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Provider 1730695305

NPI: 1730695305Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.5M

$9,505,744

Total Claims

265K

Beneficiaries

242K

1.1 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+32%
2019
$1.6M
-8%
2020
$1.5M
+7%
2021
$1.6M
-19%
2022
$1.3M
+3%
2023
$1.3M
-28%
2024
$963K

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 34% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$3.2M

17K claims · 33.8%

Your Cost: $191.19/claim|Median: $121.16
1.6× median
99213Normal range

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

$2.8M

79K claims · 29.1%

Your Cost: $35.05/claim|Median: $37.81
0.9× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$621K

38K claims · 6.5%

Your Cost: $16.34/claim|Median: $17.85
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$534K

13K claims · 5.6%

Your Cost: $39.76/claim|Median: $75.18
0.5× median
99214Normal range

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

$505K

11K claims · 5.3%

Your Cost: $47.64/claim|Median: $53.41
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$432K

9,307 claims · 4.5%

Your Cost: $46.44/claim|Median: $74.82
0.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$390K

13K claims · 4.1%

Your Cost: $30.51/claim|Median: $69.35
0.4× median
90461Normal range

Immunization admin, additional vaccine, counseling

$206K

17K claims · 2.2%

Your Cost: $12.13/claim|Median: $6.93
1.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$204K

4,197 claims · 2.1%

Your Cost: $48.51/claim|Median: $80.15
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$111K

3,650 claims · 1.2%

Your Cost: $30.30/claim|Median: $25.06
1.2× median
59426Normal range

Antepartum care only, high risk, additional visits

$102K

1,661 claims · 1.1%

Your Cost: $61.34/claim|Median: $122.30
0.5× median
59425Normal range

Antepartum care only, 4-6 visits

$36K

1,031 claims · 0.4%

Your Cost: $34.93/claim|Median: $63.63
0.5× median
99203Normal range

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

$34K

802 claims · 0.4%

Your Cost: $42.86/claim|Median: $57.85
0.7× median
90677Normal range

$31K

1,255 claims · 0.3%

Your Cost: $24.77/claim|Median: $12.96
1.9× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$30K

11K claims · 0.3%

Your Cost: $2.82/claim|Median: $7.18
0.4× median
90471Normal range

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

$28K

2,556 claims · 0.3%

Your Cost: $10.98/claim|Median: $9.80
1.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$26K

2,007 claims · 0.3%

Your Cost: $13.05/claim|Median: $12.93
1.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$26K

831 claims · 0.3%

Your Cost: $30.91/claim|Median: $72.71
0.4× median
90723Normal range

DTaP-HepB-IPV vaccine

$19K

4,138 claims · 0.2%

Your Cost: $4.56/claim|Median: $5.78
0.8× median
90651Top 25%

HPV vaccine, 9-valent

$18K

774 claims · 0.2%

Your Cost: $23.51/claim|Median: $8.93
2.6× median
91321Top 5%

$16K

135 claims · 0.2%

Your Cost: $115.91/claim|Median: $16.72
6.9× median
90670Normal range

$15K

3,862 claims · 0.2%

Your Cost: $3.95/claim|Median: $5.94
0.7× median
90710Normal range

MMRV vaccine

$13K

1,194 claims · 0.1%

Your Cost: $10.60/claim|Median: $7.00
1.5× median
99383Normal range

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

$8K

165 claims · 0.1%

Your Cost: $51.50/claim|Median: $81.92
0.6× median
99173Normal range

$8K

4,884 claims · 0.1%

Your Cost: $1.74/claim|Median: $2.16
0.8× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$8K

193 claims · 0.1%

Your Cost: $38.89/claim|Median: $40.11
1.0× median
90480Top 25%

$7K

205 claims · 0.1%

Your Cost: $36.16/claim|Median: $25.29
1.4× median
96110Top 25%

Developmental screening, per standardized instrument

$7K

392 claims · 0.1%

Your Cost: $16.80/claim|Median: $9.10
1.8× median
59430Normal range

$7K

187 claims · 0.1%

Your Cost: $35.00/claim|Median: $80.32
0.4× median
90619Top 5%

$6K

52 claims · 0.1%

Your Cost: $119.65/claim|Median: $8.36
14.3× median
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