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Provider 1942668991

NPI: 1942668991Share
Active Billing Period:2018-01→2022-03(44 months)
Billing appears to have stoppedLast active: 2022-03

Total Paid

$17.5M

$17,472,185

Total Claims

88K

Beneficiaries

72K

1.2 claims/patient

Avg Cost/Claim

$198

Monthly Spending Trend

Yearly Spending

2018
$597K
+476%
2019
$3.4M
+31%
2020
$4.5M
+57%
2021
$7.1M
-74%
2022
$1.9M

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 97% of total spending.

T1015Top 5%

Clinic visit/encounter, all-inclusive

$17.0M

34K claims · 97.4%

Your Cost: $498.12/claim|Median: $121.16
4.1× median
99213Normal range

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

$329K

8,257 claims · 1.9%

Your Cost: $39.88/claim|Median: $37.81
1.1× median
99214Normal range

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

$68K

3,675 claims · 0.4%

Your Cost: $18.47/claim|Median: $53.41
0.3× median
G0467Top 10%

Federally qualified health center visit, mental health

$37K

531 claims · 0.2%

Your Cost: $69.62/claim|Median: $21.91
3.2× median
G2025Normal range

$13K

618 claims · 0.1%

Your Cost: $20.23/claim|Median: $15.63
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$8K

2,599 claims · 0.0%

Your Cost: $2.96/claim|Median: $25.06
0.1× median
T1016Normal range

Case management, each 15 min

$1K

96 claims · 0.0%

Your Cost: $10.68/claim|Median: $49.62
0.2× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$42

72 claims · 0.0%

Your Cost: $0.59/claim|Median: $47.08
0.0× median
D0120Normal range

Periodic oral evaluation, established patient

$0

144 claims · 0.0%

Your Cost: $0.00/claim|Median: $24.34
D2392Normal range

Resin-based composite, two surfaces, posterior

$0

457 claims · 0.0%

Your Cost: $0.00/claim|Median: $71.00
92004Normal range

Ophthalmological exam, comprehensive, new patient

$0

67 claims · 0.0%

Your Cost: $0.00/claim|Median: $59.72
D0140Normal range

Limited oral evaluation, problem focused

$0

895 claims · 0.0%

Your Cost: $0.00/claim|Median: $27.07
90651Normal range

HPV vaccine, 9-valent

$0

26 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.93
D1206Normal range

Topical application of fluoride varnish

$0

1,826 claims · 0.0%

Your Cost: $0.00/claim|Median: $18.12
D1330Normal range

$0

1,144 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.73
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$0

28 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.67
99000Normal range

$0

3,872 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.30
D2393Normal range

Resin-based composite, three surfaces, posterior

$0

57 claims · 0.0%

Your Cost: $0.00/claim|Median: $84.26
99441Normal range

Telephone E/M by physician, 5-10 min

$0

485 claims · 0.0%

Your Cost: $0.00/claim|Median: $13.30
91301

COVID-19 vaccine (Moderna), first dose

$0

120 claims · 0.0%

83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$0

203 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.50
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $25.93
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$0

28 claims · 0.0%

Your Cost: $0.00/claim|Median: $33.85
90715Normal range

Tdap vaccine

$0

27 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.32
99201Normal range

Office/outpatient visit, new patient, straightforward

$0

500 claims · 0.0%

Your Cost: $0.00/claim|Median: $27.38
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$0

242 claims · 0.0%

Your Cost: $0.00/claim|Median: $38.83
92015Normal range

Determination of refractive state

$0

177 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.36
11056Normal range

Paring or cutting of benign hyperkeratotic lesions, two to four

$0

100 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.01
D0190Normal range

$0

3,215 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.78
D1120Normal range

Prophylaxis, adult

$0

108 claims · 0.0%

Your Cost: $0.00/claim|Median: $33.86
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