Provider 1609089861
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
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.
$12.0M
73K claims
$162.78
$121.16
Clinic visit/encounter, all-inclusive
$12.0M
73K claims · 100.0%
$69
40 claims
$1.73
$21.91
Federally qualified health center visit, mental health
$69
40 claims · 0.0%
$0
342 claims · 0.0%
$0
88 claims · 0.0%
$0
47 claims · 0.0%
$0
8,426 claims
$0.00
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$0
8,426 claims · 0.0%
$0
11K claims · 0.0%
$0
3,682 claims
$0.00
$1.48
Urinalysis, automated without microscopy
$0
3,682 claims · 0.0%
Fetal non-stress test
$0
274 claims · 0.0%
Urine pregnancy test
$0
907 claims · 0.0%
$0
55 claims · 0.0%
$0
221 claims · 0.0%
$0
209 claims · 0.0%
$0
41 claims · 0.0%
$0
12 claims
$0.00
$76.06
Preventive medicine, established patient, age 40-64
$0
12 claims · 0.0%
$0
21 claims · 0.0%
$0
49 claims
$0.00
$7.18
Influenza virus vaccine, quadrivalent, preservative-free, IM
$0
49 claims · 0.0%
$0
696 claims · 0.0%
Psychotherapy, 30 minutes
$0
766 claims · 0.0%
$0
105 claims · 0.0%
$0
2,058 claims · 0.0%
$0
2,840 claims
$0.00
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$0
2,840 claims · 0.0%
$0
357 claims
$0.00
$9.80
Immunization administration, 1 vaccine, percutaneous/ID/SC/IM
$0
357 claims · 0.0%
$0
67 claims
$0.00
$72.71
Preventive medicine, established patient, age 18-39
$0
67 claims · 0.0%
Unclassified drugs
$0
81 claims · 0.0%
$0
5,830 claims
$0.00
$25.06
Office/outpatient visit, low complexity
$0
5,830 claims · 0.0%
$0
96 claims · 0.0%
$0
22 claims · 0.0%
$0
21 claims · 0.0%
$0
102 claims · 0.0%