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Provider 1609281310

NPI: 1609281310Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.9M

$14,919,214

Total Claims

299K

Beneficiaries

194K

1.5 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+7%
2019
$1.5M
+14%
2020
$1.7M
+32%
2021
$2.2M
-33%
2022
$1.5M
+55%
2023
$2.3M
+84%
2024
$4.3M

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 56% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$8.4M

75K claims · 56.4%

Your Cost: $112.32/claim|Median: $121.16
0.9× median
99213Normal range

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

$2.0M

88K claims · 13.6%

Your Cost: $23.13/claim|Median: $37.81
0.6× median
G9012Normal range

Other specified case management service, per 15 minutes

$1.9M

12K claims · 12.7%

Your Cost: $160.77/claim|Median: $137.85
1.2× median
98940Top 5%

$955K

18K claims · 6.4%

Your Cost: $52.76/claim|Median: $14.55
3.6× median
98942Top 5%

$719K

12K claims · 4.8%

Your Cost: $58.76/claim|Median: $28.40
2.1× median
G0467Top 10%

Federally qualified health center visit, mental health

$333K

4,080 claims · 2.2%

Your Cost: $81.62/claim|Median: $21.91
3.7× median
98941Top 1%

Chiropractic manipulative treatment, 3-4 spinal regions

$131K

2,176 claims · 0.9%

Your Cost: $60.16/claim|Median: $20.83
2.9× median
99214Normal range

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

$97K

2,499 claims · 0.7%

Your Cost: $38.92/claim|Median: $53.41
0.7× median
99396Normal range

Preventive medicine, established patient, age 40-64

$64K

976 claims · 0.4%

Your Cost: $65.51/claim|Median: $76.06
0.9× median
99395Normal range

Preventive medicine, established patient, age 18-39

$63K

958 claims · 0.4%

Your Cost: $65.68/claim|Median: $72.71
0.9× median
87811Normal range

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

$29K

1,579 claims · 0.2%

Your Cost: $18.52/claim|Median: $30.53
0.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$28K

506 claims · 0.2%

Your Cost: $55.01/claim|Median: $80.15
0.7× median
G9920Normal range

$19K

1,091 claims · 0.1%

Your Cost: $17.78/claim|Median: $6.56
2.7× median
59425Normal range

Antepartum care only, 4-6 visits

$19K

253 claims · 0.1%

Your Cost: $75.39/claim|Median: $63.63
1.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$17K

1,965 claims · 0.1%

Your Cost: $8.71/claim|Median: $9.56
0.9× median
92551Normal range

Screening audiometry, pure tone, air only

$16K

2,119 claims · 0.1%

Your Cost: $7.51/claim|Median: $6.61
1.1× median
G9007Normal range

$16K

314 claims · 0.1%

Your Cost: $50.00/claim|Median: $43.44
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$9K

789 claims · 0.1%

Your Cost: $10.84/claim|Median: $25.06
0.4× median
99203Normal range

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

$8K

105 claims · 0.1%

Your Cost: $76.90/claim|Median: $57.85
1.3× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$8K

153 claims · 0.1%

Your Cost: $52.22/claim|Median: $87.82
0.6× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$8K

291 claims · 0.1%

Your Cost: $26.22/claim|Median: $40.11
0.7× median
G8510Normal range

$8K

1,075 claims · 0.1%

Your Cost: $7.03/claim|Median: $1.96
3.6× median
90688Top 25%

$6K

371 claims · 0.0%

Your Cost: $15.28/claim|Median: $9.00
1.7× median
87804Normal range

Influenza virus detection, rapid test

$6K

1,516 claims · 0.0%

Your Cost: $3.65/claim|Median: $12.59
0.3× median
99173Normal range

$5K

2,280 claims · 0.0%

Your Cost: $2.29/claim|Median: $2.16
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$4K

117 claims · 0.0%

Your Cost: $35.50/claim|Median: $74.82
0.5× median
87430Normal range

$4K

735 claims · 0.0%

Your Cost: $4.89/claim|Median: $9.41
0.5× median
J1885Top 25%

Injection, ketorolac tromethamine, fifteen milligrams

$3K

817 claims · 0.0%

Your Cost: $3.63/claim|Median: $0.91
4.0× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$3K

67 claims · 0.0%

Your Cost: $44.03/claim|Median: $76.22
0.6× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$2K

220 claims · 0.0%

Your Cost: $10.00/claim|Median: $7.18
1.4× median
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