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Provider 1932501996

NPI: 1932501996Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.3M

$16,344,989

Total Claims

215K

Beneficiaries

183K

1.2 claims/patient

Avg Cost/Claim

$76

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+32%
2019
$1.6M
+63%
2020
$2.5M
+11%
2021
$2.8M
-18%
2022
$2.3M
+25%
2023
$2.9M
+3%
2024
$3.0M

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

$14.2M

88K claims · 87.1%

Your Cost: $161.79/claim|Median: $121.16
1.3× median
00003Normal range

Anesthesia services

$1.7M

8,109 claims · 10.5%

Your Cost: $211.40/claim|Median: $223.77
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$163K

15K claims · 1.0%

Your Cost: $10.53/claim|Median: $41.28
0.3× median
99213Normal range

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

$76K

23K claims · 0.5%

Your Cost: $3.30/claim|Median: $37.81
0.1× median
G0467Top 25%

Federally qualified health center visit, mental health

$22K

414 claims · 0.1%

Your Cost: $53.45/claim|Median: $21.91
2.4× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$20K

2,143 claims · 0.1%

Your Cost: $9.40/claim|Median: $59.72
0.2× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$20K

259 claims · 0.1%

Your Cost: $76.73/claim|Median: $40.11
1.9× median
99214Normal range

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

$16K

11K claims · 0.1%

Your Cost: $1.48/claim|Median: $53.41
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$12K

14K claims · 0.1%

Your Cost: $0.82/claim|Median: $25.06
0.0× median
90791Normal range

Psychiatric diagnostic evaluation

$12K

512 claims · 0.1%

Your Cost: $22.51/claim|Median: $99.21
0.2× median
J3490Normal range

Unclassified drugs

$10K

363 claims · 0.1%

Your Cost: $26.44/claim|Median: $5.70
4.6× median
G0470Top 25%

Chronic care management services, FQHC/RHC

$7K

65 claims · 0.0%

Your Cost: $103.02/claim|Median: $45.95
2.2× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$5K

118 claims · 0.0%

Your Cost: $40.63/claim|Median: $33.85
1.2× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$4K

673 claims · 0.0%

Your Cost: $5.95/claim|Median: $47.08
0.1× median
0519Normal range

$3K

36 claims · 0.0%

Your Cost: $85.28/claim|Median: $87.02
1.0× median
0124ATop 25%

$3K

61 claims · 0.0%

Your Cost: $50.00/claim|Median: $34.32
1.5× median
0011ATop 25%

COVID-19 vaccine admin, Moderna, 1st dose

$2K

61 claims · 0.0%

Your Cost: $40.10/claim|Median: $25.93
1.5× median
S9445Normal range

$2K

135 claims · 0.0%

Your Cost: $12.72/claim|Median: $12.72
1.0× median
81025Normal range

Urine pregnancy test

$2K

575 claims · 0.0%

Your Cost: $2.80/claim|Median: $4.81
0.6× median
99000Normal range

$1K

1,726 claims · 0.0%

Your Cost: $0.80/claim|Median: $2.30
0.3× median
S4993Normal range

$1K

83 claims · 0.0%

Your Cost: $15.53/claim|Median: $46.61
0.3× median
90846Normal range

Family psychotherapy without patient, 50 min

$848

56 claims · 0.0%

Your Cost: $15.14/claim|Median: $76.61
0.2× median
D4341Normal range

Periodontal scaling, per quadrant

$760

98 claims · 0.0%

Your Cost: $7.76/claim|Median: $70.00
0.1× median
0054ATop 25%

$750

15 claims · 0.0%

Your Cost: $50.00/claim|Median: $35.83
1.4× median
D1120Normal range

Prophylaxis, adult

$617

312 claims · 0.0%

Your Cost: $1.98/claim|Median: $33.86
0.1× median
90480Normal range

$600

82 claims · 0.0%

Your Cost: $7.32/claim|Median: $25.29
0.3× median
D1206Normal range

Topical application of fluoride varnish

$600

585 claims · 0.0%

Your Cost: $1.02/claim|Median: $18.12
0.1× median
D1310Normal range

Nutritional counseling for control of dental disease

$598

1,700 claims · 0.0%

Your Cost: $0.35/claim|Median: $40.52
0.0× median
D0210Normal range

Intraoral, complete series of radiographic images

$456

372 claims · 0.0%

Your Cost: $1.23/claim|Median: $46.33
0.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$347

301 claims · 0.0%

Your Cost: $1.15/claim|Median: $32.07
0.0× median
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