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Provider 1720171242

NPI: 1720171242Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.6M

$9,634,203

Total Claims

337K

Beneficiaries

294K

1.1 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-13%
2019
$1.2M
+17%
2020
$1.4M
+16%
2021
$1.6M
-25%
2022
$1.2M
+19%
2023
$1.4M
+8%
2024
$1.5M

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.

T1015Normal range

Clinic visit/encounter, all-inclusive

$9.4M

65K claims · 97.6%

Your Cost: $143.62/claim|Median: $121.16
1.2× median
99213Normal range

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

$92K

78K claims · 0.9%

Your Cost: $1.18/claim|Median: $37.81
0.0× median
90837Normal range

Psychotherapy, 60 minutes

$47K

1,109 claims · 0.5%

Your Cost: $42.48/claim|Median: $85.66
0.5× median
90832Normal range

Psychotherapy, 30 minutes

$33K

1,595 claims · 0.3%

Your Cost: $20.43/claim|Median: $41.28
0.5× median
G0467Normal range

Federally qualified health center visit, mental health

$20K

769 claims · 0.2%

Your Cost: $26.35/claim|Median: $21.91
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$19K

932 claims · 0.2%

Your Cost: $20.87/claim|Median: $63.65
0.3× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$7K

5,026 claims · 0.1%

Your Cost: $1.40/claim|Median: $7.18
0.2× median
90791Normal range

Psychiatric diagnostic evaluation

$5K

103 claims · 0.0%

Your Cost: $46.22/claim|Median: $99.21
0.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$2K

1,270 claims · 0.0%

Your Cost: $1.63/claim|Median: $74.82
0.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1K

1,574 claims · 0.0%

Your Cost: $0.94/claim|Median: $75.18
0.0× median
99214Normal range

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

$1K

2,595 claims · 0.0%

Your Cost: $0.56/claim|Median: $53.41
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$1K

3,510 claims · 0.0%

Your Cost: $0.35/claim|Median: $25.06
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$651

506 claims · 0.0%

Your Cost: $1.29/claim|Median: $80.15
0.0× median
85018Normal range

$605

4,842 claims · 0.0%

Your Cost: $0.12/claim|Median: $1.71
0.1× median
92552Normal range

Pure tone audiometry, air only, each ear

$595

4,213 claims · 0.0%

Your Cost: $0.14/claim|Median: $12.63
0.0× median
90471Normal range

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

$529

4,299 claims · 0.0%

Your Cost: $0.12/claim|Median: $9.80
0.0× median
80053Normal range

Comprehensive metabolic panel

$333

3,939 claims · 0.0%

Your Cost: $0.08/claim|Median: $7.24
0.0× median
80061Normal range

Lipid panel

$294

4,270 claims · 0.0%

Your Cost: $0.07/claim|Median: $8.41
0.0× median
92015Normal range

Determination of refractive state

$285

4,313 claims · 0.0%

Your Cost: $0.07/claim|Median: $10.36
0.0× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$277

1,760 claims · 0.0%

Your Cost: $0.16/claim|Median: $24.95
0.0× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$275

1,762 claims · 0.0%

Your Cost: $0.16/claim|Median: $23.39
0.0× median
G8510Normal range

$270

16K claims · 0.0%

Your Cost: $0.02/claim|Median: $1.96
0.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$238

4,709 claims · 0.0%

Your Cost: $0.05/claim|Median: $5.50
0.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$203

12 claims · 0.0%

Your Cost: $16.89/claim|Median: $40.11
0.4× median
G2025Normal range

$184

18 claims · 0.0%

Your Cost: $10.23/claim|Median: $15.63
0.7× median
4037FTop 25%

$164

155 claims · 0.0%

Your Cost: $1.06/claim|Median: $0.01
106.1× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$163

41 claims · 0.0%

Your Cost: $3.97/claim|Median: $81.92
0.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$137

423 claims · 0.0%

Your Cost: $0.32/claim|Median: $69.35
0.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$125

14 claims · 0.0%

Your Cost: $8.95/claim|Median: $72.71
0.1× median
99408Normal range

$124

9,236 claims · 0.0%

Your Cost: $0.01/claim|Median: $9.32
0.0× median
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