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Provider 1891124640

NPI: 1891124640Share
Active Billing Period:2019-01→2024-12(72 months)

Total Paid

$9.5M

$9,538,072

Total Claims

81K

Beneficiaries

72K

1.1 claims/patient

Avg Cost/Claim

$117

Monthly Spending Trend

Yearly Spending

2019
$4K
+3258%
2020
$151K
+822%
2021
$1.4M
+42%
2022
$2.0M
+63%
2023
$3.2M
-14%
2024
$2.8M

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.

T1015Top 5%

Clinic visit/encounter, all-inclusive

$6.0M

20K claims · 63.0%

Your Cost: $295.83/claim|Median: $121.16
2.4× median
99392Top 1%

Preventive medicine, established patient, age 1-4

$1.0M

4,439 claims · 10.8%

Your Cost: $232.28/claim|Median: $75.18
3.1× median
99391Top 1%

Preventive medicine, established patient, infant (under 1)

$840K

3,740 claims · 8.8%

Your Cost: $224.62/claim|Median: $69.35
3.2× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$677K

2,875 claims · 7.1%

Your Cost: $235.41/claim|Median: $74.82
3.1× median
99394Top 1%

Preventive medicine, established patient, age 12-17

$342K

1,532 claims · 3.6%

Your Cost: $223.42/claim|Median: $80.15
2.8× median
99213Normal range

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

$208K

6,561 claims · 2.2%

Your Cost: $31.71/claim|Median: $37.81
0.8× median
90471Normal range

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

$127K

9,590 claims · 1.3%

Your Cost: $13.28/claim|Median: $9.80
1.4× median
99214Normal range

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

$119K

2,390 claims · 1.2%

Your Cost: $49.79/claim|Median: $53.41
0.9× median
90472Normal range

Immunization administration, each additional vaccine

$39K

7,051 claims · 0.4%

Your Cost: $5.57/claim|Median: $11.79
0.5× median
99212Top 25%

Office/outpatient visit, low complexity

$20K

445 claims · 0.2%

Your Cost: $44.21/claim|Median: $25.06
1.8× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$18K

1,230 claims · 0.2%

Your Cost: $14.62/claim|Median: $11.48
1.3× median
90688Normal range

$14K

1,817 claims · 0.1%

Your Cost: $7.59/claim|Median: $9.00
0.8× median
99381Top 5%

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

$13K

84 claims · 0.1%

Your Cost: $155.71/claim|Median: $73.46
2.1× median
Q3014Normal range

Telehealth originating site facility fee

$9K

938 claims · 0.1%

Your Cost: $9.79/claim|Median: $15.37
0.6× median
99203Normal range

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

$9K

237 claims · 0.1%

Your Cost: $37.24/claim|Median: $57.85
0.6× median
87804Normal range

Influenza virus detection, rapid test

$8K

764 claims · 0.1%

Your Cost: $10.32/claim|Median: $12.59
0.8× median
90657Top 1%

$7K

293 claims · 0.1%

Your Cost: $24.64/claim|Median: $2.90
8.5× median
90658Top 25%

$6K

360 claims · 0.1%

Your Cost: $17.82/claim|Median: $8.96
2.0× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$6K

155 claims · 0.1%

Your Cost: $41.28/claim|Median: $62.48
0.7× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$6K

154 claims · 0.1%

Your Cost: $40.88/claim|Median: $37.22
1.1× median
90633Normal range

$6K

1,655 claims · 0.1%

Your Cost: $3.55/claim|Median: $3.56
1.0× median
90687Normal range

$5K

499 claims · 0.1%

Your Cost: $9.70/claim|Median: $3.45
2.8× median
90700Normal range

$3K

542 claims · 0.0%

Your Cost: $6.31/claim|Median: $4.56
1.4× median
99463Normal range

$3K

30 claims · 0.0%

Your Cost: $92.46/claim|Median: $78.46
1.2× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$3K

97 claims · 0.0%

Your Cost: $27.56/claim|Median: $40.11
0.7× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$3K

133 claims · 0.0%

Your Cost: $19.74/claim|Median: $22.44
0.9× median
99443Normal range

Telephone E/M by physician, 21-30 min

$2K

105 claims · 0.0%

Your Cost: $19.87/claim|Median: $32.55
0.6× median
59409Normal range

Vaginal delivery only

$2K

21 claims · 0.0%

Your Cost: $80.63/claim|Median: $619.91
0.1× median
G2025Top 10%

$1K

17 claims · 0.0%

Your Cost: $64.06/claim|Median: $15.63
4.1× median
99204Normal range

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

$827

40 claims · 0.0%

Your Cost: $20.67/claim|Median: $84.03
0.2× median
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