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Provider 1902228844

NPI: 1902228844Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.6M

$14,563,672

Total Claims

685K

Beneficiaries

388K

1.8 claims/patient

Avg Cost/Claim

$21

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+9%
2019
$1.7M
+41%
2020
$2.4M
-1%
2021
$2.4M
-0%
2022
$2.4M
+18%
2023
$2.8M
-49%
2024
$1.4M

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 60% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$8.8M

115K claims · 60.1%

Your Cost: $76.02/claim|Median: $121.16
0.6× median
99213Normal range

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

$2.6M

131K claims · 17.6%

Your Cost: $19.59/claim|Median: $37.81
0.5× median
90832Normal range

Psychotherapy, 30 minutes

$1.2M

63K claims · 8.5%

Your Cost: $19.66/claim|Median: $41.28
0.5× median
99214Normal range

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

$458K

16K claims · 3.1%

Your Cost: $27.98/claim|Median: $53.41
0.5× median
G0467Top 25%

Federally qualified health center visit, mental health

$195K

5,318 claims · 1.3%

Your Cost: $36.71/claim|Median: $21.91
1.7× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$157K

20K claims · 1.1%

Your Cost: $7.90/claim|Median: $11.48
0.7× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$122K

3,876 claims · 0.8%

Your Cost: $31.53/claim|Median: $30.04
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$111K

8,276 claims · 0.8%

Your Cost: $13.36/claim|Median: $25.06
0.5× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$103K

6,278 claims · 0.7%

Your Cost: $16.39/claim|Median: $17.85
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$70K

2,282 claims · 0.5%

Your Cost: $30.52/claim|Median: $75.18
0.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$64K

2,324 claims · 0.4%

Your Cost: $27.60/claim|Median: $74.82
0.4× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$59K

12K claims · 0.4%

Your Cost: $4.96/claim|Median: $5.50
0.9× median
92587Normal range

$56K

5,158 claims · 0.4%

Your Cost: $10.87/claim|Median: $19.24
0.6× median
92015Normal range

Determination of refractive state

$56K

5,011 claims · 0.4%

Your Cost: $11.09/claim|Median: $10.36
1.1× median
80305Normal range

$54K

12K claims · 0.4%

Your Cost: $4.64/claim|Median: $7.44
0.6× median
99396Normal range

Preventive medicine, established patient, age 40-64

$53K

1,398 claims · 0.4%

Your Cost: $37.88/claim|Median: $76.06
0.5× median
87804Normal range

Influenza virus detection, rapid test

$49K

6,217 claims · 0.3%

Your Cost: $7.94/claim|Median: $12.59
0.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$42K

1,390 claims · 0.3%

Your Cost: $30.32/claim|Median: $80.15
0.4× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$42K

6,267 claims · 0.3%

Your Cost: $6.71/claim|Median: $20.83
0.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$41K

8,450 claims · 0.3%

Your Cost: $4.88/claim|Median: $9.56
0.5× median
99395Normal range

Preventive medicine, established patient, age 18-39

$32K

1,040 claims · 0.2%

Your Cost: $30.85/claim|Median: $72.71
0.4× median
G0470Normal range

Chronic care management services, FQHC/RHC

$24K

874 claims · 0.2%

Your Cost: $27.74/claim|Median: $45.95
0.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$23K

947 claims · 0.2%

Your Cost: $24.66/claim|Median: $69.35
0.4× median
99188Normal range

$22K

1,424 claims · 0.2%

Your Cost: $15.80/claim|Median: $12.80
1.2× median
81025Normal range

Urine pregnancy test

$22K

7,136 claims · 0.2%

Your Cost: $3.08/claim|Median: $4.81
0.6× median
99406Normal range

$21K

6,640 claims · 0.1%

Your Cost: $3.21/claim|Median: $6.53
0.5× median
99203Normal range

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

$14K

594 claims · 0.1%

Your Cost: $24.03/claim|Median: $57.85
0.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$13K

3,065 claims · 0.1%

Your Cost: $4.28/claim|Median: $7.18
0.6× median
86703Normal range

$11K

1,858 claims · 0.1%

Your Cost: $5.91/claim|Median: $10.37
0.6× median
90471Normal range

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

$10K

1,188 claims · 0.1%

Your Cost: $8.09/claim|Median: $9.80
0.8× median
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