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Provider 1730235870

NPI: 1730235870Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$10.1M

$10,053,233

Total Claims

254K

Beneficiaries

202K

1.3 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$738K
+43%
2019
$1.1M
+77%
2020
$1.9M
-21%
2021
$1.5M
+15%
2022
$1.7M
-6%
2023
$1.6M
-2%
2024
$1.6M

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 99% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$10.0M

72K claims · 99.1%

Your Cost: $138.86/claim|Median: $121.16
1.1× median
T1040Normal range

Medicaid certified CCBHC services

$74K

1,123 claims · 0.7%

Your Cost: $65.45/claim|Median: $130.29
0.5× median
0011ATop 25%

COVID-19 vaccine admin, Moderna, 1st dose

$6K

144 claims · 0.1%

Your Cost: $40.23/claim|Median: $25.93
1.6× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$5K

122 claims · 0.1%

Your Cost: $41.34/claim|Median: $33.85
1.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$3K

3,603 claims · 0.0%

Your Cost: $0.93/claim|Median: $7.18
0.1× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$1K

30 claims · 0.0%

Your Cost: $40.81/claim|Median: $33.72
1.2× median
99213Normal range

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

$904

32K claims · 0.0%

Your Cost: $0.03/claim|Median: $37.81
0.0× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$506

12 claims · 0.0%

Your Cost: $42.14/claim|Median: $36.70
1.1× median
36415Normal range

Collection of venous blood by venipuncture

$406

538 claims · 0.0%

Your Cost: $0.75/claim|Median: $1.57
0.5× median
G2012Normal range

Brief communication technology-based service

$356

46 claims · 0.0%

Your Cost: $7.74/claim|Median: $8.79
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$285

3,497 claims · 0.0%

Your Cost: $0.08/claim|Median: $41.28
0.0× median
90677Normal range

$284

320 claims · 0.0%

Your Cost: $0.89/claim|Median: $12.96
0.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$250

577 claims · 0.0%

Your Cost: $0.43/claim|Median: $9.56
0.0× median
90715Normal range

Tdap vaccine

$219

620 claims · 0.0%

Your Cost: $0.35/claim|Median: $10.32
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$212

4,180 claims · 0.0%

Your Cost: $0.05/claim|Median: $25.06
0.0× median
81025Normal range

Urine pregnancy test

$188

2,200 claims · 0.0%

Your Cost: $0.09/claim|Median: $4.81
0.0× median
0503FNormal range

$150

84 claims · 0.0%

Your Cost: $1.79/claim|Median: $10.68
0.2× median
0502FNormal range

$130

3,938 claims · 0.0%

Your Cost: $0.03/claim|Median: $44.10
0.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$96

2,566 claims · 0.0%

Your Cost: $0.04/claim|Median: $69.35
0.0× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$84

37 claims · 0.0%

Your Cost: $2.27/claim|Median: $41.92
0.1× median
96110Normal range

Developmental screening, per standardized instrument

$79

3,545 claims · 0.0%

Your Cost: $0.02/claim|Median: $9.10
0.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$63

2,717 claims · 0.0%

Your Cost: $0.02/claim|Median: $75.18
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$59

2,427 claims · 0.0%

Your Cost: $0.02/claim|Median: $80.15
0.0× median
99214Normal range

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

$45

7,024 claims · 0.0%

Your Cost: $0.01/claim|Median: $53.41
0.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$45

2,685 claims · 0.0%

Your Cost: $0.02/claim|Median: $74.82
0.0× median
90656Normal range

$41

154 claims · 0.0%

Your Cost: $0.27/claim|Median: $8.67
0.0× median
99173Normal range

$21

485 claims · 0.0%

Your Cost: $0.04/claim|Median: $2.16
0.0× median

$11

300 claims · 0.0%

1160FNormal range

$2

18K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
0.0× median
3008FNormal range

$1

18K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.06
0.0× median