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Provider 1932381605

NPI: 1932381605Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$16.5M

$16,484,799

Total Claims

922K

Beneficiaries

809K

1.1 claims/patient

Avg Cost/Claim

$18

Monthly Spending Trend

Yearly Spending

2018
$430K
+333%
2019
$1.9M
+10%
2020
$2.1M
+41%
2021
$2.9M
-20%
2022
$2.3M
+40%
2023
$3.2M
+14%
2024
$3.7M

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 98% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$16.2M

105K claims · 98.1%

Your Cost: $154.03/claim|Median: $121.16
1.3× median
99213Normal range

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

$126K

248K claims · 0.8%

Your Cost: $0.51/claim|Median: $37.81
0.0× median
99214Normal range

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

$52K

98K claims · 0.3%

Your Cost: $0.53/claim|Median: $53.41
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$15K

66K claims · 0.1%

Your Cost: $0.23/claim|Median: $25.06
0.0× median
92551Normal range

Screening audiometry, pure tone, air only

$12K

20K claims · 0.1%

Your Cost: $0.58/claim|Median: $6.61
0.1× median
0001ATop 5%

COVID-19 vaccine admin, Pfizer, 1st dose

$11K

177 claims · 0.1%

Your Cost: $64.10/claim|Median: $33.72
1.9× median
0002ATop 5%

COVID-19 vaccine admin, Pfizer, 2nd dose

$10K

161 claims · 0.1%

Your Cost: $63.81/claim|Median: $36.70
1.7× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$10K

147 claims · 0.1%

Your Cost: $66.09/claim|Median: $25.93
2.5× median
86580Normal range

Tuberculosis (TB) skin test

$8K

3,470 claims · 0.0%

Your Cost: $2.28/claim|Median: $4.46
0.5× median
0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$7K

103 claims · 0.0%

Your Cost: $67.00/claim|Median: $33.85
2.0× median
90715Normal range

Tdap vaccine

$5K

3,020 claims · 0.0%

Your Cost: $1.57/claim|Median: $10.32
0.2× median
99215Normal range

Office/outpatient visit, high complexity

$4K

3,138 claims · 0.0%

Your Cost: $1.38/claim|Median: $74.09
0.0× median
G0467Normal range

Federally qualified health center visit, mental health

$4K

1,465 claims · 0.0%

Your Cost: $2.63/claim|Median: $21.91
0.1× median
0072ATop 25%

$4K

85 claims · 0.0%

Your Cost: $44.14/claim|Median: $39.57
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$3K

435 claims · 0.0%

Your Cost: $7.38/claim|Median: $99.21
0.1× median
0071ANormal range

$3K

73 claims · 0.0%

Your Cost: $40.38/claim|Median: $38.71
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$3K

2,584 claims · 0.0%

Your Cost: $1.01/claim|Median: $41.28
0.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$3K

4,771 claims · 0.0%

Your Cost: $0.54/claim|Median: $72.71
0.0× median
87426Normal range

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

$2K

5,541 claims · 0.0%

Your Cost: $0.36/claim|Median: $30.04
0.0× median
90834Normal range

Psychotherapy, 45 minutes

$2K

1,008 claims · 0.0%

Your Cost: $1.90/claim|Median: $63.65
0.0× median
88142Normal range

$2K

2,840 claims · 0.0%

Your Cost: $0.63/claim|Median: $14.75
0.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$2K

5,562 claims · 0.0%

Your Cost: $0.29/claim|Median: $76.06
0.0× median
0003ATop 5%

COVID-19 vaccine admin, Pfizer, 3rd dose

$2K

25 claims · 0.0%

Your Cost: $64.32/claim|Median: $36.49
1.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$2K

9,861 claims · 0.0%

Your Cost: $0.16/claim|Median: $74.82
0.0× median
71046Normal range

Chest X-ray, 2 views

$2K

1,859 claims · 0.0%

Your Cost: $0.85/claim|Median: $8.92
0.1× median
90471Normal range

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

$2K

32K claims · 0.0%

Your Cost: $0.05/claim|Median: $9.80
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$1K

6,755 claims · 0.0%

Your Cost: $0.20/claim|Median: $80.15
0.0× median
99203Normal range

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

$1K

435 claims · 0.0%

Your Cost: $2.91/claim|Median: $57.85
0.1× median
90837Normal range

Psychotherapy, 60 minutes

$1K

466 claims · 0.0%

Your Cost: $2.71/claim|Median: $85.66
0.0× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$1K

759 claims · 0.0%

Your Cost: $1.43/claim|Median: $9.70
0.1× median