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Provider 1710228531

NPI: 1710228531Share
Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$15.7M

$15,690,348

Total Claims

286K

Beneficiaries

256K

1.1 claims/patient

Avg Cost/Claim

$55

Monthly Spending Trend

Yearly Spending

2018
$3.8M
-19%
2019
$3.1M
+14%
2020
$3.5M
-62%
2021
$1.3M
-4%
2022
$1.3M
+33%
2023
$1.7M
-34%
2024
$1.1M

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 93% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$14.6M

142K claims · 92.9%

Your Cost: $102.44/claim|Median: $121.16
0.8× median
99213Normal range

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

$516K

101K claims · 3.3%

Your Cost: $5.13/claim|Median: $37.81
0.1× median
97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$108K

1,215 claims · 0.7%

Your Cost: $88.95/claim|Median: $12.70
7.0× median
99203Normal range

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

$76K

2,554 claims · 0.5%

Your Cost: $29.93/claim|Median: $57.85
0.5× median
99214Normal range

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

$67K

8,072 claims · 0.4%

Your Cost: $8.25/claim|Median: $53.41
0.2× median
90686Top 10%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$62K

2,944 claims · 0.4%

Your Cost: $20.91/claim|Median: $7.18
2.9× median
99212Normal range

Office/outpatient visit, low complexity

$42K

8,606 claims · 0.3%

Your Cost: $4.93/claim|Median: $25.06
0.2× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$35K

888 claims · 0.2%

Your Cost: $38.93/claim|Median: $40.11
1.0× median
90471Normal range

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

$34K

4,120 claims · 0.2%

Your Cost: $8.19/claim|Median: $9.80
0.8× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$21K

414 claims · 0.1%

Your Cost: $50.59/claim|Median: $36.70
1.4× median
90670Top 5%

$19K

138 claims · 0.1%

Your Cost: $140.70/claim|Median: $5.94
23.7× median
90732Normal range

Pneumococcal vaccine (PPSV23)

$16K

238 claims · 0.1%

Your Cost: $66.41/claim|Median: $36.96
1.8× median
90715Top 25%

Tdap vaccine

$16K

491 claims · 0.1%

Your Cost: $31.65/claim|Median: $10.32
3.1× median
11721Top 5%

$15K

362 claims · 0.1%

Your Cost: $40.29/claim|Median: $8.56
4.7× median
99204Normal range

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

$14K

469 claims · 0.1%

Your Cost: $30.92/claim|Median: $84.03
0.4× median
99211Normal range

Office/outpatient visit, minimal complexity

$11K

4,303 claims · 0.1%

Your Cost: $2.50/claim|Median: $12.93
0.2× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$9K

392 claims · 0.1%

Your Cost: $22.29/claim|Median: $9.56
2.3× median
0001ATop 10%

COVID-19 vaccine admin, Pfizer, 1st dose

$8K

163 claims · 0.1%

Your Cost: $49.15/claim|Median: $33.72
1.5× median
99396Normal range

Preventive medicine, established patient, age 40-64

$6K

867 claims · 0.0%

Your Cost: $6.95/claim|Median: $76.06
0.1× median
2010F

$4K

646 claims · 0.0%

90677Top 5%

$4K

17 claims · 0.0%

Your Cost: $215.53/claim|Median: $12.96
16.6× median
G0467Normal range

Federally qualified health center visit, mental health

$4K

142 claims · 0.0%

Your Cost: $24.69/claim|Median: $21.91
1.1× median
90636Normal range

$3K

48 claims · 0.0%

Your Cost: $68.75/claim|Median: $72.28
1.0× median
92250Top 25%

Fundus photography with interpretation and report

$3K

71 claims · 0.0%

Your Cost: $45.82/claim|Median: $27.95
1.6× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$3K

52 claims · 0.0%

Your Cost: $60.87/claim|Median: $29.03
2.1× median
90746Top 25%

Hepatitis B vaccine, adult

$3K

45 claims · 0.0%

Your Cost: $62.87/claim|Median: $48.85
1.3× median
99395Normal range

Preventive medicine, established patient, age 18-39

$3K

294 claims · 0.0%

Your Cost: $8.98/claim|Median: $72.71
0.1× median
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$2K

384 claims · 0.0%

Your Cost: $4.84/claim|Median: $2.91
1.7× median
0011ATop 10%

COVID-19 vaccine admin, Moderna, 1st dose

$2K

34 claims · 0.0%

Your Cost: $49.94/claim|Median: $25.93
1.9× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$1K

52 claims · 0.0%

Your Cost: $28.75/claim|Median: $76.22
0.4× median
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