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Provider 1902459407

NPI: 1902459407Share
Active Billing Period:2019-11→2024-12(54 months)

Total Paid

$9.7M

$9,704,467

Total Claims

134K

Beneficiaries

121K

1.1 claims/patient

Avg Cost/Claim

$73

Monthly Spending Trend

Yearly Spending

2019
$308
+26631%
2020
$82K
+2159%
2021
$1.9M
+18%
2022
$2.2M
+26%
2023
$2.8M
+2%
2024
$2.8M

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 96% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$9.3M

53K claims · 95.5%

Your Cost: $173.82/claim|Median: $121.16
1.4× median
V2784Top 25%

Lens, polycarbonate or equal

$128K

4,329 claims · 1.3%

Your Cost: $29.59/claim|Median: $9.50
3.1× median
V2020Top 25%

Frames, purchases

$85K

2,171 claims · 0.9%

Your Cost: $39.14/claim|Median: $19.33
2.0× median
V2101Normal range

$41K

2,085 claims · 0.4%

Your Cost: $19.45/claim|Median: $17.09
1.1× median
99214Normal range

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

$40K

13K claims · 0.4%

Your Cost: $3.06/claim|Median: $53.41
0.1× median
V2103Top 25%

Lens, sphere-cylinder, single vision, plus or minus 4.00

$32K

1,048 claims · 0.3%

Your Cost: $30.48/claim|Median: $18.82
1.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$17K

3,165 claims · 0.2%

Your Cost: $5.32/claim|Median: $75.18
0.1× median
99213Normal range

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

$15K

12K claims · 0.2%

Your Cost: $1.31/claim|Median: $37.81
0.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$15K

2,501 claims · 0.2%

Your Cost: $5.97/claim|Median: $69.35
0.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$14K

2,550 claims · 0.1%

Your Cost: $5.32/claim|Median: $74.82
0.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$7K

1,417 claims · 0.1%

Your Cost: $5.03/claim|Median: $80.15
0.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$5K

1,431 claims · 0.0%

Your Cost: $3.31/claim|Median: $7.18
0.5× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$4K

36 claims · 0.0%

Your Cost: $115.38/claim|Median: $111.09
1.0× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$3K

1,702 claims · 0.0%

Your Cost: $1.90/claim|Median: $47.08
0.0× median
92015Normal range

Determination of refractive state

$3K

2,644 claims · 0.0%

Your Cost: $1.05/claim|Median: $10.36
0.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$3K

645 claims · 0.0%

Your Cost: $3.88/claim|Median: $12.93
0.3× median
99203Normal range

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

$2K

1,166 claims · 0.0%

Your Cost: $2.13/claim|Median: $57.85
0.0× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$2K

662 claims · 0.0%

Your Cost: $3.61/claim|Median: $59.72
0.1× median
99204Normal range

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

$2K

155 claims · 0.0%

Your Cost: $13.63/claim|Median: $84.03
0.2× median
99215Normal range

Office/outpatient visit, high complexity

$2K

1,101 claims · 0.0%

Your Cost: $1.82/claim|Median: $74.09
0.0× median
90670Normal range

$2K

1,444 claims · 0.0%

Your Cost: $1.28/claim|Median: $5.94
0.2× median
V2201Top 25%

$2K

60 claims · 0.0%

Your Cost: $30.47/claim|Median: $23.18
1.3× median
90723Normal range

DTaP-HepB-IPV vaccine

$1K

1,322 claims · 0.0%

Your Cost: $1.04/claim|Median: $5.78
0.2× median
90647Normal range

$1K

1,147 claims · 0.0%

Your Cost: $1.20/claim|Median: $4.31
0.3× median
90680Normal range

$1K

1,045 claims · 0.0%

Your Cost: $1.20/claim|Median: $5.58
0.2× median
90633Normal range

$891

788 claims · 0.0%

Your Cost: $1.13/claim|Median: $3.56
0.3× median
90715Normal range

Tdap vaccine

$822

141 claims · 0.0%

Your Cost: $5.83/claim|Median: $10.32
0.6× median
G0008Normal range

$695

455 claims · 0.0%

Your Cost: $1.53/claim|Median: $2.54
0.6× median
V2100Top 25%

Lens, sphere, single vision, plus or minus 4.00

$576

20 claims · 0.0%

Your Cost: $28.80/claim|Median: $20.68
1.4× median
90710Normal range

MMRV vaccine

$574

441 claims · 0.0%

Your Cost: $1.30/claim|Median: $7.00
0.2× median
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