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Provider 1588826374

NPI: 1588826374Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$10.7M

$10,655,394

Total Claims

41K

Beneficiaries

34K

1.2 claims/patient

Avg Cost/Claim

$260

Monthly Spending Trend

Yearly Spending

2018
$909K
+17%
2019
$1.1M
+10%
2020
$1.2M
+16%
2021
$1.4M
+33%
2022
$1.8M
+20%
2023
$2.2M
+0%
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 88% of total spending.

T1015Top 1%

Clinic visit/encounter, all-inclusive

$9.4M

17K claims · 88.2%

Your Cost: $568.24/claim|Median: $121.16
4.7× median
G0467Top 1%

Federally qualified health center visit, mental health

$962K

2,485 claims · 9.0%

Your Cost: $387.05/claim|Median: $21.91
17.7× median
99213Normal range

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

$189K

9,303 claims · 1.8%

Your Cost: $20.36/claim|Median: $37.81
0.5× median
99214Normal range

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

$81K

2,857 claims · 0.8%

Your Cost: $28.33/claim|Median: $53.41
0.5× median
90837Normal range

Psychotherapy, 60 minutes

$23K

1,885 claims · 0.2%

Your Cost: $12.25/claim|Median: $85.66
0.1× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$1K

33 claims · 0.0%

Your Cost: $39.65/claim|Median: $33.85
1.2× median
0011ATop 25%

COVID-19 vaccine admin, Moderna, 1st dose

$868

24 claims · 0.0%

Your Cost: $36.16/claim|Median: $25.93
1.4× median
0064ATop 25%

$480

12 claims · 0.0%

Your Cost: $40.00/claim|Median: $34.17
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$315

1,022 claims · 0.0%

Your Cost: $0.31/claim|Median: $25.06
0.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$168

1,055 claims · 0.0%

Your Cost: $0.16/claim|Median: $17.85
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$43

840 claims · 0.0%

Your Cost: $0.05/claim|Median: $7.18
0.0× median
90471Normal range

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

$27

339 claims · 0.0%

Your Cost: $0.08/claim|Median: $9.80
0.0× median
80305Normal range

$10

118 claims · 0.0%

Your Cost: $0.09/claim|Median: $7.44
0.0× median
81002Normal range

Urinalysis, non-automated without microscopy

$2

760 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.00
0.0× median
G0008Normal range

$0

17 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.54
99393Normal range

Preventive medicine, established patient, age 5-11

$0

26 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.82
92551Normal range

Screening audiometry, pure tone, air only

$0

163 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.61
85018Normal range

$0

895 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.71
3074FNormal range

$0

43 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.11
0561Normal range

$0

183 claims · 0.0%

Your Cost: $0.00/claim|Median: $123.61
90674Normal range

$0

22 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.16
99173Normal range

$0

291 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.16
99188Normal range

$0

24 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.80
36416Normal range

$0

1,483 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.31
82962Normal range

Blood glucose test by monitoring device

$0

195 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.40
99429Normal range

$0

77 claims · 0.0%

Your Cost: $0.00/claim|Median: $28.58
3078FNormal range

$0

28 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.08
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$0

55 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.56
3079FNormal range

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12
90461Normal range

Immunization admin, additional vaccine, counseling

$0

91 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.93
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