Provider 1902166945
Total Paid
$10.7M
$10,729,776
Total Claims
167K
Beneficiaries
134K
1.2 claims/patient
Avg Cost/Claim
$64
Monthly Spending Trend
Yearly Spending
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 92% of total spending.
$9.9M
68K claims
$145.28
$121.16
Clinic visit/encounter, all-inclusive
$9.9M
68K claims · 92.4%
$306K
40K claims
$7.66
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$306K
40K claims · 2.8%
$93K
13K claims
$7.05
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$93K
13K claims · 0.9%
$69K
5,901 claims
$11.72
$3.67
Brief emotional/behavioral assessment, per standardized instrument
$69K
5,901 claims · 0.6%
$60K
2,417 claims · 0.6%
$33K
9,618 claims
$3.44
$11.48
Streptococcus, Group A, rapid antigen detection
$33K
9,618 claims · 0.3%
$28K
955 claims
$29.75
$7.18
Influenza virus vaccine, quadrivalent, preservative-free, IM
$28K
955 claims · 0.3%
$25K
2,054 claims
$12.02
$9.80
Immunization administration, 1 vaccine, percutaneous/ID/SC/IM
$25K
2,054 claims · 0.2%
Hemoglobin A1c (glycated hemoglobin)
$21K
1,549 claims · 0.2%
$19K
1,422 claims
$13.41
$2.00
Urinalysis, non-automated without microscopy
$19K
1,422 claims · 0.2%
$15K
1,098 claims
$13.89
$17.15
Specimen collection for COVID-19 testing
$15K
1,098 claims · 0.1%
Psychotherapy, 45 minutes
$14K
1,538 claims · 0.1%
$13K
1,199 claims
$10.93
$25.06
Office/outpatient visit, low complexity
$13K
1,199 claims · 0.1%
$11K
981 claims
$11.71
$11.79
Immunization administration, each additional vaccine
$11K
981 claims · 0.1%
$11K
1,649 claims
$6.67
$9.56
Therapeutic injection, subcutaneous/intramuscular
$11K
1,649 claims · 0.1%
$10K
231 claims · 0.1%
$8K
817 claims
$9.27
$74.82
Preventive medicine, established patient, age 5-11
$8K
817 claims · 0.1%
$8K
177 claims
$42.76
$39.70
COVID-19 SARS-CoV-2 amplified probe detection
$8K
177 claims · 0.1%
$7K
488 claims · 0.1%
$6K
342 claims
$17.52
$75.18
Preventive medicine, established patient, age 1-4
$6K
342 claims · 0.1%
Psychotherapy, 30 minutes
$6K
405 claims · 0.1%
$5K
264 claims
$19.13
$0.91
Injection, ketorolac tromethamine, fifteen milligrams
$5K
264 claims · 0.0%
Tdap vaccine
$5K
198 claims · 0.0%
Urine pregnancy test
$4K
309 claims · 0.0%
$4K
144 claims
$25.66
$40.11
Office/outpatient visit, new patient, low complexity
$4K
144 claims · 0.0%
$3K
121 claims · 0.0%
$3K
2,619 claims
$1.30
$12.59
Influenza virus detection, rapid test
$3K
2,619 claims · 0.0%
$3K
139 claims
$23.67
$9.10
Developmental screening, per standardized instrument
$3K
139 claims · 0.0%
$3K
90 claims
$33.85
$10.88
Pressurized or nonpressurized inhalation treatment
$3K
90 claims · 0.0%
$3K
52 claims
$54.73
$0.08
Albuterol inhalation solution, concentrated, per milligram
$3K
52 claims · 0.0%