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Provider 1811362908

NPI: 1811362908Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.5M

$11,549,502

Total Claims

450K

Beneficiaries

277K

1.6 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+14%
2019
$1.5M
-17%
2020
$1.2M
+28%
2021
$1.6M
-9%
2022
$1.4M
+30%
2023
$1.9M
+41%
2024
$2.6M

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 50% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$5.7M

92K claims · 49.5%

Your Cost: $62.24/claim|Median: $121.16
0.5× median
99214Normal range

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

$1.5M

48K claims · 13.1%

Your Cost: $31.64/claim|Median: $53.41
0.6× median
99213Normal range

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

$1.3M

57K claims · 11.0%

Your Cost: $22.32/claim|Median: $37.81
0.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$519K

15K claims · 4.5%

Your Cost: $34.21/claim|Median: $75.18
0.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$404K

13K claims · 3.5%

Your Cost: $31.17/claim|Median: $69.35
0.4× median
G9920Normal range

$302K

17K claims · 2.6%

Your Cost: $17.88/claim|Median: $6.56
2.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$298K

8,057 claims · 2.6%

Your Cost: $37.00/claim|Median: $74.82
0.5× median
99394Normal range

Preventive medicine, established patient, age 12-17

$211K

4,610 claims · 1.8%

Your Cost: $45.67/claim|Median: $80.15
0.6× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$154K

4,499 claims · 1.3%

Your Cost: $34.18/claim|Median: $62.48
0.5× median
92551Normal range

Screening audiometry, pure tone, air only

$141K

20K claims · 1.2%

Your Cost: $7.04/claim|Median: $6.61
1.1× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$90K

3,657 claims · 0.8%

Your Cost: $24.71/claim|Median: $37.22
0.7× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$82K

2,140 claims · 0.7%

Your Cost: $38.11/claim|Median: $73.46
0.5× median
90648Normal range

$65K

11K claims · 0.6%

Your Cost: $5.73/claim|Median: $4.08
1.4× median
90670Normal range

$52K

8,521 claims · 0.5%

Your Cost: $6.10/claim|Median: $5.94
1.0× median
90680Normal range

$50K

7,718 claims · 0.4%

Your Cost: $6.45/claim|Median: $5.58
1.2× median
96110Normal range

Developmental screening, per standardized instrument

$50K

4,734 claims · 0.4%

Your Cost: $10.50/claim|Median: $9.10
1.2× median
99203Normal range

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

$48K

1,309 claims · 0.4%

Your Cost: $36.73/claim|Median: $57.85
0.6× median
90723Normal range

DTaP-HepB-IPV vaccine

$46K

8,290 claims · 0.4%

Your Cost: $5.60/claim|Median: $5.78
1.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$46K

7,494 claims · 0.4%

Your Cost: $6.16/claim|Median: $7.18
0.9× median
90633Normal range

$40K

6,479 claims · 0.3%

Your Cost: $6.20/claim|Median: $3.56
1.7× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$38K

551 claims · 0.3%

Your Cost: $69.67/claim|Median: $43.85
1.6× median
85018Normal range

$28K

29K claims · 0.2%

Your Cost: $0.95/claim|Median: $1.71
0.6× median
90651Normal range

HPV vaccine, 9-valent

$27K

3,360 claims · 0.2%

Your Cost: $8.12/claim|Median: $8.93
0.9× median
90685Normal range

$25K

3,814 claims · 0.2%

Your Cost: $6.61/claim|Median: $5.96
1.1× median
99204Normal range

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

$23K

294 claims · 0.2%

Your Cost: $77.00/claim|Median: $84.03
0.9× median
G9919Normal range

$22K

1,214 claims · 0.2%

Your Cost: $17.83/claim|Median: $8.66
2.1× median
83655Normal range

$22K

3,803 claims · 0.2%

Your Cost: $5.66/claim|Median: $10.49
0.5× median
90671Normal range

$20K

2,298 claims · 0.2%

Your Cost: $8.67/claim|Median: $8.59
1.0× median
90700Normal range

$19K

3,181 claims · 0.2%

Your Cost: $6.02/claim|Median: $4.56
1.3× median
99173Normal range

$18K

7,271 claims · 0.2%

Your Cost: $2.41/claim|Median: $2.16
1.1× median
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