Provider 1932381605
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
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.
$16.2M
105K claims
$154.03
$121.16
Clinic visit/encounter, all-inclusive
$16.2M
105K claims · 98.1%
$126K
248K claims
$0.51
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$126K
248K claims · 0.8%
$52K
98K claims
$0.53
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$52K
98K claims · 0.3%
$15K
66K claims
$0.23
$25.06
Office/outpatient visit, low complexity
$15K
66K claims · 0.1%
$12K
20K claims
$0.58
$6.61
Screening audiometry, pure tone, air only
$12K
20K claims · 0.1%
$11K
177 claims
$64.10
$33.72
COVID-19 vaccine admin, Pfizer, 1st dose
$11K
177 claims · 0.1%
$10K
161 claims
$63.81
$36.70
COVID-19 vaccine admin, Pfizer, 2nd dose
$10K
161 claims · 0.1%
$10K
147 claims
$66.09
$25.93
COVID-19 vaccine admin, Moderna, 1st dose
$10K
147 claims · 0.1%
Tuberculosis (TB) skin test
$8K
3,470 claims · 0.0%
$7K
103 claims
$67.00
$33.85
COVID-19 vaccine admin, Moderna, 2nd dose
$7K
103 claims · 0.0%
Tdap vaccine
$5K
3,020 claims · 0.0%
$4K
3,138 claims
$1.38
$74.09
Office/outpatient visit, high complexity
$4K
3,138 claims · 0.0%
$4K
1,465 claims
$2.63
$21.91
Federally qualified health center visit, mental health
$4K
1,465 claims · 0.0%
$4K
85 claims · 0.0%
Psychiatric diagnostic evaluation
$3K
435 claims · 0.0%
$3K
73 claims · 0.0%
Psychotherapy, 30 minutes
$3K
2,584 claims · 0.0%
$3K
4,771 claims
$0.54
$72.71
Preventive medicine, established patient, age 18-39
$3K
4,771 claims · 0.0%
$2K
5,541 claims
$0.36
$30.04
SARS-CoV-2 COVID-19 antigen detection, immunoassay
$2K
5,541 claims · 0.0%
Psychotherapy, 45 minutes
$2K
1,008 claims · 0.0%
$2K
2,840 claims · 0.0%
$2K
5,562 claims
$0.29
$76.06
Preventive medicine, established patient, age 40-64
$2K
5,562 claims · 0.0%
COVID-19 vaccine admin, Pfizer, 3rd dose
$2K
25 claims · 0.0%
$2K
9,861 claims
$0.16
$74.82
Preventive medicine, established patient, age 5-11
$2K
9,861 claims · 0.0%
Chest X-ray, 2 views
$2K
1,859 claims · 0.0%
$2K
32K claims
$0.05
$9.80
Immunization administration, 1 vaccine, percutaneous/ID/SC/IM
$2K
32K claims · 0.0%
$1K
6,755 claims
$0.20
$80.15
Preventive medicine, established patient, age 12-17
$1K
6,755 claims · 0.0%
$1K
435 claims
$2.91
$57.85
Office/outpatient visit, new patient, low-mod complexity
$1K
435 claims · 0.0%
Psychotherapy, 60 minutes
$1K
466 claims · 0.0%
$1K
759 claims
$1.43
$9.70
Electrocardiogram, complete, with interpretation and report
$1K
759 claims · 0.0%