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Provider 1871689315

NPI: 1871689315Share
Active Billing Period:2018-01→2023-12(72 months)
Billing appears to have stoppedLast active: 2023-12

Total Paid

$13.8M

$13,828,723

Total Claims

537K

Beneficiaries

453K

1.2 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$3.3M
-18%
2019
$2.7M
-23%
2020
$2.1M
+6%
2021
$2.2M
-23%
2022
$1.7M
-2%
2023
$1.7M

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 59% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$8.2M

81K claims · 59.1%

Your Cost: $100.99/claim|Median: $121.16
0.8× median
00003Normal range

Anesthesia services

$3.7M

23K claims · 27.0%

Your Cost: $159.68/claim|Median: $223.77
0.7× median
G9008Top 10%

Coordination of long-term care services, per month

$1.0M

3,794 claims · 7.5%

Your Cost: $272.43/claim|Median: $66.78
4.1× median
G9012Normal range

Other specified case management service, per 15 minutes

$588K

3,095 claims · 4.3%

Your Cost: $190.04/claim|Median: $137.85
1.4× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$47K

1,110 claims · 0.3%

Your Cost: $42.55/claim|Median: $33.85
1.3× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$47K

1,391 claims · 0.3%

Your Cost: $33.45/claim|Median: $25.93
1.3× median
0064ATop 10%

$41K

869 claims · 0.3%

Your Cost: $47.75/claim|Median: $34.17
1.4× median
0004ATop 25%

$31K

713 claims · 0.2%

Your Cost: $42.93/claim|Median: $35.62
1.2× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$27K

677 claims · 0.2%

Your Cost: $39.75/claim|Median: $36.70
1.1× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$25K

669 claims · 0.2%

Your Cost: $37.64/claim|Median: $33.72
1.1× median
99213Normal range

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

$19K

89K claims · 0.1%

Your Cost: $0.21/claim|Median: $37.81
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$9K

56K claims · 0.1%

Your Cost: $0.16/claim|Median: $25.06
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$8K

6,243 claims · 0.1%

Your Cost: $1.25/claim|Median: $7.18
0.2× median
99214Normal range

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

$6K

17K claims · 0.0%

Your Cost: $0.33/claim|Median: $53.41
0.0× median
0071ATop 25%

$5K

101 claims · 0.0%

Your Cost: $49.44/claim|Median: $38.71
1.3× median
0072ATop 10%

$3K

49 claims · 0.0%

Your Cost: $56.82/claim|Median: $39.57
1.4× median
3725FNormal range

$2K

49K claims · 0.0%

Your Cost: $0.05/claim|Median: $0.03
1.7× median
0124ATop 5%

$2K

34 claims · 0.0%

Your Cost: $67.00/claim|Median: $34.32
2.0× median
0134ATop 5%

$2K

29 claims · 0.0%

Your Cost: $67.00/claim|Median: $33.54
2.0× median
0031ANormal range

COVID-19 vaccine admin, J&J, single dose

$2K

50 claims · 0.0%

Your Cost: $36.18/claim|Median: $32.49
1.1× median
D1120Normal range

Prophylaxis, adult

$2K

142 claims · 0.0%

Your Cost: $11.66/claim|Median: $33.86
0.3× median
D0120Normal range

Periodic oral evaluation, established patient

$2K

199 claims · 0.0%

Your Cost: $7.94/claim|Median: $24.34
0.3× median
90670Normal range

$2K

432 claims · 0.0%

Your Cost: $3.62/claim|Median: $5.94
0.6× median
H0049Normal range

$2K

46K claims · 0.0%

Your Cost: $0.03/claim|Median: $9.27
0.0× median
99204Normal range

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

$1K

1,952 claims · 0.0%

Your Cost: $0.63/claim|Median: $84.03
0.0× median
D1206Normal range

Topical application of fluoride varnish

$1K

141 claims · 0.0%

Your Cost: $8.38/claim|Median: $18.12
0.5× median
G0467Normal range

Federally qualified health center visit, mental health

$1K

80 claims · 0.0%

Your Cost: $13.00/claim|Median: $21.91
0.6× median
90471Normal range

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

$989

16K claims · 0.0%

Your Cost: $0.06/claim|Median: $9.80
0.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$777

36 claims · 0.0%

Your Cost: $21.59/claim|Median: $71.00
0.3× median
D9430Normal range

$682

240 claims · 0.0%

Your Cost: $2.84/claim|Median: $31.69
0.1× median
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