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Provider 1669738159

NPI: 1669738159Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.8M

$9,750,151

Total Claims

352K

Beneficiaries

320K

1.1 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$2.2M
-45%
2019
$1.2M
-4%
2020
$1.2M
+2%
2021
$1.2M
-1%
2022
$1.2M
+17%
2023
$1.4M
-8%
2024
$1.3M

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 70% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$6.9M

103K claims · 70.3%

Your Cost: $66.42/claim|Median: $121.16
0.5× median
59425Normal range

Antepartum care only, 4-6 visits

$305K

4,054 claims · 3.1%

Your Cost: $75.18/claim|Median: $63.63
1.2× median
99214Normal range

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

$302K

54K claims · 3.1%

Your Cost: $5.60/claim|Median: $53.41
0.1× median
96110Top 5%

Developmental screening, per standardized instrument

$228K

4,515 claims · 2.3%

Your Cost: $50.40/claim|Median: $9.10
5.5× median
99213Normal range

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

$216K

47K claims · 2.2%

Your Cost: $4.57/claim|Median: $37.81
0.1× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$141K

3,234 claims · 1.4%

Your Cost: $43.45/claim|Median: $12.70
3.4× median
99392Normal range

Preventive medicine, established patient, age 1-4

$136K

4,299 claims · 1.4%

Your Cost: $31.53/claim|Median: $75.18
0.4× median
G2025Normal range

$112K

5,150 claims · 1.2%

Your Cost: $21.81/claim|Median: $15.63
1.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$109K

2,729 claims · 1.1%

Your Cost: $39.91/claim|Median: $74.82
0.5× median
99394Normal range

Preventive medicine, established patient, age 12-17

$103K

2,013 claims · 1.1%

Your Cost: $51.14/claim|Median: $80.15
0.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$96K

3,670 claims · 1.0%

Your Cost: $26.12/claim|Median: $69.35
0.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$94K

11K claims · 1.0%

Your Cost: $8.80/claim|Median: $7.18
1.2× median
90750Top 25%

$92K

548 claims · 0.9%

Your Cost: $166.98/claim|Median: $96.16
1.7× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$88K

2,612 claims · 0.9%

Your Cost: $33.55/claim|Median: $24.33
1.4× median
H1003Top 25%

$75K

3,812 claims · 0.8%

Your Cost: $19.74/claim|Median: $10.04
2.0× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$66K

602 claims · 0.7%

Your Cost: $110.19/claim|Median: $72.71
1.5× median
92551Normal range

Screening audiometry, pure tone, air only

$56K

7,618 claims · 0.6%

Your Cost: $7.37/claim|Median: $6.61
1.1× median
G0467Normal range

Federally qualified health center visit, mental health

$53K

15K claims · 0.5%

Your Cost: $3.51/claim|Median: $21.91
0.2× median
90715Top 25%

Tdap vaccine

$51K

1,860 claims · 0.5%

Your Cost: $27.37/claim|Median: $10.32
2.7× median
90651Top 25%

HPV vaccine, 9-valent

$50K

1,510 claims · 0.5%

Your Cost: $33.07/claim|Median: $8.93
3.7× median
90670Top 25%

$41K

2,973 claims · 0.4%

Your Cost: $13.66/claim|Median: $5.94
2.3× median
90677Normal range

$38K

809 claims · 0.4%

Your Cost: $46.99/claim|Median: $12.96
3.6× median
0969Normal range

$26K

482 claims · 0.3%

Your Cost: $54.38/claim|Median: $73.78
0.7× median
99396Normal range

Preventive medicine, established patient, age 40-64

$25K

417 claims · 0.3%

Your Cost: $61.13/claim|Median: $76.06
0.8× median
99406Top 25%

$22K

2,370 claims · 0.2%

Your Cost: $9.45/claim|Median: $6.53
1.4× median
99215Normal range

Office/outpatient visit, high complexity

$22K

208 claims · 0.2%

Your Cost: $106.29/claim|Median: $74.09
1.4× median
99212Normal range

Office/outpatient visit, low complexity

$21K

8,954 claims · 0.2%

Your Cost: $2.29/claim|Median: $25.06
0.1× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$20K

957 claims · 0.2%

Your Cost: $20.66/claim|Median: $9.56
2.2× median
H1001Normal range

$19K

229 claims · 0.2%

Your Cost: $81.32/claim|Median: $60.48
1.3× median
99203Normal range

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

$18K

743 claims · 0.2%

Your Cost: $23.62/claim|Median: $57.85
0.4× median
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