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Provider 1558632570

NPI: 1558632570Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.6M

$14,641,227

Total Claims

295K

Beneficiaries

221K

1.3 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$2.4M
-1%
2019
$2.4M
-15%
2020
$2.0M
+31%
2021
$2.6M
-20%
2022
$2.1M
-21%
2023
$1.7M
-10%
2024
$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 59% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$8.6M

65K claims · 58.8%

Your Cost: $132.85/claim|Median: $121.16
1.1× median
00003Normal range

Anesthesia services

$5.6M

33K claims · 38.1%

Your Cost: $168.97/claim|Median: $223.77
0.8× median
90834Normal range

Psychotherapy, 45 minutes

$44K

2,978 claims · 0.3%

Your Cost: $14.82/claim|Median: $63.65
0.2× median
99213Normal range

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

$44K

42K claims · 0.3%

Your Cost: $1.05/claim|Median: $37.81
0.0× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$40K

893 claims · 0.3%

Your Cost: $44.63/claim|Median: $33.72
1.3× median
G0467Normal range

Federally qualified health center visit, mental health

$36K

1,204 claims · 0.2%

Your Cost: $30.17/claim|Median: $21.91
1.4× median
98940Normal range

$36K

8,614 claims · 0.2%

Your Cost: $4.19/claim|Median: $14.55
0.3× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$35K

783 claims · 0.2%

Your Cost: $44.47/claim|Median: $36.70
1.2× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$29K

6,610 claims · 0.2%

Your Cost: $4.36/claim|Median: $59.72
0.1× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$18K

415 claims · 0.1%

Your Cost: $43.64/claim|Median: $33.85
1.3× median
0011ATop 25%

COVID-19 vaccine admin, Moderna, 1st dose

$16K

441 claims · 0.1%

Your Cost: $35.69/claim|Median: $25.93
1.4× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$16K

5,042 claims · 0.1%

Your Cost: $3.12/claim|Median: $47.08
0.1× median
99214Normal range

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

$15K

8,580 claims · 0.1%

Your Cost: $1.71/claim|Median: $53.41
0.0× median
V2020Normal range

Frames, purchases

$14K

6,497 claims · 0.1%

Your Cost: $2.16/claim|Median: $19.33
0.1× median
90791Normal range

Psychiatric diagnostic evaluation

$14K

867 claims · 0.1%

Your Cost: $15.66/claim|Median: $99.21
0.2× median
90832Normal range

Psychotherapy, 30 minutes

$12K

1,342 claims · 0.1%

Your Cost: $8.98/claim|Median: $41.28
0.2× median
92340Normal range

Fitting of spectacles, except for aphakia

$11K

5,416 claims · 0.1%

Your Cost: $2.08/claim|Median: $19.46
0.1× median
92015Normal range

Determination of refractive state

$9K

12K claims · 0.1%

Your Cost: $0.73/claim|Median: $10.36
0.1× median
0071ATop 25%

$9K

200 claims · 0.1%

Your Cost: $42.91/claim|Median: $38.71
1.1× median
0064ANormal range

$8K

205 claims · 0.1%

Your Cost: $39.95/claim|Median: $34.17
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$8K

14K claims · 0.1%

Your Cost: $0.57/claim|Median: $25.06
0.0× median
0072ANormal range

$6K

159 claims · 0.0%

Your Cost: $39.05/claim|Median: $39.57
1.0× median
S9445Top 25%

$6K

185 claims · 0.0%

Your Cost: $30.00/claim|Median: $12.72
2.4× median
0004ATop 25%

$3K

70 claims · 0.0%

Your Cost: $44.59/claim|Median: $35.62
1.3× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$2K

635 claims · 0.0%

Your Cost: $3.59/claim|Median: $20.83
0.2× median
92341Normal range

$2K

822 claims · 0.0%

Your Cost: $2.53/claim|Median: $22.77
0.1× median
0031ATop 25%

COVID-19 vaccine admin, J&J, single dose

$2K

40 claims · 0.0%

Your Cost: $46.81/claim|Median: $32.49
1.4× median
59425Normal range

Antepartum care only, 4-6 visits

$1K

49 claims · 0.0%

Your Cost: $28.40/claim|Median: $63.63
0.4× median
0013ATop 25%

$950

22 claims · 0.0%

Your Cost: $43.18/claim|Median: $35.38
1.2× median
S9455Top 25%

$870

29 claims · 0.0%

Your Cost: $30.00/claim|Median: $30.00
1.0× median
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