Provider 1770854473
Total Paid
$8.0M
$7,961,116
Total Claims
343K
Beneficiaries
198K
1.7 claims/patient
Avg Cost/Claim
$23
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 72% of total spending.
$5.7M
85K claims
$67.09
$121.16
Clinic visit/encounter, all-inclusive
$5.7M
85K claims · 71.6%
$721K
43K claims
$16.94
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$721K
43K claims · 9.1%
$649K
24K claims
$26.87
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$649K
24K claims · 8.2%
Psychotherapy, 45 minutes
$354K
19K claims · 4.4%
Psychotherapy, 30 minutes
$139K
8,255 claims · 1.7%
$64K
5,113 claims
$12.58
$22.44
Telephone E/M by physician, 11-20 minutes
$64K
5,113 claims · 0.8%
$51K
9,865 claims
$5.21
$15.37
Telehealth originating site facility fee
$51K
9,865 claims · 0.6%
$36K
1,287 claims
$28.09
$99.21
Psychiatric diagnostic evaluation
$36K
1,287 claims · 0.5%
$26K
2,959 claims
$8.76
$21.91
Federally qualified health center visit, mental health
$26K
2,959 claims · 0.3%
$22K
715 claims
$30.64
$108.91
Psychiatric diagnostic evaluation with medical services
$22K
715 claims · 0.3%
$21K
2,364 claims
$8.77
$24.33
Medical nutrition therapy, reassessment, group, thirty minutes
$21K
2,364 claims · 0.3%
Online digital E/M, 11-20 min
$17K
2,297 claims · 0.2%
$17K
3,812 claims · 0.2%
$17K
1,374 claims
$12.08
$47.08
Ophthalmological exam, comprehensive, established patient
$17K
1,374 claims · 0.2%
$17K
1,676 claims
$9.85
$25.06
Office/outpatient visit, low complexity
$17K
1,676 claims · 0.2%
$14K
2,991 claims
$4.78
$13.30
Telephone E/M by physician, 5-10 min
$14K
2,991 claims · 0.2%
$13K
2,796 claims
$4.70
$10.36
Determination of refractive state
$13K
2,796 claims · 0.2%
$11K
786 claims
$14.50
$59.72
Ophthalmological exam, comprehensive, new patient
$11K
786 claims · 0.1%
$10K
1,371 claims
$7.32
$9.80
Immunization administration, 1 vaccine, percutaneous/ID/SC/IM
$10K
1,371 claims · 0.1%
$10K
746 claims
$13.18
$12.70
Medical nutrition therapy, reassessment, individual, fifteen minutes
$10K
746 claims · 0.1%
$7K
460 claims
$14.46
$57.85
Office/outpatient visit, new patient, low-mod complexity
$7K
460 claims · 0.1%
$7K
652 claims · 0.1%
Online digital E/M, 5-10 min
$7K
1,632 claims · 0.1%
$4K
814 claims
$5.32
$7.18
Influenza virus vaccine, quadrivalent, preservative-free, IM
$4K
814 claims · 0.1%
Online digital E/M, 21+ min
$4K
323 claims · 0.0%
$3K
297 claims · 0.0%
$3K
93 claims
$32.44
$84.03
Office/outpatient visit, new patient, mod-high complexity
$3K
93 claims · 0.0%
Panoramic radiographic image
$3K
196 claims · 0.0%
$2K
175 claims
$13.55
$32.07
Comprehensive oral evaluation, new or established patient
$2K
175 claims · 0.0%
$2K
189 claims
$10.65
$45.95
Chronic care management services, FQHC/RHC
$2K
189 claims · 0.0%