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Provider 1952471542

NPI: 1952471542Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.6M

$14,624,776

Total Claims

401K

Beneficiaries

287K

1.4 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$1.9M
-4%
2019
$1.9M
+22%
2020
$2.3M
+16%
2021
$2.6M
-33%
2022
$1.8M
+32%
2023
$2.4M
-26%
2024
$1.7M

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 86% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$12.5M

131K claims · 85.8%

Your Cost: $95.60/claim|Median: $121.16
0.8× median
99214Normal range

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

$551K

51K claims · 3.8%

Your Cost: $10.81/claim|Median: $53.41
0.2× median
99213Normal range

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

$416K

89K claims · 2.8%

Your Cost: $4.69/claim|Median: $37.81
0.1× median
99203Normal range

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

$132K

3,427 claims · 0.9%

Your Cost: $38.54/claim|Median: $57.85
0.7× median
90837Normal range

Psychotherapy, 60 minutes

$83K

3,037 claims · 0.6%

Your Cost: $27.29/claim|Median: $85.66
0.3× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$75K

1,004 claims · 0.5%

Your Cost: $74.26/claim|Median: $121.58
0.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$73K

8,134 claims · 0.5%

Your Cost: $8.98/claim|Median: $69.35
0.1× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$49K

1,561 claims · 0.3%

Your Cost: $31.64/claim|Median: $62.48
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$48K

1,756 claims · 0.3%

Your Cost: $27.45/claim|Median: $74.09
0.4× median
99152Top 25%

$40K

1,611 claims · 0.3%

Your Cost: $24.84/claim|Median: $7.34
3.4× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$39K

1,603 claims · 0.3%

Your Cost: $24.10/claim|Median: $37.22
0.6× median
90670Normal range

$37K

6,046 claims · 0.3%

Your Cost: $6.10/claim|Median: $5.94
1.0× median
H1001Normal range

$33K

611 claims · 0.2%

Your Cost: $54.25/claim|Median: $60.48
0.9× median
S9083Normal range

Global fee, urgent care centers

$32K

1,686 claims · 0.2%

Your Cost: $18.88/claim|Median: $103.99
0.2× median
99204Normal range

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

$25K

1,108 claims · 0.2%

Your Cost: $22.86/claim|Median: $84.03
0.3× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$25K

936 claims · 0.2%

Your Cost: $26.54/claim|Median: $29.03
0.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$25K

802 claims · 0.2%

Your Cost: $30.90/claim|Median: $39.70
0.8× median
90648Normal range

$23K

4,613 claims · 0.2%

Your Cost: $5.04/claim|Median: $4.08
1.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$21K

3,288 claims · 0.1%

Your Cost: $6.32/claim|Median: $7.18
0.9× median
83655Normal range

$20K

2,955 claims · 0.1%

Your Cost: $6.60/claim|Median: $10.49
0.6× median
90716Normal range

$19K

3,341 claims · 0.1%

Your Cost: $5.76/claim|Median: $6.18
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$18K

9,796 claims · 0.1%

Your Cost: $1.85/claim|Median: $75.18
0.0× median
90723Normal range

DTaP-HepB-IPV vaccine

$18K

3,536 claims · 0.1%

Your Cost: $5.09/claim|Median: $5.78
0.9× median
90633Normal range

$18K

3,046 claims · 0.1%

Your Cost: $5.79/claim|Median: $3.56
1.6× median
90707Normal range

MMR vaccine

$16K

2,692 claims · 0.1%

Your Cost: $5.92/claim|Median: $5.76
1.0× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$15K

803 claims · 0.1%

Your Cost: $18.92/claim|Median: $73.46
0.3× median
90698Normal range

$14K

2,172 claims · 0.1%

Your Cost: $6.61/claim|Median: $6.32
1.0× median
90680Normal range

$14K

2,603 claims · 0.1%

Your Cost: $5.33/claim|Median: $5.58
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$12K

6,868 claims · 0.1%

Your Cost: $1.75/claim|Median: $74.82
0.0× median
99188Normal range

$11K

1,169 claims · 0.1%

Your Cost: $9.69/claim|Median: $12.80
0.8× median
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