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Provider 1790745172

NPI: 1790745172Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.1M

$10,106,992

Total Claims

122K

Beneficiaries

97K

1.3 claims/patient

Avg Cost/Claim

$83

Monthly Spending Trend

Yearly Spending

2018
$429K
+9%
2019
$467K
+46%
2020
$680K
+151%
2021
$1.7M
+31%
2022
$2.2M
-2%
2023
$2.2M
+9%
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 97% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$9.8M

51K claims · 96.6%

Your Cost: $190.23/claim|Median: $121.16
1.6× median
99213Normal range

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

$111K

23K claims · 1.1%

Your Cost: $4.81/claim|Median: $37.81
0.1× median
99214Normal range

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

$68K

14K claims · 0.7%

Your Cost: $4.97/claim|Median: $53.41
0.1× median
3008FTop 5%

$46K

2,638 claims · 0.5%

Your Cost: $17.61/claim|Median: $0.06
293.5× median
90471Normal range

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

$10K

1,075 claims · 0.1%

Your Cost: $9.41/claim|Median: $9.80
1.0× median
3074FTop 1%

$10K

420 claims · 0.1%

Your Cost: $22.71/claim|Median: $0.11
206.4× median
1159FTop 5%

$10K

2,460 claims · 0.1%

Your Cost: $3.87/claim|Median: $0.01
386.6× median
1220FTop 5%

$9K

2,307 claims · 0.1%

Your Cost: $4.04/claim|Median: $0.01
404.4× median
G0008Top 5%

$9K

138 claims · 0.1%

Your Cost: $64.64/claim|Median: $2.54
25.5× median
3079FTop 1%

$8K

352 claims · 0.1%

Your Cost: $24.09/claim|Median: $0.12
200.7× median
3078FTop 1%

$8K

416 claims · 0.1%

Your Cost: $18.52/claim|Median: $0.08
231.5× median
99212Normal range

Office/outpatient visit, low complexity

$7K

1,161 claims · 0.1%

Your Cost: $6.29/claim|Median: $25.06
0.3× median
90686Top 10%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$6K

320 claims · 0.1%

Your Cost: $19.92/claim|Median: $7.18
2.8× median
99203Normal range

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

$5K

398 claims · 0.1%

Your Cost: $13.32/claim|Median: $57.85
0.2× median
3075FTop 1%

$5K

234 claims · 0.1%

Your Cost: $22.57/claim|Median: $0.15
150.5× median
90472Normal range

Immunization administration, each additional vaccine

$5K

390 claims · 0.0%

Your Cost: $12.11/claim|Median: $11.79
1.0× median
3077FTop 1%

$4K

258 claims · 0.0%

Your Cost: $17.28/claim|Median: $0.12
144.0× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$4K

270 claims · 0.0%

Your Cost: $14.28/claim|Median: $9.56
1.5× median
81003Top 5%

Urinalysis, automated without microscopy

$3K

148 claims · 0.0%

Your Cost: $21.42/claim|Median: $1.48
14.5× median
3044FTop 5%

$3K

376 claims · 0.0%

Your Cost: $7.70/claim|Median: $0.16
48.1× median
99284Normal range

Emergency dept visit, high complexity

$3K

30 claims · 0.0%

Your Cost: $90.32/claim|Median: $69.51
1.3× median
3080FTop 1%

$3K

128 claims · 0.0%

Your Cost: $19.60/claim|Median: $0.16
122.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$2K

88 claims · 0.0%

Your Cost: $21.61/claim|Median: $74.82
0.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$970

197 claims · 0.0%

Your Cost: $4.92/claim|Median: $75.18
0.1× median
87449Normal range

$11

638 claims · 0.0%

Your Cost: $0.02/claim|Median: $6.98
0.0× median
G8510Normal range

$0

1,053 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.96
G2025Normal range

$0

141 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.63
3046FNormal range

$0

680 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.58
J1040Normal range

$0

128 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.87
G8427Normal range

$0

2,028 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
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