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Provider 1770697278

NPI: 1770697278Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$16.6M

$16,605,763

Total Claims

263K

Beneficiaries

219K

1.2 claims/patient

Avg Cost/Claim

$63

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+59%
2019
$1.8M
+29%
2020
$2.4M
-6%
2021
$2.2M
+66%
2022
$3.7M
-22%
2023
$2.9M
-16%
2024
$2.4M

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 89% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$14.7M

81K claims · 88.6%

Your Cost: $182.40/claim|Median: $121.16
1.5× median
99213Normal range

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

$257K

29K claims · 1.5%

Your Cost: $8.86/claim|Median: $37.81
0.2× median
3008FTop 1%

$236K

10K claims · 1.4%

Your Cost: $22.87/claim|Median: $0.06
381.2× median
99214Normal range

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

$110K

26K claims · 0.7%

Your Cost: $4.32/claim|Median: $53.41
0.1× median
1159FTop 5%

$84K

5,639 claims · 0.5%

Your Cost: $14.98/claim|Median: $0.01
1497.9× median

$80K

2,495 claims · 0.5%

3074FTop 1%

$61K

2,355 claims · 0.4%

Your Cost: $26.05/claim|Median: $0.11
236.8× median
3351FTop 25%

$58K

2,789 claims · 0.3%

Your Cost: $20.82/claim|Median: $0.03
694.0× median
1000FTop 5%

$55K

3,549 claims · 0.3%

Your Cost: $15.59/claim|Median: $0.01
1559.5× median
1032FTop 1%

$55K

1,474 claims · 0.3%

Your Cost: $37.50/claim|Median: $0.14
267.9× median
3078FTop 1%

$54K

1,812 claims · 0.3%

Your Cost: $29.68/claim|Median: $0.08
371.0× median
2001FTop 1%

$52K

2,454 claims · 0.3%

Your Cost: $21.00/claim|Median: $0.02
1050.2× median
90471Normal range

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

$50K

7,192 claims · 0.3%

Your Cost: $6.91/claim|Median: $9.80
0.7× median

$41K

1,178 claims · 0.2%

87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$34K

1,493 claims · 0.2%

Your Cost: $22.57/claim|Median: $65.64
0.3× median

$30K

991 claims · 0.2%

1036FTop 5%

$30K

1,906 claims · 0.2%

Your Cost: $15.81/claim|Median: $0.01
1581.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$30K

2,295 claims · 0.2%

Your Cost: $13.04/claim|Median: $7.18
1.8× median
90472Normal range

Immunization administration, each additional vaccine

$27K

3,535 claims · 0.2%

Your Cost: $7.69/claim|Median: $11.79
0.7× median
90837Normal range

Psychotherapy, 60 minutes

$25K

1,414 claims · 0.2%

Your Cost: $17.84/claim|Median: $85.66
0.2× median
4000FTop 1%

$24K

1,130 claims · 0.1%

Your Cost: $21.48/claim|Median: $0.11
195.3× median
99173Top 25%

$23K

5,069 claims · 0.1%

Your Cost: $4.53/claim|Median: $2.16
2.1× median
90670Top 5%

$22K

575 claims · 0.1%

Your Cost: $38.16/claim|Median: $5.94
6.4× median
3079FTop 1%

$22K

1,229 claims · 0.1%

Your Cost: $17.63/claim|Median: $0.12
146.9× median
92552Normal range

Pure tone audiometry, air only, each ear

$21K

5,058 claims · 0.1%

Your Cost: $4.25/claim|Median: $12.63
0.3× median
90651Top 25%

HPV vaccine, 9-valent

$21K

510 claims · 0.1%

Your Cost: $41.11/claim|Median: $8.93
4.6× median
4120FTop 1%

$20K

797 claims · 0.1%

Your Cost: $25.03/claim|Median: $2.21
11.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$20K

2,268 claims · 0.1%

Your Cost: $8.67/claim|Median: $74.82
0.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$18K

2,595 claims · 0.1%

Your Cost: $7.12/claim|Median: $9.56
0.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$16K

2,001 claims · 0.1%

Your Cost: $8.11/claim|Median: $80.15
0.1× median