Provider 1578753703
Total Paid
$18.4M
$18,447,341
Total Claims
220K
Beneficiaries
145K
1.5 claims/patient
Avg Cost/Claim
$84
Monthly Spending Trend
Yearly Spending
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 100% of total spending.
$18.4M
91K claims
$202.85
$121.16
Clinic visit/encounter, all-inclusive
$18.4M
91K claims · 100.0%
Tdap vaccine
$2K
3,416 claims · 0.0%
$1K
3,936 claims
$0.36
$41.92
Injection, medroxyprogesterone acetate, one milligram
$1K
3,936 claims · 0.0%
Fetal non-stress test
$1K
8,261 claims · 0.0%
$973
33K claims
$0.03
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$973
33K claims · 0.0%
$631
3,444 claims
$0.18
$36.79
Ultrasound, pregnant uterus, limited
$631
3,444 claims · 0.0%
$541
2,192 claims
$0.25
$7.18
Influenza virus vaccine, quadrivalent, preservative-free, IM
$541
2,192 claims · 0.0%
$418
1,949 claims
$0.21
$17.67
Sign language or oral interpretive services, per 15 minutes
$418
1,949 claims · 0.0%
$359
5,815 claims
$0.06
$9.56
Therapeutic injection, subcutaneous/intramuscular
$359
5,815 claims · 0.0%
$303
61 claims · 0.0%
$248
229 claims
$1.09
$47.65
Ultrasound, pregnant uterus, transvaginal
$248
229 claims · 0.0%
$194
17K claims
$0.01
$25.06
Office/outpatient visit, low complexity
$194
17K claims · 0.0%
$170
829 claims
$0.21
$51.25
Initial hospital care, per day, moderate complexity
$170
829 claims · 0.0%
$134
8,526 claims
$0.02
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$134
8,526 claims · 0.0%
$127
6,476 claims
$0.02
$9.80
Immunization administration, 1 vaccine, percutaneous/ID/SC/IM
$127
6,476 claims · 0.0%
Urine pregnancy test
$120
8,108 claims · 0.0%
$84
3,563 claims
$0.02
$37.22
Hospital discharge day management, 30 minutes or less
$84
3,563 claims · 0.0%
$47
1,485 claims · 0.0%
$21
808 claims
$0.03
$2.00
Urinalysis, non-automated without microscopy
$21
808 claims · 0.0%
$5
148 claims
$0.03
$11.79
Immunization administration, each additional vaccine
$5
148 claims · 0.0%
$4
12 claims · 0.0%
$3
60 claims
$0.05
$1.40
Blood glucose test by monitoring device
$3
60 claims · 0.0%
$0
53 claims · 0.0%
$0
105 claims · 0.0%
$0
2,190 claims · 0.0%
$0
905 claims · 0.0%
$0
246 claims · 0.0%
Office/outpatient visit, high complexity
$0
72 claims · 0.0%
$0
179 claims
$0.00
$786.43
Etonogestrel implant system, including implant and supplies
$0
179 claims · 0.0%
Psychiatric diagnostic evaluation
$0
74 claims · 0.0%