Provider 1841431707
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
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.
$11.0M
57K claims
$191.24
$121.16
Clinic visit/encounter, all-inclusive
$11.0M
57K claims · 87.2%
$309K
44K claims
$6.98
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$309K
44K claims · 2.5%
$152K
4,196 claims
$36.17
$74.82
Preventive medicine, established patient, age 5-11
$152K
4,196 claims · 1.2%
$133K
4,169 claims
$31.87
$75.18
Preventive medicine, established patient, age 1-4
$133K
4,169 claims · 1.1%
$130K
2,770 claims
$47.09
$80.15
Preventive medicine, established patient, age 12-17
$130K
2,770 claims · 1.0%
$128K
1,740 claims
$73.81
$63.63
Antepartum care only, 4-6 visits
$128K
1,740 claims · 1.0%
$128K
2,285 claims
$55.89
$22.44
Telephone E/M by physician, 11-20 minutes
$128K
2,285 claims · 1.0%
$77K
3,521 claims
$21.96
$13.30
Telephone E/M by physician, 5-10 min
$77K
3,521 claims · 0.6%
$65K
2,031 claims
$32.03
$69.35
Preventive medicine, established patient, infant (under 1)
$65K
2,031 claims · 0.5%
$61K
1,090 claims
$55.72
$9.10
Developmental screening, per standardized instrument
$61K
1,090 claims · 0.5%
$49K
7,422 claims
$6.59
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$49K
7,422 claims · 0.4%
$46K
8,803 claims
$5.27
$6.61
Screening audiometry, pure tone, air only
$46K
8,803 claims · 0.4%
$43K
7,476 claims
$5.77
$25.06
Office/outpatient visit, low complexity
$43K
7,476 claims · 0.3%
$36K
3,841 claims
$9.45
$7.18
Influenza virus vaccine, quadrivalent, preservative-free, IM
$36K
3,841 claims · 0.3%
$21K
701 claims
$29.81
$30.04
SARS-CoV-2 COVID-19 antigen detection, immunoassay
$21K
701 claims · 0.2%
$19K
1,867 claims · 0.2%
HPV vaccine, 9-valent
$18K
1,566 claims · 0.1%
Tdap vaccine
$16K
822 claims · 0.1%
$10K
134 claims
$76.89
$72.71
Preventive medicine, established patient, age 18-39
$10K
134 claims · 0.1%
$10K
1,207 claims · 0.1%
DTaP-HepB-IPV vaccine
$9K
1,177 claims · 0.1%
$9K
1,009 claims · 0.1%
$8K
98 claims · 0.1%
$8K
97 claims · 0.1%
Telephone E/M by physician, 21-30 min
$7K
30 claims · 0.1%
$7K
2,484 claims
$2.70
$21.91
Federally qualified health center visit, mental health
$7K
2,484 claims · 0.1%
Online digital E/M, 11-20 min
$7K
346 claims · 0.1%
$7K
123 claims · 0.1%
$7K
1,800 claims
$3.62
$9.80
Immunization administration, 1 vaccine, percutaneous/ID/SC/IM
$7K
1,800 claims · 0.1%
$6K
598 claims · 0.0%