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Provider 1649662719

NPI: 1649662719Share
Active Billing Period:2018-01→2024-02(74 months)
Billing appears to have stoppedLast active: 2024-02

Total Paid

$12.8M

$12,768,200

Total Claims

138K

Beneficiaries

118K

1.2 claims/patient

Avg Cost/Claim

$93

Monthly Spending Trend

Yearly Spending

2018
$2.1M
+24%
2019
$2.6M
-20%
2020
$2.1M
+11%
2021
$2.3M
-20%
2022
$1.9M
-6%
2023
$1.7M
-100%
2024
$72

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 60% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$7.7M

51K claims · 60.2%

Your Cost: $152.22/claim|Median: $121.16
1.3× median
00003Normal range

Anesthesia services

$5.0M

24K claims · 39.1%

Your Cost: $209.05/claim|Median: $223.77
0.9× median
99213Normal range

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

$35K

13K claims · 0.3%

Your Cost: $2.62/claim|Median: $37.81
0.1× median
99214Normal range

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

$13K

9,733 claims · 0.1%

Your Cost: $1.36/claim|Median: $53.41
0.0× median
0002ATop 5%

COVID-19 vaccine admin, Pfizer, 2nd dose

$7K

102 claims · 0.1%

Your Cost: $67.00/claim|Median: $36.70
1.8× median
G9920Normal range

$4K

2,437 claims · 0.0%

Your Cost: $1.75/claim|Median: $6.56
0.3× median
0001ATop 5%

COVID-19 vaccine admin, Pfizer, 1st dose

$4K

61 claims · 0.0%

Your Cost: $67.00/claim|Median: $33.72
2.0× median
1159FTop 25%

$4K

5,099 claims · 0.0%

Your Cost: $0.69/claim|Median: $0.01
69.5× median
0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$3K

49 claims · 0.0%

Your Cost: $67.00/claim|Median: $33.85
2.0× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$3K

48 claims · 0.0%

Your Cost: $67.00/claim|Median: $25.93
2.6× median
98940Normal range

$3K

1,331 claims · 0.0%

Your Cost: $2.38/claim|Median: $14.55
0.2× median
0004ATop 10%

$2K

30 claims · 0.0%

Your Cost: $64.77/claim|Median: $35.62
1.8× median
0071ATop 5%

$2K

28 claims · 0.0%

Your Cost: $67.00/claim|Median: $38.71
1.7× median
99203Normal range

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

$2K

170 claims · 0.0%

Your Cost: $10.56/claim|Median: $57.85
0.2× median
G9902Top 25%

$2K

7,293 claims · 0.0%

Your Cost: $0.23/claim|Median: $0.01
23.5× median
0064ATop 5%

$1K

22 claims · 0.0%

Your Cost: $67.00/claim|Median: $34.17
2.0× median
H1003Normal range

$1K

212 claims · 0.0%

Your Cost: $6.59/claim|Median: $10.04
0.7× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$1K

787 claims · 0.0%

Your Cost: $1.74/claim|Median: $20.83
0.1× median
3074FNormal range

$1K

1,277 claims · 0.0%

Your Cost: $0.89/claim|Median: $0.11
8.1× median
0072ATop 5%

$938

14 claims · 0.0%

Your Cost: $67.00/claim|Median: $39.57
1.7× median
81002Normal range

Urinalysis, non-automated without microscopy

$504

1,487 claims · 0.0%

Your Cost: $0.34/claim|Median: $2.00
0.2× median
81025Normal range

Urine pregnancy test

$426

366 claims · 0.0%

Your Cost: $1.16/claim|Median: $4.81
0.2× median
99204Normal range

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

$407

144 claims · 0.0%

Your Cost: $2.83/claim|Median: $84.03
0.0× median
0502FNormal range

$291

91 claims · 0.0%

Your Cost: $3.19/claim|Median: $44.10
0.1× median
96160Normal range

Patient-focused health risk assessment

$273

6,019 claims · 0.0%

Your Cost: $0.05/claim|Median: $2.10
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$232

1,888 claims · 0.0%

Your Cost: $0.12/claim|Median: $25.06
0.0× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$122

69 claims · 0.0%

Your Cost: $1.76/claim|Median: $27.38
0.1× median
96110Normal range

Developmental screening, per standardized instrument

$120

13 claims · 0.0%

Your Cost: $9.22/claim|Median: $9.10
1.0× median
86703Normal range

$74

191 claims · 0.0%

Your Cost: $0.39/claim|Median: $10.37
0.0× median
92015Normal range

Determination of refractive state

$55

151 claims · 0.0%

Your Cost: $0.36/claim|Median: $10.36
0.0× median
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