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Provider 1932194586

NPI: 1932194586Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.0M

$13,977,361

Total Claims

418K

Beneficiaries

313K

1.3 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+5%
2019
$1.8M
+44%
2020
$2.7M
-0%
2021
$2.6M
-30%
2022
$1.8M
+8%
2023
$2.0M
-36%
2024
$1.3M

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 87% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$12.2M

91K claims · 87.0%

Your Cost: $133.22/claim|Median: $121.16
1.1× median
00003Normal range

Anesthesia services

$1.5M

9,045 claims · 10.6%

Your Cost: $163.16/claim|Median: $223.77
0.7× median
99213Normal range

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

$228K

58K claims · 1.6%

Your Cost: $3.92/claim|Median: $37.81
0.1× median
99214Normal range

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

$51K

4,387 claims · 0.4%

Your Cost: $11.71/claim|Median: $53.41
0.2× median
90791Normal range

Psychiatric diagnostic evaluation

$14K

2,467 claims · 0.1%

Your Cost: $5.65/claim|Median: $99.21
0.1× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$12K

398 claims · 0.1%

Your Cost: $30.35/claim|Median: $108.91
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$11K

19K claims · 0.1%

Your Cost: $0.56/claim|Median: $25.06
0.0× median
90832Normal range

Psychotherapy, 30 minutes

$9K

2,314 claims · 0.1%

Your Cost: $3.77/claim|Median: $41.28
0.1× median
90837Normal range

Psychotherapy, 60 minutes

$2K

63 claims · 0.0%

Your Cost: $26.69/claim|Median: $85.66
0.3× median
0013ANormal range

$1K

78 claims · 0.0%

Your Cost: $18.90/claim|Median: $35.38
0.5× median
G0467Normal range

Federally qualified health center visit, mental health

$1K

50 claims · 0.0%

Your Cost: $26.99/claim|Median: $21.91
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$1K

48 claims · 0.0%

Your Cost: $28.01/claim|Median: $63.65
0.4× median
81025Normal range

Urine pregnancy test

$965

1,681 claims · 0.0%

Your Cost: $0.57/claim|Median: $4.81
0.1× median
96110Normal range

Developmental screening, per standardized instrument

$884

1,010 claims · 0.0%

Your Cost: $0.87/claim|Median: $9.10
0.1× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$870

527 claims · 0.0%

Your Cost: $1.65/claim|Median: $30.53
0.1× median
J3490Normal range

Unclassified drugs

$600

45 claims · 0.0%

Your Cost: $13.33/claim|Median: $5.70
2.3× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$513

1,203 claims · 0.0%

Your Cost: $0.43/claim|Median: $34.62
0.0× median
D1110Normal range

Prophylaxis, adult cleaning

$431

184 claims · 0.0%

Your Cost: $2.34/claim|Median: $43.38
0.1× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$419

53 claims · 0.0%

Your Cost: $7.90/claim|Median: $33.72
0.2× median
99203Normal range

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

$338

138 claims · 0.0%

Your Cost: $2.45/claim|Median: $57.85
0.0× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$268

84 claims · 0.0%

Your Cost: $3.19/claim|Median: $33.85
0.1× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$218

128 claims · 0.0%

Your Cost: $1.70/claim|Median: $25.93
0.1× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$203

110 claims · 0.0%

Your Cost: $1.84/claim|Median: $40.11
0.0× median
D1206Normal range

Topical application of fluoride varnish

$159

370 claims · 0.0%

Your Cost: $0.43/claim|Median: $18.12
0.0× median
D0120Normal range

Periodic oral evaluation, established patient

$104

240 claims · 0.0%

Your Cost: $0.43/claim|Median: $24.34
0.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$97

5,915 claims · 0.0%

Your Cost: $0.02/claim|Median: $17.85
0.0× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$67

29 claims · 0.0%

Your Cost: $2.31/claim|Median: $36.70
0.1× median
85018Normal range

$60

6,505 claims · 0.0%

Your Cost: $0.01/claim|Median: $1.71
0.0× median
92081Normal range

$60

5,335 claims · 0.0%

Your Cost: $0.01/claim|Median: $11.63
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$49

1,717 claims · 0.0%

Your Cost: $0.03/claim|Median: $80.15
0.0× median
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