Provider 1801878350
Total Paid
$17.7M
$17,683,335
Total Claims
191K
Beneficiaries
126K
1.5 claims/patient
Avg Cost/Claim
$92
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 56% of total spending.
$9.9M
95K claims
$104.30
$121.16
Clinic visit/encounter, all-inclusive
$9.9M
95K claims · 56.2%
Anesthesia services
$7.6M
54K claims · 43.1%
$135K
3,938 claims
$34.17
$21.91
Federally qualified health center visit, mental health
$135K
3,938 claims · 0.8%
$0
105 claims
$0.00
$27.95
Fundus photography with interpretation and report
$0
105 claims · 0.0%
Blood glucose test by monitoring device
$0
14 claims · 0.0%
$0
564 claims
$0.00
$6.61
Screening audiometry, pure tone, air only
$0
564 claims · 0.0%
$0
1,364 claims
$0.00
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$0
1,364 claims · 0.0%
Pneumococcal vaccine (PPSV23)
$0
29 claims · 0.0%
$0
152 claims · 0.0%
$0
27 claims · 0.0%
$0
21K claims
$0.00
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$0
21K claims · 0.0%
$0
61 claims · 0.0%
$0
1,065 claims
$0.00
$20.83
Chiropractic manipulative treatment, 3-4 spinal regions
$0
1,065 claims · 0.0%
$0
586 claims · 0.0%
$0
25 claims · 0.0%
$0
12 claims
$0.00
$0.91
Injection, ketorolac tromethamine, fifteen milligrams
$0
12 claims · 0.0%
$0
471 claims
$0.00
$7.18
Influenza virus vaccine, quadrivalent, preservative-free, IM
$0
471 claims · 0.0%
$0
569 claims · 0.0%
$0
13 claims · 0.0%
Psychotherapy, 30 minutes
$0
2,620 claims · 0.0%
DTaP-HepB-IPV vaccine
$0
12 claims · 0.0%
$0
141 claims · 0.0%
Determination of refractive state
$0
398 claims · 0.0%
$0
449 claims · 0.0%
$0
105 claims · 0.0%
$0
85 claims · 0.0%
$0
92 claims
$0.00
$80.15
Preventive medicine, established patient, age 12-17
$0
92 claims · 0.0%
$0
17 claims
$0.00
$37.22
Hospital discharge day management, 30 minutes or less
$0
17 claims · 0.0%
Tdap vaccine
$0
102 claims · 0.0%
$0
76 claims
$0.00
$75.18
Preventive medicine, established patient, age 1-4
$0
76 claims · 0.0%