Provider 1730235870
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
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.
$10.0M
72K claims
$138.86
$121.16
Clinic visit/encounter, all-inclusive
$10.0M
72K claims · 99.1%
$74K
1,123 claims
$65.45
$130.29
Medicaid certified CCBHC services
$74K
1,123 claims · 0.7%
$6K
144 claims
$40.23
$25.93
COVID-19 vaccine admin, Moderna, 1st dose
$6K
144 claims · 0.1%
$5K
122 claims
$41.34
$33.85
COVID-19 vaccine admin, Moderna, 2nd dose
$5K
122 claims · 0.1%
$3K
3,603 claims
$0.93
$7.18
Influenza virus vaccine, quadrivalent, preservative-free, IM
$3K
3,603 claims · 0.0%
COVID-19 vaccine admin, Pfizer, 1st dose
$1K
30 claims · 0.0%
$904
32K claims
$0.03
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$904
32K claims · 0.0%
$506
12 claims
$42.14
$36.70
COVID-19 vaccine admin, Pfizer, 2nd dose
$506
12 claims · 0.0%
$406
538 claims
$0.75
$1.57
Collection of venous blood by venipuncture
$406
538 claims · 0.0%
$356
46 claims
$7.74
$8.79
Brief communication technology-based service
$356
46 claims · 0.0%
Psychotherapy, 30 minutes
$285
3,497 claims · 0.0%
$284
320 claims · 0.0%
$250
577 claims
$0.43
$9.56
Therapeutic injection, subcutaneous/intramuscular
$250
577 claims · 0.0%
Tdap vaccine
$219
620 claims · 0.0%
$212
4,180 claims
$0.05
$25.06
Office/outpatient visit, low complexity
$212
4,180 claims · 0.0%
Urine pregnancy test
$188
2,200 claims · 0.0%
$150
84 claims · 0.0%
$130
3,938 claims · 0.0%
$96
2,566 claims
$0.04
$69.35
Preventive medicine, established patient, infant (under 1)
$96
2,566 claims · 0.0%
$84
37 claims
$2.27
$41.92
Injection, medroxyprogesterone acetate, one milligram
$84
37 claims · 0.0%
$79
3,545 claims
$0.02
$9.10
Developmental screening, per standardized instrument
$79
3,545 claims · 0.0%
$63
2,717 claims
$0.02
$75.18
Preventive medicine, established patient, age 1-4
$63
2,717 claims · 0.0%
$59
2,427 claims
$0.02
$80.15
Preventive medicine, established patient, age 12-17
$59
2,427 claims · 0.0%
$45
7,024 claims
$0.01
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$45
7,024 claims · 0.0%
$45
2,685 claims
$0.02
$74.82
Preventive medicine, established patient, age 5-11
$45
2,685 claims · 0.0%
$41
154 claims · 0.0%
$21
485 claims · 0.0%
$11
300 claims · 0.0%
$2
18K claims · 0.0%
$1
18K claims · 0.0%