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Provider 1902453731

NPI: 1902453731Share
Active Billing Period:2019-12→2024-12(61 months)

Total Paid

$17.0M

$16,998,589

Total Claims

370K

Beneficiaries

270K

1.4 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2019
$9K
+25775%
2020
$2.3M
+45%
2021
$3.3M
-10%
2022
$3.0M
+52%
2023
$4.5M
-15%
2024
$3.8M

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 99% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$16.9M

96K claims · 99.3%

Your Cost: $175.11/claim|Median: $121.16
1.4× median
99213Normal range

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

$31K

106K claims · 0.2%

Your Cost: $0.29/claim|Median: $37.81
0.0× median
90834Normal range

Psychotherapy, 45 minutes

$28K

3,833 claims · 0.2%

Your Cost: $7.27/claim|Median: $63.65
0.1× median
99212Normal range

Office/outpatient visit, low complexity

$14K

34K claims · 0.1%

Your Cost: $0.42/claim|Median: $25.06
0.0× median
90791Normal range

Psychiatric diagnostic evaluation

$14K

1,441 claims · 0.1%

Your Cost: $9.67/claim|Median: $99.21
0.1× median
99203Normal range

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

$7K

2,021 claims · 0.0%

Your Cost: $3.64/claim|Median: $57.85
0.1× median
99214Normal range

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

$5K

20K claims · 0.0%

Your Cost: $0.23/claim|Median: $53.41
0.0× median
90832Normal range

Psychotherapy, 30 minutes

$3K

895 claims · 0.0%

Your Cost: $3.85/claim|Median: $41.28
0.1× median
0124ANormal range

$2K

260 claims · 0.0%

Your Cost: $9.02/claim|Median: $34.32
0.3× median
99204Normal range

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

$2K

619 claims · 0.0%

Your Cost: $3.52/claim|Median: $84.03
0.0× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$2K

54 claims · 0.0%

Your Cost: $33.67/claim|Median: $33.72
1.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$1K

4,549 claims · 0.0%

Your Cost: $0.32/claim|Median: $7.18
0.0× median
11750Normal range

$505

376 claims · 0.0%

Your Cost: $1.34/claim|Median: $82.40
0.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$494

3,432 claims · 0.0%

Your Cost: $0.14/claim|Median: $72.71
0.0× median
G2025Normal range

$365

628 claims · 0.0%

Your Cost: $0.58/claim|Median: $15.63
0.0× median
90471Normal range

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

$364

11K claims · 0.0%

Your Cost: $0.03/claim|Median: $9.80
0.0× median
G0467Normal range

Federally qualified health center visit, mental health

$359

13 claims · 0.0%

Your Cost: $27.60/claim|Median: $21.91
1.3× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$342

677 claims · 0.0%

Your Cost: $0.51/claim|Median: $76.22
0.0× median
81025Normal range

Urine pregnancy test

$265

3,285 claims · 0.0%

Your Cost: $0.08/claim|Median: $4.81
0.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$237

1,715 claims · 0.0%

Your Cost: $0.14/claim|Median: $40.11
0.0× median
90715Normal range

Tdap vaccine

$233

1,023 claims · 0.0%

Your Cost: $0.23/claim|Median: $10.32
0.0× median
G9012Normal range

Other specified case management service, per 15 minutes

$200

84 claims · 0.0%

Your Cost: $2.38/claim|Median: $137.85
0.0× median
59425Normal range

Antepartum care only, 4-6 visits

$188

328 claims · 0.0%

Your Cost: $0.57/claim|Median: $63.63
0.0× median
H1003Normal range

$168

918 claims · 0.0%

Your Cost: $0.18/claim|Median: $10.04
0.0× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$155

4,534 claims · 0.0%

Your Cost: $0.03/claim|Median: $17.67
0.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$101

2,801 claims · 0.0%

Your Cost: $0.04/claim|Median: $5.50
0.0× median
81002Normal range

Urinalysis, non-automated without microscopy

$77

5,820 claims · 0.0%

Your Cost: $0.01/claim|Median: $2.00
0.0× median
90662Normal range

$47

85 claims · 0.0%

Your Cost: $0.56/claim|Median: $6.55
0.1× median
96156Normal range

$42

283 claims · 0.0%

Your Cost: $0.15/claim|Median: $22.36
0.0× median
99401Normal range

$42

251 claims · 0.0%

Your Cost: $0.17/claim|Median: $16.53
0.0× median
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