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Provider 1912203712

NPI: 1912203712Share
Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$9.8M

$9,829,208

Total Claims

194K

Beneficiaries

162K

1.2 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$967K
+16%
2019
$1.1M
-17%
2020
$926K
+61%
2021
$1.5M
+23%
2022
$1.8M
-2%
2023
$1.8M
-5%
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 84% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$8.3M

55K claims · 84.1%

Your Cost: $150.34/claim|Median: $121.16
1.2× median
87804Top 25%

Influenza virus detection, rapid test

$297K

14K claims · 3.0%

Your Cost: $20.96/claim|Median: $12.59
1.7× median
87801Normal range

Infectious agent detection, amplified probe, multiple organisms

$254K

4,877 claims · 2.6%

Your Cost: $52.12/claim|Median: $38.79
1.3× median
87426Normal range

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

$242K

9,765 claims · 2.5%

Your Cost: $24.78/claim|Median: $30.04
0.8× median
87430Normal range

$189K

14K claims · 1.9%

Your Cost: $13.34/claim|Median: $9.41
1.4× median
99214Normal range

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

$89K

11K claims · 0.9%

Your Cost: $8.20/claim|Median: $53.41
0.2× median
Q3014Normal range

Telehealth originating site facility fee

$89K

4,483 claims · 0.9%

Your Cost: $19.78/claim|Median: $15.37
1.3× median
99213Normal range

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

$84K

34K claims · 0.8%

Your Cost: $2.46/claim|Median: $37.81
0.1× median
G2023Normal range

Specimen collection for COVID-19 testing

$63K

4,082 claims · 0.6%

Your Cost: $15.43/claim|Median: $17.15
0.9× median
99211Top 5%

Office/outpatient visit, minimal complexity

$38K

268 claims · 0.4%

Your Cost: $143.54/claim|Median: $12.93
11.1× median
94664Normal range

$31K

4,111 claims · 0.3%

Your Cost: $7.52/claim|Median: $8.88
0.8× median
99000Normal range

$18K

5,979 claims · 0.2%

Your Cost: $3.03/claim|Median: $2.30
1.3× median
81003Top 10%

Urinalysis, automated without microscopy

$15K

5,350 claims · 0.2%

Your Cost: $2.84/claim|Median: $1.48
1.9× median
83655Top 25%

$14K

988 claims · 0.1%

Your Cost: $14.50/claim|Median: $10.49
1.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$14K

2,561 claims · 0.1%

Your Cost: $5.53/claim|Median: $74.82
0.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$13K

674 claims · 0.1%

Your Cost: $19.61/claim|Median: $17.85
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$11K

1,949 claims · 0.1%

Your Cost: $5.59/claim|Median: $75.18
0.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$10K

2,332 claims · 0.1%

Your Cost: $4.48/claim|Median: $80.15
0.1× median
G0312Normal range

$10K

1,741 claims · 0.1%

Your Cost: $5.97/claim|Median: $16.41
0.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$9K

1,079 claims · 0.1%

Your Cost: $7.95/claim|Median: $7.18
1.1× median
36415Normal range

Collection of venous blood by venipuncture

$7K

4,434 claims · 0.1%

Your Cost: $1.55/claim|Median: $1.57
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$6K

1,342 claims · 0.1%

Your Cost: $4.69/claim|Median: $69.35
0.1× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$6K

174 claims · 0.1%

Your Cost: $34.79/claim|Median: $6.93
5.0× median
96110Normal range

Developmental screening, per standardized instrument

$6K

702 claims · 0.1%

Your Cost: $8.01/claim|Median: $9.10
0.9× median
90670Normal range

$5K

611 claims · 0.0%

Your Cost: $7.90/claim|Median: $5.94
1.3× median
90651Normal range

HPV vaccine, 9-valent

$3K

445 claims · 0.0%

Your Cost: $7.82/claim|Median: $8.93
0.9× median
92551Normal range

Screening audiometry, pure tone, air only

$3K

815 claims · 0.0%

Your Cost: $4.14/claim|Median: $6.61
0.6× median
90649Normal range

$3K

431 claims · 0.0%

Your Cost: $7.74/claim|Median: $6.42
1.2× median
90734Normal range

$3K

397 claims · 0.0%

Your Cost: $8.10/claim|Median: $6.40
1.3× median
99173Normal range

$3K

768 claims · 0.0%

Your Cost: $3.39/claim|Median: $2.16
1.6× median
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