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Provider 1558801829

NPI: 1558801829Share
Active Billing Period:2018-022024-12(83 months)

Total Paid

$7.6M

$7,649,521

Total Claims

227K

Beneficiaries

142K

1.6 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$369K
+110%
2019
$775K
+6%
2020
$819K
+31%
2021
$1.1M
+3%
2022
$1.1M
+34%
2023
$1.5M
+38%
2024
$2.0M

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 61% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$4.7M

51K claims · 60.8%

Your Cost: $91.68/claim|Median: $121.16
0.8× median
99213Normal range

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

$1.3M

57K claims · 17.4%

Your Cost: $23.46/claim|Median: $37.81
0.6× median
98940Top 5%

$970K

20K claims · 12.7%

Your Cost: $48.13/claim|Median: $14.55
3.3× median
G0467Top 10%

Federally qualified health center visit, mental health

$242K

3,486 claims · 3.2%

Your Cost: $69.51/claim|Median: $21.91
3.2× median
98941Top 5%

Chiropractic manipulative treatment, 3-4 spinal regions

$159K

3,909 claims · 2.1%

Your Cost: $40.77/claim|Median: $20.83
2.0× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$70K

3,607 claims · 0.9%

Your Cost: $19.34/claim|Median: $30.53
0.6× median
99214Normal range

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

$64K

2,410 claims · 0.8%

Your Cost: $26.64/claim|Median: $53.41
0.5× median
99212Normal range

Office/outpatient visit, low complexity

$26K

2,111 claims · 0.3%

Your Cost: $12.36/claim|Median: $25.06
0.5× median
G9920Normal range

$19K

1,111 claims · 0.3%

Your Cost: $17.33/claim|Median: $6.56
2.6× median
99203Normal range

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

$18K

521 claims · 0.2%

Your Cost: $34.76/claim|Median: $57.85
0.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$14K

1,455 claims · 0.2%

Your Cost: $9.40/claim|Median: $9.56
1.0× median
G8510Normal range

$12K

1,813 claims · 0.2%

Your Cost: $6.63/claim|Median: $1.96
3.4× median
92551Normal range

Screening audiometry, pure tone, air only

$11K

1,893 claims · 0.1%

Your Cost: $6.03/claim|Median: $6.61
0.9× median
99396Normal range

Preventive medicine, established patient, age 40-64

$11K

253 claims · 0.1%

Your Cost: $43.85/claim|Median: $76.06
0.6× median
99395Normal range

Preventive medicine, established patient, age 18-39

$10K

221 claims · 0.1%

Your Cost: $46.74/claim|Median: $72.71
0.6× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$5K

495 claims · 0.1%

Your Cost: $9.72/claim|Median: $7.18
1.4× median
99173Normal range

$4K

2,021 claims · 0.1%

Your Cost: $2.18/claim|Median: $2.16
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$4K

122 claims · 0.1%

Your Cost: $32.93/claim|Median: $80.15
0.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$4K

78 claims · 0.0%

Your Cost: $44.92/claim|Median: $74.82
0.6× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$3K

179 claims · 0.0%

Your Cost: $17.11/claim|Median: $40.11
0.4× median
90688Normal range

$3K

289 claims · 0.0%

Your Cost: $10.57/claim|Median: $9.00
1.2× median
82962Normal range

Blood glucose test by monitoring device

$2K

2,577 claims · 0.0%

Your Cost: $0.89/claim|Median: $1.40
0.6× median
G2025Normal range

$1K

90 claims · 0.0%

Your Cost: $16.50/claim|Median: $15.63
1.1× median
J0696Normal range

$1K

555 claims · 0.0%

Your Cost: $2.67/claim|Median: $1.34
2.0× median
81002Normal range

Urinalysis, non-automated without microscopy

$1K

1,442 claims · 0.0%

Your Cost: $0.74/claim|Median: $2.00
0.4× median
85018Normal range

$911

1,214 claims · 0.0%

Your Cost: $0.75/claim|Median: $1.71
0.4× median
90658Normal range

$805

58 claims · 0.0%

Your Cost: $13.88/claim|Median: $8.96
1.5× median
J1885Top 25%

Injection, ketorolac tromethamine, fifteen milligrams

$743

356 claims · 0.0%

Your Cost: $2.09/claim|Median: $0.91
2.3× median
3078FNormal range

$500

15K claims · 0.0%

Your Cost: $0.03/claim|Median: $0.08
0.4× median
90715Normal range

Tdap vaccine

$487

43 claims · 0.0%

Your Cost: $11.33/claim|Median: $10.32
1.1× median