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Provider 1790857696

NPI: 1790857696Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.9M

$15,928,734

Total Claims

1.1M

Beneficiaries

992K

1.1 claims/patient

Avg Cost/Claim

$14

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+4%
2019
$2.4M
-16%
2020
$2.1M
+15%
2021
$2.4M
-14%
2022
$2.0M
+14%
2023
$2.3M
+0%
2024
$2.3M

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 29% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$4.6M

25K claims · 29.0%

Your Cost: $183.09/claim|Median: $121.16
1.5× median
99213Normal range

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

$2.3M

154K claims · 14.7%

Your Cost: $15.12/claim|Median: $37.81
0.4× median
59409Normal range

Vaginal delivery only

$1.2M

1,629 claims · 7.4%

Your Cost: $726.78/claim|Median: $619.91
1.2× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$833K

72K claims · 5.2%

Your Cost: $11.58/claim|Median: $17.85
0.6× median
99214Normal range

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

$647K

42K claims · 4.1%

Your Cost: $15.43/claim|Median: $53.41
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$627K

51K claims · 3.9%

Your Cost: $12.23/claim|Median: $25.06
0.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$601K

16K claims · 3.8%

Your Cost: $37.55/claim|Median: $74.82
0.5× median
59425Normal range

Antepartum care only, 4-6 visits

$459K

9,545 claims · 2.9%

Your Cost: $48.08/claim|Median: $63.63
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$429K

12K claims · 2.7%

Your Cost: $35.27/claim|Median: $75.18
0.5× median
99394Normal range

Preventive medicine, established patient, age 12-17

$406K

11K claims · 2.5%

Your Cost: $37.97/claim|Median: $80.15
0.5× median
D0120Top 10%

Periodic oral evaluation, established patient

$370K

7,399 claims · 2.3%

Your Cost: $49.99/claim|Median: $24.34
2.1× median
59426Normal range

Antepartum care only, high risk, additional visits

$368K

6,644 claims · 2.3%

Your Cost: $55.33/claim|Median: $122.30
0.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$297K

10K claims · 1.9%

Your Cost: $29.52/claim|Median: $69.35
0.4× median
90472Normal range

Immunization administration, each additional vaccine

$241K

18K claims · 1.5%

Your Cost: $13.56/claim|Median: $11.79
1.2× median
99395Normal range

Preventive medicine, established patient, age 18-39

$149K

4,168 claims · 0.9%

Your Cost: $35.86/claim|Median: $72.71
0.5× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$133K

1,732 claims · 0.8%

Your Cost: $76.53/claim|Median: $62.48
1.2× median
99203Normal range

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

$128K

4,635 claims · 0.8%

Your Cost: $27.70/claim|Median: $57.85
0.5× median
90471Normal range

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

$119K

11K claims · 0.7%

Your Cost: $10.45/claim|Median: $9.80
1.1× median
90619Top 10%

$101K

1,306 claims · 0.6%

Your Cost: $77.63/claim|Median: $8.36
9.3× median
3008FNormal range

$82K

107K claims · 0.5%

Your Cost: $0.76/claim|Median: $0.06
12.7× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$78K

18K claims · 0.5%

Your Cost: $4.35/claim|Median: $7.18
0.6× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$78K

3,905 claims · 0.5%

Your Cost: $19.99/claim|Median: $32.07
0.6× median
D1110Normal range

Prophylaxis, adult cleaning

$78K

5,067 claims · 0.5%

Your Cost: $15.32/claim|Median: $43.38
0.4× median
90651Top 25%

HPV vaccine, 9-valent

$76K

3,252 claims · 0.5%

Your Cost: $23.25/claim|Median: $8.93
2.6× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$72K

3,980 claims · 0.4%

Your Cost: $18.01/claim|Median: $37.22
0.5× median
99396Normal range

Preventive medicine, established patient, age 40-64

$71K

2,050 claims · 0.4%

Your Cost: $34.68/claim|Median: $76.06
0.5× median
D0210Normal range

Intraoral, complete series of radiographic images

$68K

2,966 claims · 0.4%

Your Cost: $23.06/claim|Median: $46.33
0.5× median
92552Normal range

Pure tone audiometry, air only, each ear

$68K

17K claims · 0.4%

Your Cost: $3.99/claim|Median: $12.63
0.3× median
90461Normal range

Immunization admin, additional vaccine, counseling

$64K

4,957 claims · 0.4%

Your Cost: $12.90/claim|Median: $6.93
1.9× median
99231Normal range

Subsequent hospital care, per day, low complexity

$56K

3,034 claims · 0.4%

Your Cost: $18.60/claim|Median: $16.77
1.1× median
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