Provider 1770988370
Total Paid
$12.9M
$12,940,143
Total Claims
204K
Beneficiaries
173K
1.2 claims/patient
Avg Cost/Claim
$64
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 93% of total spending.
$12.0M
74K claims
$161.72
$121.16
Clinic visit/encounter, all-inclusive
$12.0M
74K claims · 92.7%
Anesthesia services
$898K
5,218 claims · 6.9%
$12K
420 claims
$28.55
$33.85
COVID-19 vaccine admin, Moderna, 2nd dose
$12K
420 claims · 0.1%
$6K
102 claims
$59.50
$21.91
Federally qualified health center visit, mental health
$6K
102 claims · 0.0%
$6K
294 claims
$20.27
$40.11
Office/outpatient visit, new patient, low complexity
$6K
294 claims · 0.0%
$5K
357 claims
$15.19
$25.93
COVID-19 vaccine admin, Moderna, 1st dose
$5K
357 claims · 0.0%
$5K
23K claims
$0.22
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$5K
23K claims · 0.0%
$4K
6,171 claims
$0.70
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$4K
6,171 claims · 0.0%
COVID-19 vaccine admin, Pfizer, 2nd dose
$4K
90 claims · 0.0%
$3K
151 claims · 0.0%
$2K
93 claims
$26.25
$33.72
COVID-19 vaccine admin, Pfizer, 1st dose
$2K
93 claims · 0.0%
$2K
59 claims · 0.0%
$812
13 claims · 0.0%
$161
5,090 claims
$0.03
$25.06
Office/outpatient visit, low complexity
$161
5,090 claims · 0.0%
$129
21 claims · 0.0%
$109
1,424 claims
$0.08
$74.09
Office/outpatient visit, high complexity
$109
1,424 claims · 0.0%
$82
450 claims · 0.0%
$71
275 claims
$0.26
$12.93
Office/outpatient visit, minimal complexity
$71
275 claims · 0.0%
$37
1,058 claims
$0.04
$75.18
Preventive medicine, established patient, age 1-4
$37
1,058 claims · 0.0%
Urine pregnancy test
$30
393 claims · 0.0%
$22
1,634 claims
$0.01
$9.10
Developmental screening, per standardized instrument
$22
1,634 claims · 0.0%
$17
1,260 claims · 0.0%
$9
580 claims · 0.0%
$4
2,918 claims
$0.00
$9.80
Immunization administration, 1 vaccine, percutaneous/ID/SC/IM
$4
2,918 claims · 0.0%
$4
57 claims · 0.0%
$4
1,012 claims
$0.00
$5.50
Hemoglobin A1c (glycated hemoglobin)
$4
1,012 claims · 0.0%
$4
14K claims · 0.0%
$4
14K claims · 0.0%
$3
2,886 claims · 0.0%
$2
4,420 claims
$0.00
$2.00
Urinalysis, non-automated without microscopy
$2
4,420 claims · 0.0%