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Provider 1629621651

NPI: 1629621651Share
Active Billing Period:2020-06→2024-12(55 months)

Total Paid

$13.0M

$13,003,458

Total Claims

357K

Beneficiaries

229K

1.6 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2020
$1.7M
+164%
2021
$4.5M
-47%
2022
$2.4M
-8%
2023
$2.2M
-3%
2024
$2.1M

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 74% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$9.7M

76K claims · 74.4%

Your Cost: $127.59/claim|Median: $121.16
1.1× median
00003Normal range

Anesthesia services

$3.0M

18K claims · 23.4%

Your Cost: $171.73/claim|Median: $223.77
0.8× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$56K

1,265 claims · 0.4%

Your Cost: $44.46/claim|Median: $33.72
1.3× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$50K

1,117 claims · 0.4%

Your Cost: $44.42/claim|Median: $36.70
1.2× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$38K

881 claims · 0.3%

Your Cost: $43.25/claim|Median: $33.85
1.3× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$35K

1,010 claims · 0.3%

Your Cost: $34.26/claim|Median: $25.93
1.3× median
99213Normal range

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

$23K

87K claims · 0.2%

Your Cost: $0.27/claim|Median: $37.81
0.0× median
G0467Normal range

Federally qualified health center visit, mental health

$18K

1,810 claims · 0.1%

Your Cost: $9.76/claim|Median: $21.91
0.4× median
0064ANormal range

$15K

461 claims · 0.1%

Your Cost: $33.53/claim|Median: $34.17
1.0× median
0071ANormal range

$11K

331 claims · 0.1%

Your Cost: $34.58/claim|Median: $38.71
0.9× median
0004ATop 25%

$9K

202 claims · 0.1%

Your Cost: $45.75/claim|Median: $35.62
1.3× median
0031ATop 25%

COVID-19 vaccine admin, J&J, single dose

$8K

179 claims · 0.1%

Your Cost: $46.47/claim|Median: $32.49
1.4× median
0072ANormal range

$7K

212 claims · 0.1%

Your Cost: $33.43/claim|Median: $39.57
0.8× median
0013ATop 25%

$3K

79 claims · 0.0%

Your Cost: $42.53/claim|Median: $35.38
1.2× median
90832Normal range

Psychotherapy, 30 minutes

$3K

331 claims · 0.0%

Your Cost: $8.79/claim|Median: $41.28
0.2× median
0134ANormal range

$3K

70 claims · 0.0%

Your Cost: $37.48/claim|Median: $33.54
1.1× median
90834Normal range

Psychotherapy, 45 minutes

$2K

344 claims · 0.0%

Your Cost: $6.44/claim|Median: $63.65
0.1× median
0034ATop 25%

$1K

26 claims · 0.0%

Your Cost: $44.23/claim|Median: $35.00
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$1K

9,177 claims · 0.0%

Your Cost: $0.12/claim|Median: $25.06
0.0× median
98940Normal range

$865

3,503 claims · 0.0%

Your Cost: $0.25/claim|Median: $14.55
0.0× median
0124ANormal range

$670

20 claims · 0.0%

Your Cost: $33.50/claim|Median: $34.32
1.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$405

407 claims · 0.0%

Your Cost: $1.00/claim|Median: $40.11
0.0× median
J3490Normal range

Unclassified drugs

$388

177 claims · 0.0%

Your Cost: $2.19/claim|Median: $5.70
0.4× median
90791Normal range

Psychiatric diagnostic evaluation

$256

20 claims · 0.0%

Your Cost: $12.81/claim|Median: $99.21
0.1× median
99214Normal range

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

$237

1,615 claims · 0.0%

Your Cost: $0.15/claim|Median: $53.41
0.0× median
81025Normal range

Urine pregnancy test

$216

3,318 claims · 0.0%

Your Cost: $0.06/claim|Median: $4.81
0.0× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$100

1,787 claims · 0.0%

Your Cost: $0.06/claim|Median: $20.83
0.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$35

922 claims · 0.0%

Your Cost: $0.04/claim|Median: $69.35
0.0× median
81003Normal range

Urinalysis, automated without microscopy

$11

5,549 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.48
0.0× median
85018Normal range

$2

5,861 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.71
0.0× median
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