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Provider 1902196256

NPI: 1902196256Share
Active Billing Period:2018-01→2024-05(77 months)
Billing appears to have stoppedLast active: 2024-05

Total Paid

$15.2M

$15,222,273

Total Claims

369K

Beneficiaries

249K

1.5 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$2.6M
-15%
2019
$2.3M
-16%
2020
$1.9M
+30%
2021
$2.4M
-25%
2022
$1.8M
+33%
2023
$2.4M
-30%
2024
$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 56% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$8.5M

140K claims · 55.7%

Your Cost: $60.44/claim|Median: $121.16
0.5× median
99213Normal range

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

$4.9M

121K claims · 32.0%

Your Cost: $40.37/claim|Median: $37.81
1.1× median
99214Normal range

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

$495K

13K claims · 3.3%

Your Cost: $39.20/claim|Median: $53.41
0.7× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$257K

2,271 claims · 1.7%

Your Cost: $113.18/claim|Median: $72.71
1.6× median
59425Normal range

Antepartum care only, 4-6 visits

$158K

2,089 claims · 1.0%

Your Cost: $75.60/claim|Median: $63.63
1.2× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$133K

1,221 claims · 0.9%

Your Cost: $108.91/claim|Median: $76.06
1.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$132K

2,224 claims · 0.9%

Your Cost: $59.22/claim|Median: $74.82
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$107K

1,500 claims · 0.7%

Your Cost: $71.41/claim|Median: $80.15
0.9× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$105K

8,125 claims · 0.7%

Your Cost: $12.98/claim|Median: $9.56
1.4× median
99392Normal range

Preventive medicine, established patient, age 1-4

$79K

1,687 claims · 0.5%

Your Cost: $46.58/claim|Median: $75.18
0.6× median
J3420Top 5%

Injection, vitamin B-12 cyanocobalamin, up to one thousand mcg

$41K

6,533 claims · 0.3%

Your Cost: $6.23/claim|Median: $1.04
6.0× median
92551Top 10%

Screening audiometry, pure tone, air only

$34K

2,584 claims · 0.2%

Your Cost: $13.35/claim|Median: $6.61
2.0× median
82306Normal range

Vitamin D, 25 hydroxy

$29K

1,196 claims · 0.2%

Your Cost: $24.49/claim|Median: $18.18
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$25K

1,048 claims · 0.2%

Your Cost: $23.61/claim|Median: $25.06
0.9× median
G0467Normal range

Federally qualified health center visit, mental health

$24K

1,203 claims · 0.2%

Your Cost: $20.34/claim|Median: $21.91
0.9× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$24K

1,746 claims · 0.2%

Your Cost: $13.96/claim|Median: $7.18
1.9× median
G0447Top 25%

$21K

1,033 claims · 0.1%

Your Cost: $20.02/claim|Median: $5.19
3.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$20K

3,624 claims · 0.1%

Your Cost: $5.53/claim|Median: $11.48
0.5× median
81025Normal range

Urine pregnancy test

$15K

5,324 claims · 0.1%

Your Cost: $2.84/claim|Median: $4.81
0.6× median
81003Normal range

Urinalysis, automated without microscopy

$15K

8,866 claims · 0.1%

Your Cost: $1.69/claim|Median: $1.48
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$13K

330 claims · 0.1%

Your Cost: $40.88/claim|Median: $69.35
0.6× median
93000Top 5%

Electrocardiogram, complete, with interpretation and report

$13K

371 claims · 0.1%

Your Cost: $34.85/claim|Median: $9.70
3.6× median
84443Normal range

Thyroid stimulating hormone (TSH)

$9K

609 claims · 0.1%

Your Cost: $14.57/claim|Median: $9.87
1.5× median
90670Normal range

$7K

658 claims · 0.0%

Your Cost: $11.10/claim|Median: $5.94
1.9× median
80053Normal range

Comprehensive metabolic panel

$6K

619 claims · 0.0%

Your Cost: $9.15/claim|Median: $7.24
1.3× median
90723Normal range

DTaP-HepB-IPV vaccine

$6K

538 claims · 0.0%

Your Cost: $10.41/claim|Median: $5.78
1.8× median
86480Top 25%

Tuberculosis test, cell-mediated immunity

$5K

91 claims · 0.0%

Your Cost: $55.04/claim|Median: $38.35
1.4× median
90647Top 25%

$5K

438 claims · 0.0%

Your Cost: $10.94/claim|Median: $4.31
2.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$4K

627 claims · 0.0%

Your Cost: $6.65/claim|Median: $4.71
1.4× median
82948Normal range

$4K

1,807 claims · 0.0%

Your Cost: $2.17/claim|Median: $1.78
1.2× median
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