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Provider 1699780536

NPI: 1699780536Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.1M

$15,093,042

Total Claims

282K

Beneficiaries

242K

1.2 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$2.7M
+6%
2019
$2.8M
-41%
2020
$1.6M
+34%
2021
$2.2M
-12%
2022
$1.9M
+9%
2023
$2.1M
-16%
2024
$1.8M

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 66% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$9.9M

82K claims · 65.8%

Your Cost: $120.55/claim|Median: $121.16
1.0× median
00003Normal range

Anesthesia services

$3.8M

22K claims · 25.1%

Your Cost: $175.56/claim|Median: $223.77
0.8× median
99213Normal range

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

$752K

63K claims · 5.0%

Your Cost: $11.97/claim|Median: $37.81
0.3× median
99214Normal range

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

$125K

4,228 claims · 0.8%

Your Cost: $29.46/claim|Median: $53.41
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$66K

5,430 claims · 0.4%

Your Cost: $12.24/claim|Median: $25.06
0.5× median
59425Normal range

Antepartum care only, 4-6 visits

$49K

1,936 claims · 0.3%

Your Cost: $25.41/claim|Median: $63.63
0.4× median
G0467Normal range

Federally qualified health center visit, mental health

$43K

3,239 claims · 0.3%

Your Cost: $13.25/claim|Median: $21.91
0.6× median
99000Top 25%

$35K

5,719 claims · 0.2%

Your Cost: $6.13/claim|Median: $2.30
2.7× median
85018Top 10%

$32K

6,867 claims · 0.2%

Your Cost: $4.68/claim|Median: $1.71
2.7× median
81000Top 1%

Urinalysis with microscopy, non-automated

$31K

1,607 claims · 0.2%

Your Cost: $19.07/claim|Median: $2.51
7.6× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$25K

3,348 claims · 0.2%

Your Cost: $7.59/claim|Median: $7.18
1.1× median
J3490Normal range

Unclassified drugs

$21K

952 claims · 0.1%

Your Cost: $22.21/claim|Median: $5.70
3.9× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$19K

247 claims · 0.1%

Your Cost: $78.70/claim|Median: $51.25
1.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$19K

3,443 claims · 0.1%

Your Cost: $5.55/claim|Median: $75.18
0.1× median
92551Normal range

Screening audiometry, pure tone, air only

$19K

3,748 claims · 0.1%

Your Cost: $5.08/claim|Median: $6.61
0.8× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$19K

484 claims · 0.1%

Your Cost: $39.19/claim|Median: $23.99
1.6× median
99173Top 25%

$17K

3,721 claims · 0.1%

Your Cost: $4.69/claim|Median: $2.16
2.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$16K

1,134 claims · 0.1%

Your Cost: $13.75/claim|Median: $11.48
1.2× median
81005Top 5%

$14K

3,406 claims · 0.1%

Your Cost: $4.25/claim|Median: $1.10
3.9× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$10K

261 claims · 0.1%

Your Cost: $39.95/claim|Median: $37.22
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$10K

1,540 claims · 0.1%

Your Cost: $6.67/claim|Median: $74.82
0.1× median
99215Normal range

Office/outpatient visit, high complexity

$9K

145 claims · 0.1%

Your Cost: $58.76/claim|Median: $74.09
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$8K

2,383 claims · 0.1%

Your Cost: $3.56/claim|Median: $69.35
0.1× median
H1003Normal range

$5K

491 claims · 0.0%

Your Cost: $10.74/claim|Median: $10.04
1.1× median
81025Normal range

Urine pregnancy test

$4K

1,232 claims · 0.0%

Your Cost: $3.57/claim|Median: $4.81
0.7× median
98940Normal range

$4K

2,355 claims · 0.0%

Your Cost: $1.61/claim|Median: $14.55
0.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$3K

527 claims · 0.0%

Your Cost: $6.39/claim|Median: $80.15
0.1× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$1K

320 claims · 0.0%

Your Cost: $4.21/claim|Median: $40.11
0.1× median
90670Normal range

$1K

1,720 claims · 0.0%

Your Cost: $0.73/claim|Median: $5.94
0.1× median
86580Top 5%

Tuberculosis (TB) skin test

$957

66 claims · 0.0%

Your Cost: $14.50/claim|Median: $4.46
3.3× median
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