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Provider 1902169329

NPI: 1902169329Share
Active Billing Period:2018-01→2022-04(52 months)
Billing appears to have stoppedLast active: 2022-04

Total Paid

$8.2M

$8,197,358

Total Claims

306K

Beneficiaries

177K

1.7 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$2.5M
-20%
2019
$2.0M
-22%
2020
$1.6M
+2%
2021
$1.6M
-77%
2022
$370K

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 66% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$5.4M

65K claims · 65.5%

Your Cost: $83.23/claim|Median: $121.16
0.7× median
99213Normal range

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

$1.4M

60K claims · 17.4%

Your Cost: $23.76/claim|Median: $37.81
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$561K

26K claims · 6.8%

Your Cost: $21.78/claim|Median: $25.06
0.9× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$170K

22K claims · 2.1%

Your Cost: $7.87/claim|Median: $17.85
0.4× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$143K

5,664 claims · 1.7%

Your Cost: $25.30/claim|Median: $69.35
0.4× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$124K

2,589 claims · 1.5%

Your Cost: $47.78/claim|Median: $41.92
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$111K

5,588 claims · 1.4%

Your Cost: $19.91/claim|Median: $41.28
0.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$95K

3,365 claims · 1.2%

Your Cost: $28.19/claim|Median: $75.18
0.4× median
99214Normal range

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

$31K

1,324 claims · 0.4%

Your Cost: $23.56/claim|Median: $53.41
0.4× median
99381Normal range

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

$31K

1,303 claims · 0.4%

Your Cost: $23.76/claim|Median: $73.46
0.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$29K

3,909 claims · 0.4%

Your Cost: $7.36/claim|Median: $9.56
0.8× median
80305Normal range

$19K

5,127 claims · 0.2%

Your Cost: $3.67/claim|Median: $7.44
0.5× median
81025Normal range

Urine pregnancy test

$16K

4,875 claims · 0.2%

Your Cost: $3.33/claim|Median: $4.81
0.7× median
90471Normal range

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

$10K

1,359 claims · 0.1%

Your Cost: $7.37/claim|Median: $9.80
0.8× median
90474Normal range

$8K

1,660 claims · 0.1%

Your Cost: $4.71/claim|Median: $8.42
0.6× median
T2003Normal range

Non-emergency transport; encounter/trip

$6K

1,149 claims · 0.1%

Your Cost: $5.46/claim|Median: $21.70
0.3× median
99395Normal range

Preventive medicine, established patient, age 18-39

$5K

340 claims · 0.1%

Your Cost: $14.63/claim|Median: $72.71
0.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$4K

2,526 claims · 0.0%

Your Cost: $1.54/claim|Median: $7.18
0.2× median
92551Normal range

Screening audiometry, pure tone, air only

$3K

1,180 claims · 0.0%

Your Cost: $2.89/claim|Median: $6.61
0.4× median
87210Normal range

$3K

1,694 claims · 0.0%

Your Cost: $1.95/claim|Median: $3.65
0.5× median
G0396Normal range

Alcohol/substance abuse structured assessment, 15-30 minutes

$3K

139 claims · 0.0%

Your Cost: $22.91/claim|Median: $40.58
0.6× median
85018Normal range

$3K

2,683 claims · 0.0%

Your Cost: $1.14/claim|Median: $1.71
0.7× median
D1208Normal range

Topical application of fluoride, excluding varnish

$3K

490 claims · 0.0%

Your Cost: $6.23/claim|Median: $14.36
0.4× median
59430Normal range

$3K

67 claims · 0.0%

Your Cost: $40.70/claim|Median: $80.32
0.5× median
99401Normal range

$2K

147 claims · 0.0%

Your Cost: $15.97/claim|Median: $16.53
1.0× median
81002Normal range

Urinalysis, non-automated without microscopy

$2K

2,516 claims · 0.0%

Your Cost: $0.91/claim|Median: $2.00
0.5× median
90715Normal range

Tdap vaccine

$2K

365 claims · 0.0%

Your Cost: $5.26/claim|Median: $10.32
0.5× median
81003Normal range

Urinalysis, automated without microscopy

$1K

1,545 claims · 0.0%

Your Cost: $0.84/claim|Median: $1.48
0.6× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1K

92 claims · 0.0%

Your Cost: $14.15/claim|Median: $74.82
0.2× median
H1000Top 25%

Prenatal care, at-risk assessment

$995

12 claims · 0.0%

Your Cost: $82.88/claim|Median: $50.36
1.6× median
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