48/claim|Median: $39.57
1.0× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$10K

290 claims · 0.1%

Your Cost: $33.34/claim|Median: $33.72
1.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$9K

300 claims · 0.1%

Your Cost: $31.55/claim|Median: $72.71
0.4× median
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