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Provider 1609089861

NPI: 1609089861Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$12.0M

$11,962,426

Total Claims

112K

Beneficiaries

86K

1.3 claims/patient

Avg Cost/Claim

$106

Monthly Spending Trend

Yearly Spending

2018
$1.8M
-21%
2019
$1.5M
+44%
2020
$2.1M
-7%
2021
$1.9M
-31%
2022
$1.3M
+33%
2023
$1.8M
-17%
2024
$1.5M

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.

T1015Normal range

Clinic visit/encounter, all-inclusive

$12.0M

73K claims · 100.0%

Your Cost: $162.78/claim|Median: $121.16
1.3× median
G0467Normal range

Federally qualified health center visit, mental health

$69

40 claims · 0.0%

Your Cost: $1.73/claim|Median: $21.91
0.1× median
Z6410Normal range

$0

342 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.08
99000Normal range

$0

88 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.30
Z6404Normal range

$0

47 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.53
99213Normal range

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

$0

8,426 claims · 0.0%

Your Cost: $0.00/claim|Median: $37.81
Z1034Normal range

$0

11K claims · 0.0%

Your Cost: $0.00/claim|Median: $54.74
81003Normal range

Urinalysis, automated without microscopy

$0

3,682 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.48
59025Normal range

Fetal non-stress test

$0

274 claims · 0.0%

Your Cost: $0.00/claim|Median: $26.45
81025Normal range

Urine pregnancy test

$0

907 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.81
Z6200Normal range

$0

55 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.24
Z6402Normal range

$0

221 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.21
Z6406Normal range

$0

209 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.45
Z6300Normal range

$0

41 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.22
99396Normal range

Preventive medicine, established patient, age 40-64

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $76.06
Z6308Normal range

$0

21 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.01
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$0

49 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.18
Z1032Normal range

$0

696 claims · 0.0%

Your Cost: $0.00/claim|Median: $147.33
90832Normal range

Psychotherapy, 30 minutes

$0

766 claims · 0.0%

Your Cost: $0.00/claim|Median: $41.28
Z6304Normal range

$0

105 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.43
Z6400Normal range

$0

2,058 claims · 0.0%

Your Cost: $0.00/claim|Median: $14.65
99214Normal range

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

$0

2,840 claims · 0.0%

Your Cost: $0.00/claim|Median: $53.41
90471Normal range

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

$0

357 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.80
99395Normal range

Preventive medicine, established patient, age 18-39

$0

67 claims · 0.0%

Your Cost: $0.00/claim|Median: $72.71
J3490Normal range

Unclassified drugs

$0

81 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.70
99212Normal range

Office/outpatient visit, low complexity

$0

5,830 claims · 0.0%

Your Cost: $0.00/claim|Median: $25.06
90656Normal range

$0

96 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.67
Z6414Normal range

$0

22 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.50
Z6208Normal range

$0

21 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.62
Z1038Normal range

$0

102 claims · 0.0%

Your Cost: $0.00/claim|Median: $54.47