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Provider 1568439081

NPI: 1568439081Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.1M

$16,113,669

Total Claims

288K

Beneficiaries

245K

1.2 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$3.0M
-11%
2019
$2.7M
-5%
2020
$2.5M
-5%
2021
$2.4M
-37%
2022
$1.5M
+19%
2023
$1.8M
+25%
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 42% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$6.7M

33K claims · 41.6%

Your Cost: $206.03/claim|Median: $121.16
1.7× median
00003Top 25%

Anesthesia services

$6.3M

15K claims · 39.2%

Your Cost: $418.75/claim|Median: $223.77
1.9× median
99214Normal range

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

$919K

30K claims · 5.7%

Your Cost: $30.87/claim|Median: $53.41
0.6× median
90834Normal range

Psychotherapy, 45 minutes

$755K

15K claims · 4.7%

Your Cost: $48.93/claim|Median: $63.65
0.8× median
99213Normal range

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

$491K

44K claims · 3.0%

Your Cost: $11.14/claim|Median: $37.81
0.3× median
90837Normal range

Psychotherapy, 60 minutes

$90K

1,737 claims · 0.6%

Your Cost: $51.94/claim|Median: $85.66
0.6× median
59425Normal range

Antepartum care only, 4-6 visits

$82K

1,353 claims · 0.5%

Your Cost: $60.35/claim|Median: $63.63
0.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$66K

616 claims · 0.4%

Your Cost: $107.17/claim|Median: $108.91
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$64K

1,578 claims · 0.4%

Your Cost: $40.59/claim|Median: $74.09
0.5× median
99212Normal range

Office/outpatient visit, low complexity

$54K

5,610 claims · 0.3%

Your Cost: $9.59/claim|Median: $25.06
0.4× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$52K

3,542 claims · 0.3%

Your Cost: $14.67/claim|Median: $20.83
0.7× median
90750Top 25%

$48K

284 claims · 0.3%

Your Cost: $167.64/claim|Median: $96.16
1.7× median
G0467Normal range

Federally qualified health center visit, mental health

$39K

1,390 claims · 0.2%

Your Cost: $28.14/claim|Median: $21.91
1.3× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$32K

2,046 claims · 0.2%

Your Cost: $15.73/claim|Median: $9.56
1.6× median
90739Top 10%

$27K

177 claims · 0.2%

Your Cost: $153.30/claim|Median: $74.43
2.1× median
90471Normal range

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

$26K

7,317 claims · 0.2%

Your Cost: $3.55/claim|Median: $9.80
0.4× median
90734Top 1%

$26K

230 claims · 0.2%

Your Cost: $112.81/claim|Median: $6.40
17.6× median
99203Normal range

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

$26K

878 claims · 0.2%

Your Cost: $29.50/claim|Median: $57.85
0.5× median
99204Normal range

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

$24K

421 claims · 0.1%

Your Cost: $55.93/claim|Median: $84.03
0.7× median
90791Normal range

Psychiatric diagnostic evaluation

$20K

367 claims · 0.1%

Your Cost: $55.05/claim|Median: $99.21
0.6× median
90832Normal range

Psychotherapy, 30 minutes

$20K

641 claims · 0.1%

Your Cost: $31.15/claim|Median: $41.28
0.8× median
0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$20K

296 claims · 0.1%

Your Cost: $66.32/claim|Median: $33.85
2.0× median
90677Normal range

$19K

460 claims · 0.1%

Your Cost: $41.48/claim|Median: $12.96
3.2× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$19K

291 claims · 0.1%

Your Cost: $64.93/claim|Median: $25.93
2.5× median
97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$17K

217 claims · 0.1%

Your Cost: $77.59/claim|Median: $12.70
6.1× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$13K

334 claims · 0.1%

Your Cost: $39.83/claim|Median: $24.33
1.6× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$11K

869 claims · 0.1%

Your Cost: $13.09/claim|Median: $7.18
1.8× median
90674Top 25%

$11K

455 claims · 0.1%

Your Cost: $24.00/claim|Median: $15.16
1.6× median
90651Top 25%

HPV vaccine, 9-valent

$11K

446 claims · 0.1%

Your Cost: $23.55/claim|Median: $8.93
2.6× median
99233Normal range

Subsequent hospital care, per day, high complexity

$10K

359 claims · 0.1%

Your Cost: $29.21/claim|Median: $35.30
0.8× median
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