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Provider 1902166945

NPI: 1902166945Share
Active Billing Period:2018-012024-12(84 months)

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

2018
$1.1M
-38%
2019
$651K
+58%
2020
$1.0M
+9%
2021
$1.1M
+107%
2022
$2.3M
+13%
2023
$2.6M
-28%
2024
$1.9M

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.

T1015Normal range

Clinic visit/encounter, all-inclusive

$9.9M

68K claims · 92.4%

Your Cost: $145.28/claim|Median: $121.16
1.2× median
99213Normal range

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

$306K

40K claims · 2.8%

Your Cost: $7.66/claim|Median: $37.81
0.2× median
99214Normal range

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

$93K

13K claims · 0.9%

Your Cost: $7.05/claim|Median: $53.41
0.1× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$69K

5,901 claims · 0.6%

Your Cost: $11.72/claim|Median: $3.67
3.2× median
3008FTop 1%

$60K

2,417 claims · 0.6%

Your Cost: $24.84/claim|Median: $0.06
414.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$33K

9,618 claims · 0.3%

Your Cost: $3.44/claim|Median: $11.48
0.3× median
90686Top 5%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$28K

955 claims · 0.3%

Your Cost: $29.75/claim|Median: $7.18
4.1× median
90471Normal range

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

$25K

2,054 claims · 0.2%

Your Cost: $12.02/claim|Median: $9.80
1.2× median
83036Top 10%

Hemoglobin A1c (glycated hemoglobin)

$21K

1,549 claims · 0.2%

Your Cost: $13.34/claim|Median: $5.50
2.4× median
81002Top 5%

Urinalysis, non-automated without microscopy

$19K

1,422 claims · 0.2%

Your Cost: $13.41/claim|Median: $2.00
6.7× median
G2023Normal range

Specimen collection for COVID-19 testing

$15K

1,098 claims · 0.1%

Your Cost: $13.89/claim|Median: $17.15
0.8× median
90834Normal range

Psychotherapy, 45 minutes

$14K

1,538 claims · 0.1%

Your Cost: $9.11/claim|Median: $63.65
0.1× median
99212Normal range

Office/outpatient visit, low complexity

$13K

1,199 claims · 0.1%

Your Cost: $10.93/claim|Median: $25.06
0.4× median
90472Normal range

Immunization administration, each additional vaccine

$11K

981 claims · 0.1%

Your Cost: $11.71/claim|Median: $11.79
1.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$11K

1,649 claims · 0.1%

Your Cost: $6.67/claim|Median: $9.56
0.7× median
82948Top 1%

$10K

231 claims · 0.1%

Your Cost: $45.08/claim|Median: $1.78
25.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$8K

817 claims · 0.1%

Your Cost: $9.27/claim|Median: $74.82
0.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$8K

177 claims · 0.1%

Your Cost: $42.76/claim|Median: $39.70
1.1× median
J2930Top 10%

$7K

488 claims · 0.1%

Your Cost: $14.10/claim|Median: $3.03
4.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$6K

342 claims · 0.1%

Your Cost: $17.52/claim|Median: $75.18
0.2× median
90832Normal range

Psychotherapy, 30 minutes

$6K

405 claims · 0.1%

Your Cost: $13.61/claim|Median: $41.28
0.3× median
J1885Top 5%

Injection, ketorolac tromethamine, fifteen milligrams

$5K

264 claims · 0.0%

Your Cost: $19.13/claim|Median: $0.91
21.0× median
90715Top 25%

Tdap vaccine

$5K

198 claims · 0.0%

Your Cost: $24.05/claim|Median: $10.32
2.3× median
81025Top 5%

Urine pregnancy test

$4K

309 claims · 0.0%

Your Cost: $13.96/claim|Median: $4.81
2.9× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$4K

144 claims · 0.0%

Your Cost: $25.66/claim|Median: $40.11
0.6× median
3044FTop 1%

$3K

121 claims · 0.0%

Your Cost: $28.54/claim|Median: $0.16
178.4× median
87804Normal range

Influenza virus detection, rapid test

$3K

2,619 claims · 0.0%

Your Cost: $1.30/claim|Median: $12.59
0.1× median
96110Top 25%

Developmental screening, per standardized instrument

$3K

139 claims · 0.0%

Your Cost: $23.67/claim|Median: $9.10
2.6× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$3K

90 claims · 0.0%

Your Cost: $33.85/claim|Median: $10.88
3.1× median
J7613Top 1%

Albuterol inhalation solution, concentrated, per milligram

$3K

52 claims · 0.0%

Your Cost: $54.73/claim|Median: $0.08
684.1× median