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Provider 1861991226

NPI: 1861991226Share
Active Billing Period:2018-10→2024-12(71 months)

Total Paid

$9.4M

$9,414,171

Total Claims

108K

Beneficiaries

90K

1.2 claims/patient

Avg Cost/Claim

$87

Monthly Spending Trend

Yearly Spending

2018
$8K
+57%
2019
$12K
+4450%
2020
$556K
+358%
2021
$2.6M
+4%
2022
$2.7M
-4%
2023
$2.6M
-58%
2024
$1.1M

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 75% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$7.0M

46K claims · 74.8%

Your Cost: $152.24/claim|Median: $121.16
1.3× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$751K

4,686 claims · 8.0%

Your Cost: $160.35/claim|Median: $75.18
2.1× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$643K

3,989 claims · 6.8%

Your Cost: $161.11/claim|Median: $69.35
2.3× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$534K

3,235 claims · 5.7%

Your Cost: $165.10/claim|Median: $74.82
2.2× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$232K

1,475 claims · 2.5%

Your Cost: $157.61/claim|Median: $80.15
2.0× median
99381Top 5%

Preventive visit, new patient, infant (<1 yr)

$88K

584 claims · 0.9%

Your Cost: $150.94/claim|Median: $73.46
2.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$34K

3,251 claims · 0.4%

Your Cost: $10.41/claim|Median: $7.18
1.4× median
81002Top 1%

Urinalysis, non-automated without microscopy

$16K

440 claims · 0.2%

Your Cost: $37.38/claim|Median: $2.00
18.7× median
99214Normal range

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

$15K

260 claims · 0.2%

Your Cost: $57.98/claim|Median: $53.41
1.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$7K

5,809 claims · 0.1%

Your Cost: $1.26/claim|Median: $17.85
0.1× median
90471Normal range

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

$6K

7,385 claims · 0.1%

Your Cost: $0.78/claim|Median: $9.80
0.1× median
90715Normal range

Tdap vaccine

$5K

582 claims · 0.1%

Your Cost: $8.90/claim|Median: $10.32
0.9× median
90651Normal range

HPV vaccine, 9-valent

$4K

728 claims · 0.0%

Your Cost: $5.90/claim|Median: $8.93
0.7× median
90633Normal range

$4K

1,575 claims · 0.0%

Your Cost: $2.60/claim|Median: $3.56
0.7× median
99384Top 25%

Preventive visit, new patient, adolescent (12-17 yr)

$4K

29 claims · 0.0%

Your Cost: $129.84/claim|Median: $83.63
1.6× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$4K

32 claims · 0.0%

Your Cost: $111.09/claim|Median: $72.71
1.5× median
90656Normal range

$3K

194 claims · 0.0%

Your Cost: $16.04/claim|Median: $8.67
1.9× median
90670Normal range

$3K

2,891 claims · 0.0%

Your Cost: $0.95/claim|Median: $5.94
0.2× median
99383Top 5%

Preventive visit, new patient, late childhood (5-11 yr)

$2K

13 claims · 0.0%

Your Cost: $162.83/claim|Median: $81.92
2.0× median
CP005Normal range

$2K

125 claims · 0.0%

Your Cost: $16.88/claim|Median: $17.79
0.9× median
90700Normal range

$2K

617 claims · 0.0%

Your Cost: $3.36/claim|Median: $4.56
0.7× median
90723Normal range

DTaP-HepB-IPV vaccine

$2K

779 claims · 0.0%

Your Cost: $2.40/claim|Median: $5.78
0.4× median
99307Top 10%

$2K

73 claims · 0.0%

Your Cost: $24.60/claim|Median: $6.57
3.7× median
90698Normal range

$1K

658 claims · 0.0%

Your Cost: $1.82/claim|Median: $6.32
0.3× median
90696Normal range

DTaP-IPV vaccine

$1K

567 claims · 0.0%

Your Cost: $1.81/claim|Median: $5.95
0.3× median
90734Normal range

$1K

458 claims · 0.0%

Your Cost: $2.23/claim|Median: $6.40
0.3× median
90710Normal range

MMRV vaccine

$867

630 claims · 0.0%

Your Cost: $1.38/claim|Median: $7.00
0.2× median
90648Normal range

$699

1,525 claims · 0.0%

Your Cost: $0.46/claim|Median: $4.08
0.1× median
90707Normal range

MMR vaccine

$686

731 claims · 0.0%

Your Cost: $0.94/claim|Median: $5.76
0.2× median
90716Normal range

$512

731 claims · 0.0%

Your Cost: $0.70/claim|Median: $6.18
0.1× median
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