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Provider 1679819742

NPI: 1679819742Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.3M

$13,264,585

Total Claims

157K

Beneficiaries

122K

1.3 claims/patient

Avg Cost/Claim

$84

Monthly Spending Trend

Yearly Spending

2018
$2.8M
-21%
2019
$2.2M
-11%
2020
$1.9M
+2%
2021
$2.0M
-32%
2022
$1.3M
+8%
2023
$1.4M
+8%
2024
$1.6M

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 98% of total spending.

T1015Top 10%

Clinic visit/encounter, all-inclusive

$13.0M

50K claims · 98.3%

Your Cost: $262.72/claim|Median: $121.16
2.2× median
99213Normal range

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

$99K

44K claims · 0.7%

Your Cost: $2.27/claim|Median: $37.81
0.1× median
G0467Top 25%

Federally qualified health center visit, mental health

$94K

1,664 claims · 0.7%

Your Cost: $56.53/claim|Median: $21.91
2.6× median
99214Normal range

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

$8K

8,893 claims · 0.1%

Your Cost: $0.95/claim|Median: $53.41
0.0× median
90832Normal range

Psychotherapy, 30 minutes

$5K

889 claims · 0.0%

Your Cost: $5.29/claim|Median: $41.28
0.1× median
99212Normal range

Office/outpatient visit, low complexity

$2K

2,669 claims · 0.0%

Your Cost: $0.91/claim|Median: $25.06
0.0× median
90791Normal range

Psychiatric diagnostic evaluation

$2K

83 claims · 0.0%

Your Cost: $24.69/claim|Median: $99.21
0.2× median
0064ANormal range

$2K

71 claims · 0.0%

Your Cost: $26.18/claim|Median: $34.17
0.8× median
59425Normal range

Antepartum care only, 4-6 visits

$1K

241 claims · 0.0%

Your Cost: $5.62/claim|Median: $63.63
0.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1K

1,799 claims · 0.0%

Your Cost: $0.63/claim|Median: $74.82
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$806

1,602 claims · 0.0%

Your Cost: $0.50/claim|Median: $80.15
0.0× median
99203Normal range

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

$599

201 claims · 0.0%

Your Cost: $2.98/claim|Median: $57.85
0.1× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$575

46 claims · 0.0%

Your Cost: $12.50/claim|Median: $33.85
0.4× median
81025Normal range

Urine pregnancy test

$487

1,711 claims · 0.0%

Your Cost: $0.28/claim|Median: $4.81
0.1× median
92552Normal range

Pure tone audiometry, air only, each ear

$415

1,821 claims · 0.0%

Your Cost: $0.23/claim|Median: $12.63
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$394

2,913 claims · 0.0%

Your Cost: $0.14/claim|Median: $7.18
0.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$348

1,554 claims · 0.0%

Your Cost: $0.22/claim|Median: $75.18
0.0× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$321

44 claims · 0.0%

Your Cost: $7.30/claim|Median: $25.93
0.3× median
81002Normal range

Urinalysis, non-automated without microscopy

$153

233 claims · 0.0%

Your Cost: $0.66/claim|Median: $2.00
0.3× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$103

722 claims · 0.0%

Your Cost: $0.14/claim|Median: $39.70
0.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$101

1,968 claims · 0.0%

Your Cost: $0.05/claim|Median: $9.56
0.0× median
90670Normal range

$85

367 claims · 0.0%

Your Cost: $0.23/claim|Median: $5.94
0.0× median
90834Normal range

Psychotherapy, 45 minutes

$67

54 claims · 0.0%

Your Cost: $1.24/claim|Median: $63.65
0.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$51

2,662 claims · 0.0%

Your Cost: $0.02/claim|Median: $5.50
0.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$34

332 claims · 0.0%

Your Cost: $0.10/claim|Median: $69.35
0.0× median
90688Normal range

$22

232 claims · 0.0%

Your Cost: $0.10/claim|Median: $9.00
0.0× median
81003Normal range

Urinalysis, automated without microscopy

$19

944 claims · 0.0%

Your Cost: $0.02/claim|Median: $1.48
0.0× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$18

1,234 claims · 0.0%

Your Cost: $0.01/claim|Median: $9.80
0.0× median
85018Normal range

$15

1,239 claims · 0.0%

Your Cost: $0.01/claim|Median: $1.71
0.0× median
J0696Normal range

$6

15 claims · 0.0%

Your Cost: $0.37/claim|Median: $1.34
0.3× median
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