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Provider 1710980669

NPI: 1710980669Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.4M

$17,403,775

Total Claims

232K

Beneficiaries

192K

1.2 claims/patient

Avg Cost/Claim

$75

Monthly Spending Trend

Yearly Spending

2018
$107K
+51%
2019
$161K
+484%
2020
$943K
+312%
2021
$3.9M
+7%
2022
$4.1M
+3%
2023
$4.3M
-10%
2024
$3.9M

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

$12.2M

78K claims · 69.8%

Your Cost: $156.67/claim|Median: $121.16
1.3× median
99213Normal range

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

$1.6M

44K claims · 9.3%

Your Cost: $36.77/claim|Median: $37.81
1.0× median
D0999Top 25%

Unspecified diagnostic procedure, by report

$875K

4,479 claims · 5.0%

Your Cost: $195.42/claim|Median: $101.33
1.9× median
59409Normal range

Vaginal delivery only

$329K

614 claims · 1.9%

Your Cost: $535.65/claim|Median: $619.91
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$282K

3,863 claims · 1.6%

Your Cost: $73.00/claim|Median: $75.18
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$249K

7,384 claims · 1.4%

Your Cost: $33.66/claim|Median: $25.06
1.3× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$217K

3,061 claims · 1.2%

Your Cost: $70.87/claim|Median: $100.62
0.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$214K

2,959 claims · 1.2%

Your Cost: $72.40/claim|Median: $69.35
1.0× median
99214Normal range

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

$213K

4,395 claims · 1.2%

Your Cost: $48.54/claim|Median: $53.41
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$197K

2,569 claims · 1.1%

Your Cost: $76.77/claim|Median: $74.82
1.0× median
90837Normal range

Psychotherapy, 60 minutes

$160K

1,625 claims · 0.9%

Your Cost: $98.42/claim|Median: $85.66
1.1× median
G0467Normal range

Federally qualified health center visit, mental health

$145K

4,267 claims · 0.8%

Your Cost: $33.93/claim|Median: $21.91
1.5× median
99394Normal range

Preventive medicine, established patient, age 12-17

$122K

1,573 claims · 0.7%

Your Cost: $77.38/claim|Median: $80.15
1.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$73K

2,226 claims · 0.4%

Your Cost: $32.82/claim|Median: $37.22
0.9× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$62K

3,810 claims · 0.4%

Your Cost: $16.31/claim|Median: $28.46
0.6× median
99395Normal range

Preventive medicine, established patient, age 18-39

$58K

775 claims · 0.3%

Your Cost: $74.80/claim|Median: $72.71
1.0× median
59430Normal range

$46K

729 claims · 0.3%

Your Cost: $62.64/claim|Median: $80.32
0.8× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$45K

556 claims · 0.3%

Your Cost: $81.43/claim|Median: $51.25
1.6× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$45K

578 claims · 0.3%

Your Cost: $77.76/claim|Median: $73.46
1.1× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$42K

563 claims · 0.2%

Your Cost: $74.17/claim|Median: $62.48
1.2× median
CP002Normal range

$37K

3,796 claims · 0.2%

Your Cost: $9.64/claim|Median: $9.76
1.0× median
99463Normal range

$30K

312 claims · 0.2%

Your Cost: $95.30/claim|Median: $78.46
1.2× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$20K

681 claims · 0.1%

Your Cost: $29.38/claim|Median: $40.11
0.7× median
99203Normal range

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

$19K

387 claims · 0.1%

Your Cost: $48.76/claim|Median: $57.85
0.8× median
59514Normal range

Cesarean delivery only

$17K

29 claims · 0.1%

Your Cost: $598.43/claim|Median: $452.80
1.3× median
99235Top 25%

$17K

132 claims · 0.1%

Your Cost: $129.70/claim|Median: $110.13
1.2× median
0072ANormal range

$12K

675 claims · 0.1%

Your Cost: $17.48/claim|Median: $39.57
0.4× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$11K

90 claims · 0.1%

Your Cost: $121.44/claim|Median: $169.17
0.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$10K

389 claims · 0.1%

Your Cost: $26.53/claim|Median: $39.70
0.7× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$10K

500 claims · 0.1%

Your Cost: $19.93/claim|Median: $23.99
0.8× median
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