Provider 1912312273
Total Paid
$12.4M
$12,392,563
Total Claims
211K
Beneficiaries
181K
1.2 claims/patient
Avg Cost/Claim
$59
Monthly Spending Trend
Yearly Spending
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.
$12.2M
71K claims
$172.95
$121.16
Clinic visit/encounter, all-inclusive
$12.2M
71K claims · 98.6%
$97K
4,069 claims
$23.78
$21.91
Federally qualified health center visit, mental health
$97K
4,069 claims · 0.8%
$46K
28K claims
$1.68
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$46K
28K claims · 0.4%
$16K
12K claims
$1.40
$25.06
Office/outpatient visit, low complexity
$16K
12K claims · 0.1%
$7K
3,436 claims
$2.17
$20.83
Chiropractic manipulative treatment, 3-4 spinal regions
$7K
3,436 claims · 0.1%
$4K
4,524 claims
$0.87
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$4K
4,524 claims · 0.0%
$3K
61 claims
$45.85
$25.93
COVID-19 vaccine admin, Moderna, 1st dose
$3K
61 claims · 0.0%
$1K
33 claims
$44.02
$33.85
COVID-19 vaccine admin, Moderna, 2nd dose
$1K
33 claims · 0.0%
$676
31 claims
$21.80
$57.85
Office/outpatient visit, new patient, low-mod complexity
$676
31 claims · 0.0%
$514
14 claims · 0.0%
Urine pregnancy test
$507
1,034 claims · 0.0%
$64
5,834 claims
$0.01
$1.48
Urinalysis, automated without microscopy
$64
5,834 claims · 0.0%
$0
1,745 claims · 0.0%
DTaP-HepB-IPV vaccine
$0
15 claims · 0.0%
$0
32 claims
$0.00
$0.91
Injection, ketorolac tromethamine, fifteen milligrams
$0
32 claims · 0.0%
$0
51 claims · 0.0%
$0
7,128 claims · 0.0%
$0
1,030 claims · 0.0%
$0
402 claims · 0.0%
$0
96 claims · 0.0%
$0
218 claims · 0.0%
Electrical stimulation, manual
$0
2,627 claims · 0.0%
$0
1,548 claims
$0.00
$7.18
Influenza virus vaccine, quadrivalent, preservative-free, IM
$0
1,548 claims · 0.0%
$0
438 claims
$0.00
$9.56
Therapeutic injection, subcutaneous/intramuscular
$0
438 claims · 0.0%
$0
7,175 claims · 0.0%
$0
876 claims
$0.00
$74.82
Preventive medicine, established patient, age 5-11
$0
876 claims · 0.0%
Therapeutic exercises, each 15 min
$0
2,624 claims · 0.0%
$0
28 claims · 0.0%
$0
47 claims · 0.0%
$0
115 claims · 0.0%