Provider 1841607801
Total Paid
$10.0M
$10,038,602
Total Claims
134K
Beneficiaries
102K
1.3 claims/patient
Avg Cost/Claim
$75
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.
$8.7M
38K claims
$231.73
$121.16
Clinic visit/encounter, all-inclusive
$8.7M
38K claims · 87.1%
$538K
3,116 claims
$172.73
$21.91
Federally qualified health center visit, mental health
$538K
3,116 claims · 5.4%
$274K
24K claims
$11.52
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$274K
24K claims · 2.7%
$194K
10K claims
$18.59
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$194K
10K claims · 1.9%
$68K
978 claims · 0.7%
$54K
1,779 claims
$30.13
$39.63
SARS-CoV-2 COVID-19 antigen detection, immunoassay, each
$54K
1,779 claims · 0.5%
$49K
241 claims
$203.97
$45.95
Chronic care management services, FQHC/RHC
$49K
241 claims · 0.5%
$30K
3,631 claims
$8.23
$25.06
Office/outpatient visit, low complexity
$30K
3,631 claims · 0.3%
$21K
2,911 claims
$7.21
$30.04
SARS-CoV-2 COVID-19 antigen detection, immunoassay
$21K
2,911 claims · 0.2%
$12K
1,288 claims · 0.1%
Psychotherapy, 45 minutes
$12K
1,656 claims · 0.1%
Psychotherapy, 60 minutes
$10K
868 claims · 0.1%
$6K
600 claims · 0.1%
Antepartum care only, 4-6 visits
$4K
107 claims · 0.0%
$3K
759 claims
$4.51
$40.11
Office/outpatient visit, new patient, low complexity
$3K
759 claims · 0.0%
$3K
1,310 claims
$2.06
$9.80
Immunization administration, 1 vaccine, percutaneous/ID/SC/IM
$3K
1,310 claims · 0.0%
$2K
253 claims · 0.0%
$2K
266 claims · 0.0%
$2K
1,097 claims · 0.0%
$2K
333 claims
$5.52
$57.85
Office/outpatient visit, new patient, low-mod complexity
$2K
333 claims · 0.0%
$1K
1,248 claims
$1.00
$1.48
Urinalysis, automated without microscopy
$1K
1,248 claims · 0.0%
$1K
263 claims
$4.59
$11.48
Streptococcus, Group A, rapid antigen detection
$1K
263 claims · 0.0%
$1K
311 claims
$3.86
$2.00
Urinalysis, non-automated without microscopy
$1K
311 claims · 0.0%
$756
42 claims · 0.0%
$621
3,694 claims · 0.0%
$595
70 claims
$8.50
$65.64
Influenza virus detection, reverse transcription, amplified probe
$595
70 claims · 0.0%
$550
292 claims
$1.88
$7.18
Influenza virus vaccine, quadrivalent, preservative-free, IM
$550
292 claims · 0.0%
$521
179 claims · 0.0%
$453
39 claims · 0.0%
$450
41 claims · 0.0%