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Provider 1588804819

NPI: 1588804819Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.8M

$14,764,802

Total Claims

205K

Beneficiaries

150K

1.4 claims/patient

Avg Cost/Claim

$72

Monthly Spending Trend

Yearly Spending

2018
$2.2M
-13%
2019
$1.9M
+6%
2020
$2.0M
+27%
2021
$2.5M
-21%
2022
$2.0M
+12%
2023
$2.2M
-16%
2024
$1.9M

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 92% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$13.6M

86K claims · 92.3%

Your Cost: $158.42/claim|Median: $121.16
1.3× median
99213Normal range

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

$588K

30K claims · 4.0%

Your Cost: $19.47/claim|Median: $37.81
0.5× median
99214Normal range

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

$207K

12K claims · 1.4%

Your Cost: $17.80/claim|Median: $53.41
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$48K

1,779 claims · 0.3%

Your Cost: $27.08/claim|Median: $25.06
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$47K

2,464 claims · 0.3%

Your Cost: $19.15/claim|Median: $69.35
0.3× median
59425Top 25%

Antepartum care only, 4-6 visits

$41K

436 claims · 0.3%

Your Cost: $94.20/claim|Median: $63.63
1.5× median
99401Normal range

$37K

3,154 claims · 0.2%

Your Cost: $11.68/claim|Median: $16.53
0.7× median
H1003Normal range

$30K

3,040 claims · 0.2%

Your Cost: $9.72/claim|Median: $10.04
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$29K

1,362 claims · 0.2%

Your Cost: $21.59/claim|Median: $75.18
0.3× median
G0467Normal range

Federally qualified health center visit, mental health

$19K

572 claims · 0.1%

Your Cost: $33.40/claim|Median: $21.91
1.5× median
96156Normal range

$18K

1,402 claims · 0.1%

Your Cost: $12.90/claim|Median: $22.36
0.6× median
90472Normal range

Immunization administration, each additional vaccine

$17K

2,046 claims · 0.1%

Your Cost: $8.50/claim|Median: $11.79
0.7× median
81002Normal range

Urinalysis, non-automated without microscopy

$16K

18K claims · 0.1%

Your Cost: $0.89/claim|Median: $2.00
0.4× median
81025Normal range

Urine pregnancy test

$7K

4,730 claims · 0.0%

Your Cost: $1.46/claim|Median: $4.81
0.3× median
90471Normal range

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

$7K

3,065 claims · 0.0%

Your Cost: $2.19/claim|Median: $9.80
0.2× median
88142Normal range

$6K

1,286 claims · 0.0%

Your Cost: $5.04/claim|Median: $14.75
0.3× median
59430Normal range

$4K

50 claims · 0.0%

Your Cost: $75.00/claim|Median: $80.32
0.9× median
S9445Normal range

$3K

380 claims · 0.0%

Your Cost: $8.58/claim|Median: $12.72
0.7× median
99203Normal range

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

$3K

61 claims · 0.0%

Your Cost: $44.33/claim|Median: $57.85
0.8× median
96158Normal range

$2K

165 claims · 0.0%

Your Cost: $12.62/claim|Median: $28.43
0.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$1K

474 claims · 0.0%

Your Cost: $2.62/claim|Median: $7.18
0.4× median
59025Normal range

Fetal non-stress test

$1K

350 claims · 0.0%

Your Cost: $3.30/claim|Median: $26.45
0.1× median
90677Normal range

$945

364 claims · 0.0%

Your Cost: $2.60/claim|Median: $12.96
0.2× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$901

43 claims · 0.0%

Your Cost: $20.94/claim|Median: $12.70
1.6× median
90697Normal range

$873

437 claims · 0.0%

Your Cost: $2.00/claim|Median: $7.24
0.3× median
J3490Top 10%

Unclassified drugs

$851

12 claims · 0.0%

Your Cost: $70.91/claim|Median: $5.70
12.4× median
87811Normal range

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

$760

50 claims · 0.0%

Your Cost: $15.20/claim|Median: $30.53
0.5× median
90680Normal range

$711

759 claims · 0.0%

Your Cost: $0.94/claim|Median: $5.58
0.2× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$244

29 claims · 0.0%

Your Cost: $8.41/claim|Median: $24.33
0.3× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$227

47 claims · 0.0%

Your Cost: $4.82/claim|Median: $73.46
0.1× median
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