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Provider 1851592034

NPI: 1851592034Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.0M

$9,038,815

Total Claims

649K

Beneficiaries

332K

2.0 claims/patient

Avg Cost/Claim

$14

Monthly Spending Trend

Yearly Spending

2018
$1.0M
-6%
2019
$973K
+6%
2020
$1.0M
+4%
2021
$1.1M
+24%
2022
$1.3M
+73%
2023
$2.3M
-43%
2024
$1.3M

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 62% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$5.6M

91K claims · 61.6%

Your Cost: $60.88/claim|Median: $121.16
0.5× median
99213Normal range

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

$937K

52K claims · 10.4%

Your Cost: $17.92/claim|Median: $37.81
0.5× median
90837Normal range

Psychotherapy, 60 minutes

$719K

20K claims · 8.0%

Your Cost: $36.16/claim|Median: $85.66
0.4× median
99214Normal range

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

$710K

28K claims · 7.9%

Your Cost: $25.45/claim|Median: $53.41
0.5× median
99212Normal range

Office/outpatient visit, low complexity

$342K

29K claims · 3.8%

Your Cost: $11.76/claim|Median: $25.06
0.5× median
90834Normal range

Psychotherapy, 45 minutes

$144K

7,170 claims · 1.6%

Your Cost: $20.06/claim|Median: $63.65
0.3× median
90832Normal range

Psychotherapy, 30 minutes

$95K

4,699 claims · 1.0%

Your Cost: $20.18/claim|Median: $41.28
0.5× median
99406Normal range

$95K

28K claims · 1.0%

Your Cost: $3.40/claim|Median: $6.53
0.5× median
99396Normal range

Preventive medicine, established patient, age 40-64

$79K

2,953 claims · 0.9%

Your Cost: $26.60/claim|Median: $76.06
0.3× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$58K

4,522 claims · 0.6%

Your Cost: $12.81/claim|Median: $47.08
0.3× median
99215Normal range

Office/outpatient visit, high complexity

$47K

1,533 claims · 0.5%

Your Cost: $30.49/claim|Median: $74.09
0.4× median
90791Normal range

Psychiatric diagnostic evaluation

$46K

1,188 claims · 0.5%

Your Cost: $38.48/claim|Median: $99.21
0.4× median
G0467Normal range

Federally qualified health center visit, mental health

$43K

6,627 claims · 0.5%

Your Cost: $6.43/claim|Median: $21.91
0.3× median
99395Normal range

Preventive medicine, established patient, age 18-39

$27K

1,201 claims · 0.3%

Your Cost: $22.82/claim|Median: $72.71
0.3× median
95250Normal range

$15K

438 claims · 0.2%

Your Cost: $35.21/claim|Median: $59.66
0.6× median
92015Normal range

Determination of refractive state

$15K

3,540 claims · 0.2%

Your Cost: $4.30/claim|Median: $10.36
0.4× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$14K

479 claims · 0.2%

Your Cost: $28.92/claim|Median: $76.22
0.4× median
90471Normal range

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

$14K

2,586 claims · 0.2%

Your Cost: $5.26/claim|Median: $9.80
0.5× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$12K

2,625 claims · 0.1%

Your Cost: $4.65/claim|Median: $7.18
0.6× median
80305Normal range

$12K

5,002 claims · 0.1%

Your Cost: $2.30/claim|Median: $7.44
0.3× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$8K

253 claims · 0.1%

Your Cost: $30.86/claim|Median: $87.82
0.4× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$7K

22K claims · 0.1%

Your Cost: $0.31/claim|Median: $3.67
0.1× median
Q0091Normal range

$5K

928 claims · 0.1%

Your Cost: $4.99/claim|Median: $11.15
0.4× median
92250Normal range

Fundus photography with interpretation and report

$5K

860 claims · 0.1%

Your Cost: $5.31/claim|Median: $27.95
0.2× median
99204Normal range

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

$4K

157 claims · 0.0%

Your Cost: $28.11/claim|Median: $84.03
0.3× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$4K

33K claims · 0.0%

Your Cost: $0.12/claim|Median: $12.70
0.0× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$3K

1,244 claims · 0.0%

Your Cost: $2.16/claim|Median: $7.50
0.3× median
96160Normal range

Patient-focused health risk assessment

$2K

4,000 claims · 0.0%

Your Cost: $0.57/claim|Median: $2.10
0.3× median
99203Normal range

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

$2K

81 claims · 0.0%

Your Cost: $23.75/claim|Median: $57.85
0.4× median
G2025Normal range

$2K

559 claims · 0.0%

Your Cost: $3.22/claim|Median: $15.63
0.2× median
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