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Provider 1962098640

NPI: 1962098640Share
Active Billing Period:2022-08→2024-12(29 months)

Total Paid

$8.3M

$8,309,489

Total Claims

238K

Beneficiaries

172K

1.4 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2022
$485
+71552%
2023
$347K
+2192%
2024
$8.0M

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 88% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$7.3M

36K claims · 87.9%

Your Cost: $203.50/claim|Median: $121.16
1.7× median
00003Normal range

Anesthesia services

$952K

3,972 claims · 11.5%

Your Cost: $239.59/claim|Median: $223.77
1.1× median
G9012Normal range

Other specified case management service, per 15 minutes

$41K

2,165 claims · 0.5%

Your Cost: $18.77/claim|Median: $137.85
0.1× median
G9920Normal range

$7K

2,230 claims · 0.1%

Your Cost: $2.94/claim|Median: $6.56
0.4× median
90832Normal range

Psychotherapy, 30 minutes

$1K

836 claims · 0.0%

Your Cost: $1.46/claim|Median: $41.28
0.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1K

695 claims · 0.0%

Your Cost: $1.45/claim|Median: $74.82
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$977

495 claims · 0.0%

Your Cost: $1.97/claim|Median: $80.15
0.0× median
92551Normal range

Screening audiometry, pure tone, air only

$957

3,588 claims · 0.0%

Your Cost: $0.27/claim|Median: $6.61
0.0× median
99213Normal range

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

$548

46K claims · 0.0%

Your Cost: $0.01/claim|Median: $37.81
0.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$518

1,133 claims · 0.0%

Your Cost: $0.46/claim|Median: $75.18
0.0× median
85018Normal range

$211

6,690 claims · 0.0%

Your Cost: $0.03/claim|Median: $1.71
0.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$116

1,378 claims · 0.0%

Your Cost: $0.08/claim|Median: $72.71
0.0× median
99203Normal range

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

$80

1,628 claims · 0.0%

Your Cost: $0.05/claim|Median: $57.85
0.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$57

1,138 claims · 0.0%

Your Cost: $0.05/claim|Median: $76.06
0.0× median
90471Normal range

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

$42

929 claims · 0.0%

Your Cost: $0.05/claim|Median: $9.80
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$36

687 claims · 0.0%

Your Cost: $0.05/claim|Median: $7.18
0.0× median
99214Normal range

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

$22

2,180 claims · 0.0%

Your Cost: $0.01/claim|Median: $53.41
0.0× median
99173Normal range

$20

7,857 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.16
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$9

24K claims · 0.0%

Your Cost: $0.00/claim|Median: $25.06
0.0× median
S9445Normal range

$0

1,956 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.72
85025Normal range

Complete blood count (CBC) with differential, automated

$0

2,572 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.71
86803Normal range

Hepatitis C antibody

$0

297 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.17
93000Normal range

Electrocardiogram, complete, with interpretation and report

$0

22 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.70
80048Normal range

Basic metabolic panel

$0

25 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.78
36415Normal range

Collection of venous blood by venipuncture

$0

5,785 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.57
90791Normal range

Psychiatric diagnostic evaluation

$0

124 claims · 0.0%

Your Cost: $0.00/claim|Median: $99.21
90670Normal range

$0

97 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.94
3080FNormal range

$0

67 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.16
86480Normal range

Tuberculosis test, cell-mediated immunity

$0

194 claims · 0.0%

Your Cost: $0.00/claim|Median: $38.35
99202Normal range

Office/outpatient visit, new patient, low complexity

$0

1,496 claims · 0.0%

Your Cost: $0.00/claim|Median: $40.11
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