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Provider 1821593971

NPI: 1821593971Share
Active Billing Period:2018-04→2024-12(81 months)

Total Paid

$17.6M

$17,632,003

Total Claims

276K

Beneficiaries

190K

1.5 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2018
$913K
+89%
2019
$1.7M
+275%
2020
$6.5M
-50%
2021
$3.2M
-46%
2022
$1.7M
+10%
2023
$1.9M
-8%
2024
$1.7M

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.

T1015Normal range

Clinic visit/encounter, all-inclusive

$9.8M

60K claims · 55.9%

Your Cost: $163.42/claim|Median: $121.16
1.3× median
00003Normal range

Anesthesia services

$7.5M

40K claims · 42.4%

Your Cost: $185.43/claim|Median: $223.77
0.8× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$35K

778 claims · 0.2%

Your Cost: $44.72/claim|Median: $36.70
1.2× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$33K

747 claims · 0.2%

Your Cost: $44.70/claim|Median: $33.72
1.3× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$33K

745 claims · 0.2%

Your Cost: $44.09/claim|Median: $33.85
1.3× median
G0467Normal range

Federally qualified health center visit, mental health

$28K

1,989 claims · 0.2%

Your Cost: $14.28/claim|Median: $21.91
0.7× median
0011ATop 25%

COVID-19 vaccine admin, Moderna, 1st dose

$24K

663 claims · 0.1%

Your Cost: $35.75/claim|Median: $25.93
1.4× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$23K

2,487 claims · 0.1%

Your Cost: $9.11/claim|Median: $59.72
0.2× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$14K

3,996 claims · 0.1%

Your Cost: $3.40/claim|Median: $20.83
0.2× median
99213Normal range

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

$13K

60K claims · 0.1%

Your Cost: $0.23/claim|Median: $37.81
0.0× median
V2020Normal range

Frames, purchases

$12K

667 claims · 0.1%

Your Cost: $17.47/claim|Median: $19.33
0.9× median
0064ANormal range

$12K

304 claims · 0.1%

Your Cost: $38.18/claim|Median: $34.17
1.1× median
98940Normal range

$11K

4,052 claims · 0.1%

Your Cost: $2.64/claim|Median: $14.55
0.2× median
92340Normal range

Fitting of spectacles, except for aphakia

$9K

510 claims · 0.0%

Your Cost: $17.19/claim|Median: $19.46
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$8K

681 claims · 0.0%

Your Cost: $12.42/claim|Median: $41.28
0.3× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$8K

1,168 claims · 0.0%

Your Cost: $7.00/claim|Median: $47.08
0.1× median
92015Normal range

Determination of refractive state

$6K

3,626 claims · 0.0%

Your Cost: $1.76/claim|Median: $10.36
0.2× median
0071ATop 25%

$6K

148 claims · 0.0%

Your Cost: $43.09/claim|Median: $38.71
1.1× median
0004ATop 25%

$6K

142 claims · 0.0%

Your Cost: $44.17/claim|Median: $35.62
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$5K

375 claims · 0.0%

Your Cost: $14.51/claim|Median: $63.65
0.2× median
0072ATop 25%

$5K

121 claims · 0.0%

Your Cost: $43.95/claim|Median: $39.57
1.1× median
G0511Normal range

RHC/FQHC visit, psychiatric collaborative care model

$4K

1,081 claims · 0.0%

Your Cost: $3.53/claim|Median: $11.35
0.3× median
99214Normal range

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

$4K

12K claims · 0.0%

Your Cost: $0.31/claim|Median: $53.41
0.0× median
0031ATop 25%

COVID-19 vaccine admin, J&J, single dose

$3K

56 claims · 0.0%

Your Cost: $45.95/claim|Median: $32.49
1.4× median
0013ATop 25%

$2K

42 claims · 0.0%

Your Cost: $44.52/claim|Median: $35.38
1.3× median
S9455Top 25%

$1K

37 claims · 0.0%

Your Cost: $30.00/claim|Median: $30.00
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$901

8,066 claims · 0.0%

Your Cost: $0.11/claim|Median: $25.06
0.0× median
G9920Normal range

$551

137 claims · 0.0%

Your Cost: $4.02/claim|Median: $6.56
0.6× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$440

809 claims · 0.0%

Your Cost: $0.54/claim|Median: $40.11
0.0× median
99203Normal range

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

$345

2,509 claims · 0.0%

Your Cost: $0.14/claim|Median: $57.85
0.0× median
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