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Provider 1952800310

NPI: 1952800310Share
Active Billing Period:2018-10→2024-12(60 months)

Total Paid

$8.5M

$8,522,186

Total Claims

60K

Beneficiaries

49K

1.2 claims/patient

Avg Cost/Claim

$142

Monthly Spending Trend

Yearly Spending

2018
$0
2019
$0
2020
$360K
+438%
2021
$1.9M
+24%
2022
$2.4M
+4%
2023
$2.5M
-47%
2024
$1.3M

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 80% of total spending.

T1015Top 10%

Clinic visit/encounter, all-inclusive

$6.8M

29K claims · 79.8%

Your Cost: $237.73/claim|Median: $121.16
2.0× median
99392Top 1%

Preventive medicine, established patient, age 1-4

$606K

2,639 claims · 7.1%

Your Cost: $229.64/claim|Median: $75.18
3.1× median
99391Top 1%

Preventive medicine, established patient, infant (under 1)

$492K

2,145 claims · 5.8%

Your Cost: $229.58/claim|Median: $69.35
3.3× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$395K

1,670 claims · 4.6%

Your Cost: $236.32/claim|Median: $74.82
3.2× median
99394Top 1%

Preventive medicine, established patient, age 12-17

$150K

674 claims · 1.8%

Your Cost: $222.03/claim|Median: $80.15
2.8× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$30K

4,684 claims · 0.3%

Your Cost: $6.32/claim|Median: $17.85
0.4× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$11K

662 claims · 0.1%

Your Cost: $16.05/claim|Median: $7.18
2.2× median
81002Top 1%

Urinalysis, non-automated without microscopy

$8K

271 claims · 0.1%

Your Cost: $30.34/claim|Median: $2.00
15.2× median
99381Top 5%

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

$8K

41 claims · 0.1%

Your Cost: $198.62/claim|Median: $73.46
2.7× median
99383Top 1%

Preventive visit, new patient, late childhood (5-11 yr)

$8K

36 claims · 0.1%

Your Cost: $224.76/claim|Median: $81.92
2.7× median
99382Top 1%

Preventive visit, new patient, early childhood (1-4 yr)

$3K

12 claims · 0.0%

Your Cost: $228.69/claim|Median: $79.89
2.9× median
90710Normal range

MMRV vaccine

$2K

769 claims · 0.0%

Your Cost: $2.31/claim|Median: $7.00
0.3× median
99211Normal range

Office/outpatient visit, minimal complexity

$1K

84 claims · 0.0%

Your Cost: $17.16/claim|Median: $12.93
1.3× median
90700Normal range

$1K

291 claims · 0.0%

Your Cost: $4.60/claim|Median: $4.56
1.0× median
CP005Normal range

$1K

74 claims · 0.0%

Your Cost: $17.77/claim|Median: $17.79
1.0× median
90697Normal range

$1K

222 claims · 0.0%

Your Cost: $5.69/claim|Median: $7.24
0.8× median
90633Normal range

$974

940 claims · 0.0%

Your Cost: $1.04/claim|Median: $3.56
0.3× median
90677Normal range

$775

427 claims · 0.0%

Your Cost: $1.81/claim|Median: $12.96
0.1× median
90471Normal range

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

$747

1,896 claims · 0.0%

Your Cost: $0.39/claim|Median: $9.80
0.0× median
81003Top 1%

Urinalysis, automated without microscopy

$731

23 claims · 0.0%

Your Cost: $31.77/claim|Median: $1.48
21.5× median
99213Normal range

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

$520

16 claims · 0.0%

Your Cost: $32.49/claim|Median: $37.81
0.9× median
90734Normal range

$497

227 claims · 0.0%

Your Cost: $2.19/claim|Median: $6.40
0.3× median
90670Normal range

$492

1,358 claims · 0.0%

Your Cost: $0.36/claim|Median: $5.94
0.1× median
90723Normal range

DTaP-HepB-IPV vaccine

$492

594 claims · 0.0%

Your Cost: $0.83/claim|Median: $5.78
0.1× median
90698Normal range

$487

220 claims · 0.0%

Your Cost: $2.21/claim|Median: $6.32
0.4× median
90681Normal range

$258

705 claims · 0.0%

Your Cost: $0.37/claim|Median: $5.74
0.1× median
90656Normal range

$258

30 claims · 0.0%

Your Cost: $8.61/claim|Median: $8.67
1.0× median
96110Normal range

Developmental screening, per standardized instrument

$257

164 claims · 0.0%

Your Cost: $1.56/claim|Median: $9.10
0.2× median
90696Normal range

DTaP-IPV vaccine

$249

133 claims · 0.0%

Your Cost: $1.87/claim|Median: $5.95
0.3× median
90715Normal range

Tdap vaccine

$244

48 claims · 0.0%

Your Cost: $5.08/claim|Median: $10.32
0.5× median
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