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Provider 1871680397

NPI: 1871680397Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.0M

$12,986,249

Total Claims

248K

Beneficiaries

219K

1.1 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-29%
2019
$1.4M
-12%
2020
$1.3M
+4%
2021
$1.3M
+17%
2022
$1.5M
+100%
2023
$3.1M
-21%
2024
$2.4M

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 94% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$12.1M

79K claims · 93.5%

Your Cost: $153.90/claim|Median: $121.16
1.3× median
00003Normal range

Anesthesia services

$633K

3,697 claims · 4.9%

Your Cost: $171.35/claim|Median: $223.77
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$45K

2,780 claims · 0.3%

Your Cost: $16.29/claim|Median: $41.28
0.4× median
99214Normal range

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

$34K

12K claims · 0.3%

Your Cost: $2.78/claim|Median: $53.41
0.1× median
99213Normal range

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

$28K

36K claims · 0.2%

Your Cost: $0.80/claim|Median: $37.81
0.0× median
90791Normal range

Psychiatric diagnostic evaluation

$16K

503 claims · 0.1%

Your Cost: $32.65/claim|Median: $99.21
0.3× median
96156Normal range

$14K

4,952 claims · 0.1%

Your Cost: $2.79/claim|Median: $22.36
0.1× median
99215Normal range

Office/outpatient visit, high complexity

$10K

588 claims · 0.1%

Your Cost: $16.42/claim|Median: $74.09
0.2× median
99212Normal range

Office/outpatient visit, low complexity

$10K

3,935 claims · 0.1%

Your Cost: $2.45/claim|Median: $25.06
0.1× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$8K

572 claims · 0.1%

Your Cost: $13.59/claim|Median: $12.70
1.1× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$7K

3,933 claims · 0.1%

Your Cost: $1.81/claim|Median: $20.83
0.1× median
95251Normal range

$7K

494 claims · 0.1%

Your Cost: $14.09/claim|Median: $18.02
0.8× median
G0467Normal range

Federally qualified health center visit, mental health

$7K

962 claims · 0.1%

Your Cost: $6.79/claim|Median: $21.91
0.3× median
0003ATop 25%

COVID-19 vaccine admin, Pfizer, 3rd dose

$3K

72 claims · 0.0%

Your Cost: $40.75/claim|Median: $36.49
1.1× median
0013ATop 25%

$3K

65 claims · 0.0%

Your Cost: $40.00/claim|Median: $35.38
1.1× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$2K

245 claims · 0.0%

Your Cost: $8.60/claim|Median: $24.33
0.4× median
90682Top 5%

$2K

30 claims · 0.0%

Your Cost: $66.17/claim|Median: $34.72
1.9× median
0072ANormal range

$1K

30 claims · 0.0%

Your Cost: $40.00/claim|Median: $39.57
1.0× median
92552Normal range

Pure tone audiometry, air only, each ear

$1K

3,264 claims · 0.0%

Your Cost: $0.31/claim|Median: $12.63
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$908

1,612 claims · 0.0%

Your Cost: $0.56/claim|Median: $7.18
0.1× median
87624Normal range

HPV detection, high-risk types, nucleic acid

$902

204 claims · 0.0%

Your Cost: $4.42/claim|Median: $25.57
0.2× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$700

17 claims · 0.0%

Your Cost: $41.19/claim|Median: $36.70
1.1× median
90471Normal range

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

$698

3,543 claims · 0.0%

Your Cost: $0.20/claim|Median: $9.80
0.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$676

719 claims · 0.0%

Your Cost: $0.94/claim|Median: $72.71
0.0× median
92551Normal range

Screening audiometry, pure tone, air only

$670

3,260 claims · 0.0%

Your Cost: $0.21/claim|Median: $6.61
0.0× median
90837Normal range

Psychotherapy, 60 minutes

$604

581 claims · 0.0%

Your Cost: $1.04/claim|Median: $85.66
0.0× median
0071ANormal range

$600

15 claims · 0.0%

Your Cost: $40.00/claim|Median: $38.71
1.0× median
0004ATop 25%

$520

13 claims · 0.0%

Your Cost: $40.00/claim|Median: $35.62
1.1× median
88142Normal range

$507

712 claims · 0.0%

Your Cost: $0.71/claim|Median: $14.75
0.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$501

942 claims · 0.0%

Your Cost: $0.53/claim|Median: $76.06
0.0× median
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