Compared to Clinic/Center Peers
Total spending distribution among 13 providers in this specialty
This provider's total spending of $39.0M is at the 50th percentile among 13 Clinic/Center providers.
Total Paid
$39.0M
$38,999,946
Total Claims
937K
Beneficiaries
840K
1.1 claims/patient
Avg Cost/Claim
$42
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 32% of total spending.
$12.5M
170K claims
$73.30
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$12.5M
170K claims · 32.0%
$6.3M
83K claims
$76.50
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$6.3M
83K claims · 16.2%
$2.2M
28K claims
$78.43
$47.08
Ophthalmological exam, comprehensive, established patient
$2.2M
28K claims · 5.7%
$1.9M
24K claims
$76.79
$12.93
Office/outpatient visit, minimal complexity
$1.9M
24K claims · 4.8%
Psychotherapy, 45 minutes
$1.3M
18K claims · 3.3%
$966K
10K claims
$95.89
$25.06
Office/outpatient visit, low complexity
$966K
10K claims · 2.5%
$835K
9,695 claims
$86.14
$74.82
Preventive medicine, established patient, age 5-11
$835K
9,695 claims · 2.1%
$742K
8,748 claims
$84.87
$75.18
Preventive medicine, established patient, age 1-4
$742K
8,748 claims · 1.9%
$740K
8,587 claims
$86.14
$80.15
Preventive medicine, established patient, age 12-17
$740K
8,587 claims · 1.9%
$655K
7,241 claims
$90.41
$69.35
Preventive medicine, established patient, infant (under 1)
$655K
7,241 claims · 1.7%
$559K
20K claims
$28.37
$19.46
Fitting of spectacles, except for aphakia
$559K
20K claims · 1.4%
$550K
6,541 claims
$84.16
$72.71
Preventive medicine, established patient, age 18-39
$550K
6,541 claims · 1.4%
$547K
49K claims · 1.4%
$499K
6,283 claims
$79.38
$76.06
Preventive medicine, established patient, age 40-64
$499K
6,283 claims · 1.3%
Prophylaxis, adult cleaning
$376K
14K claims · 1.0%
HPV vaccine, 9-valent
$331K
4,238 claims · 0.8%
$318K
20K claims
$16.15
$7.18
Influenza virus vaccine, quadrivalent, preservative-free, IM
$318K
20K claims · 0.8%
$317K
3,571 claims
$88.63
$39.33
Screening mammography, bilateral, including CAD
$317K
3,571 claims · 0.8%
$298K
8,278 claims
$36.05
$46.33
Intraoral, complete series of radiographic images
$298K
8,278 claims · 0.8%
Psychotherapy, 30 minutes
$298K
7,053 claims · 0.8%
Prophylaxis, adult
$255K
5,105 claims · 0.7%
$237K
15K claims
$15.86
$24.34
Periodic oral evaluation, established patient
$237K
15K claims · 0.6%
$233K
5,566 claims
$41.80
$39.70
COVID-19 SARS-CoV-2 amplified probe detection
$233K
5,566 claims · 0.6%
$205K
20K claims
$10.23
$9.10
Developmental screening, per standardized instrument
$205K
20K claims · 0.5%
$204K
10K claims
$20.01
$17.15
Specimen collection for COVID-19 testing
$204K
10K claims · 0.5%
$189K
4,182 claims
$45.24
$57.39
Extraction, erupted tooth or exposed root
$189K
4,182 claims · 0.5%
$177K
5,873 claims
$30.12
$54.60
Resin-based composite, one surface, posterior
$177K
5,873 claims · 0.5%
$173K
14K claims
$12.20
$10.36
Determination of refractive state
$173K
14K claims · 0.4%
Psychotherapy, 60 minutes
$166K
1,626 claims · 0.4%
$162K
6,299 claims
$25.79
$18.12
Topical application of fluoride varnish
$162K
6,299 claims · 0.4%
$159K
9,800 claims · 0.4%
$139K
2,561 claims
$54.39
$12.70
Medical nutrition therapy, reassessment, individual, fifteen minutes
$139K
2,561 claims · 0.4%
$133K
3,771 claims
$35.19
$71.00
Resin-based composite, two surfaces, posterior
$133K
3,771 claims · 0.3%
$127K
1,139 claims
$111.26
$57.85
Office/outpatient visit, new patient, low-mod complexity
$127K
1,139 claims · 0.3%
$125K
20K claims
$6.25
$5.50
Hemoglobin A1c (glycated hemoglobin)
$125K
20K claims · 0.3%
$125K
5,391 claims
$23.10
$32.07
Comprehensive oral evaluation, new or established patient
$125K
5,391 claims · 0.3%
$122K
1,447 claims
$84.08
$74.09
Office/outpatient visit, high complexity
$122K
1,447 claims · 0.3%
$118K
21K claims
$5.58
$17.85
Immunization administration, first vaccine/toxoid, with counseling
$118K
21K claims · 0.3%
Tdap vaccine
$115K
5,790 claims · 0.3%
$114K
4,597 claims
$24.86
$27.07
Limited oral evaluation, problem focused
$114K
4,597 claims · 0.3%
$113K
1,532 claims
$73.50
$21.41
Screening digital breast tomosynthesis, bilateral
$113K
1,532 claims · 0.3%
$106K
17K claims
$6.12
$9.80
Immunization administration, 1 vaccine, percutaneous/ID/SC/IM
$106K
17K claims · 0.3%
$104K
4,762 claims
$21.77
$22.54
Bitewings, four radiographic images
$104K
4,762 claims · 0.3%
$103K
2,874 claims
$35.90
$33.72
COVID-19 vaccine admin, Pfizer, 1st dose
$103K
2,874 claims · 0.3%
$99K
4,344 claims
$22.86
$24.95
Chlamydia detection, nucleic acid, amplified probe
$99K
4,344 claims · 0.3%
$99K
4,349 claims
$22.78
$23.39
Neisseria gonorrhoeae detection, nucleic acid, amplified probe
$99K
4,349 claims · 0.3%
$99K
2,688 claims
$36.73
$36.70
COVID-19 vaccine admin, Pfizer, 2nd dose
$99K
2,688 claims · 0.3%
$90K
1,910 claims
$46.98
$35.43
Drug test, presumptive, by chemistry analyzers
$90K
1,910 claims · 0.2%
$89K
765 claims
$116.03
$73.46
Preventive visit, new patient, infant (<1 yr)
$89K
765 claims · 0.2%
Frames, purchases
$76K
950 claims · 0.2%
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