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Provider 1679997852

NPI: 1679997852Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.9M

$7,892,577

Total Claims

197K

Beneficiaries

97K

2.0 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$1.0M
-14%
2019
$889K
-3%
2020
$864K
+27%
2021
$1.1M
-24%
2022
$832K
+14%
2023
$947K
+136%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 89% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$7.0M

62K claims · 88.7%

Your Cost: $112.76/claim|Median: $121.16
0.9× median
0521Normal range

$783K

127K claims · 9.9%

Your Cost: $6.15/claim|Median: $7.40
0.8× median
00003Top 25%

Anesthesia services

$62K

201 claims · 0.8%

Your Cost: $310.58/claim|Median: $223.77
1.4× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$11K

279 claims · 0.1%

Your Cost: $38.69/claim|Median: $33.85
1.1× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$8K

250 claims · 0.1%

Your Cost: $30.50/claim|Median: $25.93
1.2× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$6K

142 claims · 0.1%

Your Cost: $40.00/claim|Median: $33.72
1.2× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$5K

131 claims · 0.1%

Your Cost: $40.00/claim|Median: $36.70
1.1× median
0900Normal range

$3K

4,942 claims · 0.0%

Your Cost: $0.57/claim|Median: $2.08
0.3× median
0124ATop 25%

$2K

56 claims · 0.0%

Your Cost: $40.00/claim|Median: $34.32
1.2× median
80305Normal range

$2K

311 claims · 0.0%

Your Cost: $5.16/claim|Median: $7.44
0.7× median
97811Normal range

$1K

55 claims · 0.0%

Your Cost: $22.88/claim|Median: $19.71
1.2× median
97810Normal range

$1K

55 claims · 0.0%

Your Cost: $22.81/claim|Median: $23.92
1.0× median
0154ANormal range

$1K

26 claims · 0.0%

Your Cost: $40.00/claim|Median: $39.23
1.0× median
0031ANormal range

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

$864

25 claims · 0.0%

Your Cost: $34.56/claim|Median: $32.49
1.1× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$812

121 claims · 0.0%

Your Cost: $6.71/claim|Median: $5.50
1.2× median
0013ATop 25%

$640

16 claims · 0.0%

Your Cost: $40.00/claim|Median: $35.38
1.1× median
99214Normal range

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

$305

252 claims · 0.0%

Your Cost: $1.21/claim|Median: $53.41
0.0× median
90656Normal range

$260

51 claims · 0.0%

Your Cost: $5.10/claim|Median: $8.67
0.6× median
90662Normal range

$240

31 claims · 0.0%

Your Cost: $7.74/claim|Median: $6.55
1.2× median
99213Normal range

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

$118

205 claims · 0.0%

Your Cost: $0.58/claim|Median: $37.81
0.0× median
85018Normal range

$76

119 claims · 0.0%

Your Cost: $0.64/claim|Median: $1.71
0.4× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$76

52 claims · 0.0%

Your Cost: $1.46/claim|Median: $9.56
0.2× median
99173Normal range

$53

471 claims · 0.0%

Your Cost: $0.11/claim|Median: $2.16
0.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.82
90846Normal range

Family psychotherapy without patient, 50 min

$0

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $76.61
36415Normal range

Collection of venous blood by venipuncture

$0

26 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.57
G0008Normal range

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.54
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