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Provider 1831287978

NPI: 1831287978Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.8M

$15,845,870

Total Claims

288K

Beneficiaries

246K

1.2 claims/patient

Avg Cost/Claim

$55

Monthly Spending Trend

Yearly Spending

2018
$915K
-23%
2019
$705K
+22%
2020
$860K
+74%
2021
$1.5M
+41%
2022
$2.1M
+130%
2023
$4.8M
+3%
2024
$5.0M

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.

T1015Normal range

Clinic visit/encounter, all-inclusive

$15.3M

89K claims · 96.6%

Your Cost: $171.72/claim|Median: $121.16
1.4× median
99213Normal range

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

$163K

42K claims · 1.0%

Your Cost: $3.85/claim|Median: $37.81
0.1× median
90837Normal range

Psychotherapy, 60 minutes

$126K

2,620 claims · 0.8%

Your Cost: $48.04/claim|Median: $85.66
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$105K

23K claims · 0.7%

Your Cost: $4.56/claim|Median: $25.06
0.2× median
99201Top 10%

Office/outpatient visit, new patient, straightforward

$26K

195 claims · 0.2%

Your Cost: $134.62/claim|Median: $27.38
4.9× median
J3490Top 25%

Unclassified drugs

$26K

514 claims · 0.2%

Your Cost: $50.00/claim|Median: $5.70
8.8× median
S4993Normal range

$22K

401 claims · 0.1%

Your Cost: $54.70/claim|Median: $46.61
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$20K

613 claims · 0.1%

Your Cost: $32.45/claim|Median: $63.65
0.5× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$18K

471 claims · 0.1%

Your Cost: $38.71/claim|Median: $40.11
1.0× median
A4267Normal range

$10K

1,212 claims · 0.1%

Your Cost: $8.16/claim|Median: $7.86
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$7K

4,481 claims · 0.0%

Your Cost: $1.63/claim|Median: $41.28
0.0× median
87806Top 25%

$2K

93 claims · 0.0%

Your Cost: $26.21/claim|Median: $20.54
1.3× median
81025Normal range

Urine pregnancy test

$2K

945 claims · 0.0%

Your Cost: $1.95/claim|Median: $4.81
0.4× median
S5001Normal range

$2K

133 claims · 0.0%

Your Cost: $12.05/claim|Median: $17.91
0.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$2K

1,301 claims · 0.0%

Your Cost: $1.17/claim|Median: $12.93
0.1× median
99000Normal range

$1K

4,370 claims · 0.0%

Your Cost: $0.32/claim|Median: $2.30
0.1× median
90658Normal range

$1K

155 claims · 0.0%

Your Cost: $7.92/claim|Median: $8.96
0.9× median
85018Normal range

$1K

2,797 claims · 0.0%

Your Cost: $0.42/claim|Median: $1.71
0.2× median
0134ATop 5%

$938

14 claims · 0.0%

Your Cost: $67.00/claim|Median: $33.54
2.0× median
S5000Normal range

Prescription drug, generic

$834

68 claims · 0.0%

Your Cost: $12.26/claim|Median: $7.47
1.6× median
0124ATop 5%

$804

12 claims · 0.0%

Your Cost: $67.00/claim|Median: $34.32
2.0× median
87210Normal range

$664

392 claims · 0.0%

Your Cost: $1.69/claim|Median: $3.65
0.5× median
99214Normal range

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

$663

316 claims · 0.0%

Your Cost: $2.10/claim|Median: $53.41
0.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$276

78 claims · 0.0%

Your Cost: $3.54/claim|Median: $72.71
0.0× median
91300Top 25%

COVID-19 vaccine (Pfizer), first dose

$223

84 claims · 0.0%

Your Cost: $2.65/claim|Median: $0.01
264.9× median
99396Normal range

Preventive medicine, established patient, age 40-64

$162

330 claims · 0.0%

Your Cost: $0.49/claim|Median: $76.06
0.0× median
91301

COVID-19 vaccine (Moderna), first dose

$132

447 claims · 0.0%

92081Normal range

$130

460 claims · 0.0%

Your Cost: $0.28/claim|Median: $11.63
0.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$74

372 claims · 0.0%

Your Cost: $0.20/claim|Median: $75.18
0.0× median
81002Normal range

Urinalysis, non-automated without microscopy

$63

2,613 claims · 0.0%

Your Cost: $0.02/claim|Median: $2.00
0.0× median
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