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Provider 1548643000

NPI: 1548643000Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.1M

$15,137,134

Total Claims

381K

Beneficiaries

257K

1.5 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$2.1M
-16%
2019
$1.7M
+29%
2020
$2.3M
+41%
2021
$3.2M
-27%
2022
$2.3M
-16%
2023
$1.9M
-16%
2024
$1.6M

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 68% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$10.2M

75K claims · 67.7%

Your Cost: $136.48/claim|Median: $121.16
1.1× median
G9012Normal range

Other specified case management service, per 15 minutes

$2.2M

27K claims · 14.2%

Your Cost: $78.54/claim|Median: $137.85
0.6× median
G9008Normal range

Coordination of long-term care services, per month

$1.5M

11K claims · 10.2%

Your Cost: $139.76/claim|Median: $66.78
2.1× median
98940Top 1%

$715K

4,398 claims · 4.7%

Your Cost: $162.54/claim|Median: $14.55
11.2× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$68K

1,631 claims · 0.4%

Your Cost: $41.69/claim|Median: $33.85
1.2× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$63K

1,803 claims · 0.4%

Your Cost: $34.82/claim|Median: $25.93
1.3× median
97810Top 1%

$53K

318 claims · 0.4%

Your Cost: $167.89/claim|Median: $23.92
7.0× median
99213Normal range

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

$51K

93K claims · 0.3%

Your Cost: $0.55/claim|Median: $37.81
0.0× median
G0467Normal range

Federally qualified health center visit, mental health

$50K

2,463 claims · 0.3%

Your Cost: $20.36/claim|Median: $21.91
0.9× median
90471Normal range

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

$31K

13K claims · 0.2%

Your Cost: $2.35/claim|Median: $9.80
0.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$25K

2,962 claims · 0.2%

Your Cost: $8.33/claim|Median: $75.18
0.1× median
96110Normal range

Developmental screening, per standardized instrument

$20K

1,381 claims · 0.1%

Your Cost: $14.72/claim|Median: $9.10
1.6× median
97813Top 1%

$18K

108 claims · 0.1%

Your Cost: $168.02/claim|Median: $26.35
6.4× median
99396Normal range

Preventive medicine, established patient, age 40-64

$11K

5,858 claims · 0.1%

Your Cost: $1.81/claim|Median: $76.06
0.0× median
90688Normal range

$9K

1,799 claims · 0.1%

Your Cost: $5.26/claim|Median: $9.00
0.6× median
92551Normal range

Screening audiometry, pure tone, air only

$9K

2,638 claims · 0.1%

Your Cost: $3.51/claim|Median: $6.61
0.5× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$9K

2,495 claims · 0.1%

Your Cost: $3.50/claim|Median: $7.18
0.5× median
88150Normal range

$6K

1,125 claims · 0.0%

Your Cost: $5.72/claim|Median: $6.47
0.9× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$6K

2,969 claims · 0.0%

Your Cost: $1.92/claim|Median: $17.85
0.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$6K

1,808 claims · 0.0%

Your Cost: $3.11/claim|Median: $74.82
0.0× median
0064ANormal range

$5K

125 claims · 0.0%

Your Cost: $39.36/claim|Median: $34.17
1.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$5K

1,460 claims · 0.0%

Your Cost: $3.32/claim|Median: $80.15
0.0× median
G9920Normal range

$4K

6,784 claims · 0.0%

Your Cost: $0.63/claim|Median: $6.56
0.1× median
G2025Normal range

$4K

253 claims · 0.0%

Your Cost: $14.38/claim|Median: $15.63
0.9× median
99214Normal range

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

$4K

4,295 claims · 0.0%

Your Cost: $0.83/claim|Median: $53.41
0.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$3K

3,144 claims · 0.0%

Your Cost: $1.08/claim|Median: $72.71
0.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$3K

448 claims · 0.0%

Your Cost: $7.51/claim|Median: $69.35
0.1× median
90756Normal range

Influenza virus vaccine, quadrivalent

$2K

537 claims · 0.0%

Your Cost: $3.72/claim|Median: $14.34
0.3× median
90670Normal range

$2K

558 claims · 0.0%

Your Cost: $3.28/claim|Median: $5.94
0.6× median
90674Normal range

$1K

198 claims · 0.0%

Your Cost: $6.52/claim|Median: $15.16
0.4× median
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