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Provider 1841431707

NPI: 1841431707Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$12.6M

$12,557,527

Total Claims

182K

Beneficiaries

168K

1.1 claims/patient

Avg Cost/Claim

$69

Monthly Spending Trend

Yearly Spending

2018
$2.6M
-25%
2019
$1.9M
-31%
2020
$1.3M
+34%
2021
$1.8M
-11%
2022
$1.6M
+7%
2023
$1.7M
-4%
2024
$1.6M

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 87% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$11.0M

57K claims · 87.2%

Your Cost: $191.24/claim|Median: $121.16
1.6× median
99213Normal range

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

$309K

44K claims · 2.5%

Your Cost: $6.98/claim|Median: $37.81
0.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$152K

4,196 claims · 1.2%

Your Cost: $36.17/claim|Median: $74.82
0.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$133K

4,169 claims · 1.1%

Your Cost: $31.87/claim|Median: $75.18
0.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$130K

2,770 claims · 1.0%

Your Cost: $47.09/claim|Median: $80.15
0.6× median
59425Normal range

Antepartum care only, 4-6 visits

$128K

1,740 claims · 1.0%

Your Cost: $73.81/claim|Median: $63.63
1.2× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$128K

2,285 claims · 1.0%

Your Cost: $55.89/claim|Median: $22.44
2.5× median
99441Normal range

Telephone E/M by physician, 5-10 min

$77K

3,521 claims · 0.6%

Your Cost: $21.96/claim|Median: $13.30
1.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$65K

2,031 claims · 0.5%

Your Cost: $32.03/claim|Median: $69.35
0.5× median
96110Top 5%

Developmental screening, per standardized instrument

$61K

1,090 claims · 0.5%

Your Cost: $55.72/claim|Median: $9.10
6.1× median
99214Normal range

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

$49K

7,422 claims · 0.4%

Your Cost: $6.59/claim|Median: $53.41
0.1× median
92551Normal range

Screening audiometry, pure tone, air only

$46K

8,803 claims · 0.4%

Your Cost: $5.27/claim|Median: $6.61
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$43K

7,476 claims · 0.3%

Your Cost: $5.77/claim|Median: $25.06
0.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$36K

3,841 claims · 0.3%

Your Cost: $9.45/claim|Median: $7.18
1.3× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$21K

701 claims · 0.2%

Your Cost: $29.81/claim|Median: $30.04
1.0× median
90670Normal range

$19K

1,867 claims · 0.2%

Your Cost: $10.12/claim|Median: $5.94
1.7× median
90651Normal range

HPV vaccine, 9-valent

$18K

1,566 claims · 0.1%

Your Cost: $11.72/claim|Median: $8.93
1.3× median
90715Normal range

Tdap vaccine

$16K

822 claims · 0.1%

Your Cost: $19.58/claim|Median: $10.32
1.9× median
99395Normal range

Preventive medicine, established patient, age 18-39

$10K

134 claims · 0.1%

Your Cost: $76.89/claim|Median: $72.71
1.1× median
90633Normal range

$10K

1,207 claims · 0.1%

Your Cost: $8.53/claim|Median: $3.56
2.4× median
90723Normal range

DTaP-HepB-IPV vaccine

$9K

1,177 claims · 0.1%

Your Cost: $8.06/claim|Median: $5.78
1.4× median
90734Normal range

$9K

1,009 claims · 0.1%

Your Cost: $9.29/claim|Median: $6.40
1.5× median
0969Top 10%

$8K

98 claims · 0.1%

Your Cost: $82.63/claim|Median: $73.78
1.1× median
H1001Normal range

$8K

97 claims · 0.1%

Your Cost: $82.49/claim|Median: $60.48
1.4× median
99443Top 5%

Telephone E/M by physician, 21-30 min

$7K

30 claims · 0.1%

Your Cost: $223.65/claim|Median: $32.55
6.9× median
G0467Normal range

Federally qualified health center visit, mental health

$7K

2,484 claims · 0.1%

Your Cost: $2.70/claim|Median: $21.91
0.1× median
99422Normal range

Online digital E/M, 11-20 min

$7K

346 claims · 0.1%

Your Cost: $19.21/claim|Median: $17.90
1.1× median
0071ATop 10%

$7K

123 claims · 0.1%

Your Cost: $53.99/claim|Median: $38.71
1.4× median
90471Normal range

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

$7K

1,800 claims · 0.1%

Your Cost: $3.62/claim|Median: $9.80
0.4× median
90688Normal range

$6K

598 claims · 0.0%

Your Cost: $10.20/claim|Median: $9.00
1.1× median