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Provider 1861633703

NPI: 1861633703Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.4M

$12,439,771

Total Claims

290K

Beneficiaries

275K

1.1 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$3.3M
-43%
2019
$1.9M
-18%
2020
$1.6M
-5%
2021
$1.5M
-20%
2022
$1.2M
+24%
2023
$1.5M
-0%
2024
$1.5M

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 63% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$7.8M

76K claims · 63.0%

Your Cost: $103.02/claim|Median: $121.16
0.9× median
99214Normal range

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

$1.3M

51K claims · 10.5%

Your Cost: $25.36/claim|Median: $53.41
0.5× median
99213Normal range

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

$1.0M

65K claims · 8.4%

Your Cost: $16.25/claim|Median: $37.81
0.4× median
99204Normal range

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

$175K

2,677 claims · 1.4%

Your Cost: $65.52/claim|Median: $84.03
0.8× median
96110Top 5%

Developmental screening, per standardized instrument

$148K

2,031 claims · 1.2%

Your Cost: $73.01/claim|Median: $9.10
8.0× median
59425Normal range

Antepartum care only, 4-6 visits

$142K

1,911 claims · 1.1%

Your Cost: $74.39/claim|Median: $63.63
1.2× median
97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$134K

2,079 claims · 1.1%

Your Cost: $64.30/claim|Median: $12.70
5.1× median
99203Normal range

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

$120K

2,144 claims · 1.0%

Your Cost: $56.01/claim|Median: $57.85
1.0× median
87426Normal range

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

$110K

4,070 claims · 0.9%

Your Cost: $27.11/claim|Median: $30.04
0.9× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$108K

2,548 claims · 0.9%

Your Cost: $42.36/claim|Median: $24.33
1.7× median
92250Top 25%

Fundus photography with interpretation and report

$103K

2,307 claims · 0.8%

Your Cost: $44.58/claim|Median: $27.95
1.6× median
87637Top 25%

Respiratory virus detection, 3-5 targets, nucleic acid

$94K

726 claims · 0.8%

Your Cost: $129.09/claim|Median: $100.62
1.3× median
G2025Normal range

$74K

3,725 claims · 0.6%

Your Cost: $19.99/claim|Median: $15.63
1.3× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$74K

740 claims · 0.6%

Your Cost: $100.37/claim|Median: $121.58
0.8× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$57K

1,822 claims · 0.5%

Your Cost: $31.30/claim|Median: $40.11
0.8× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$54K

3,471 claims · 0.4%

Your Cost: $15.43/claim|Median: $7.18
2.1× median
99212Normal range

Office/outpatient visit, low complexity

$52K

5,504 claims · 0.4%

Your Cost: $9.38/claim|Median: $25.06
0.4× median
99392Normal range

Preventive medicine, established patient, age 1-4

$50K

1,196 claims · 0.4%

Your Cost: $41.87/claim|Median: $75.18
0.6× median
71046Top 25%

Chest X-ray, 2 views

$49K

2,208 claims · 0.4%

Your Cost: $21.99/claim|Median: $8.92
2.5× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$43K

1,881 claims · 0.3%

Your Cost: $23.06/claim|Median: $9.56
2.4× median
99396Top 5%

Preventive medicine, established patient, age 40-64

$43K

260 claims · 0.3%

Your Cost: $164.87/claim|Median: $76.06
2.2× median
H1003Normal range

$40K

2,258 claims · 0.3%

Your Cost: $17.83/claim|Median: $10.04
1.8× median
99215Normal range

Office/outpatient visit, high complexity

$38K

416 claims · 0.3%

Your Cost: $92.41/claim|Median: $74.09
1.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$37K

778 claims · 0.3%

Your Cost: $47.65/claim|Median: $74.82
0.6× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$36K

347 claims · 0.3%

Your Cost: $104.71/claim|Median: $72.71
1.4× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$35K

895 claims · 0.3%

Your Cost: $39.05/claim|Median: $69.35
0.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$29K

508 claims · 0.2%

Your Cost: $57.42/claim|Median: $80.15
0.7× median
90670Top 10%

$28K

1,179 claims · 0.2%

Your Cost: $23.68/claim|Median: $5.94
4.0× median
99406Top 25%

$26K

2,571 claims · 0.2%

Your Cost: $10.27/claim|Median: $6.53
1.6× median
90715Top 25%

Tdap vaccine

$23K

778 claims · 0.2%

Your Cost: $29.24/claim|Median: $10.32
2.8× median
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