Provider 1962823211
Total Paid
$11.4M
$11,368,080
Total Claims
383K
Beneficiaries
259K
1.5 claims/patient
Avg Cost/Claim
$30
Monthly Spending Trend
Yearly Spending
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 96% of total spending.
$10.9M
112K claims
$97.35
$121.16
Clinic visit/encounter, all-inclusive
$10.9M
112K claims · 96.0%
$436K
4,969 claims
$87.76
$144.05
Day habilitation, waiver, per 15 minutes
$436K
4,969 claims · 3.8%
$12K
1,701 claims · 0.1%
$3K
330 claims · 0.0%
$810
104 claims · 0.0%
$333
58K claims
$0.01
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$333
58K claims · 0.0%
$190
663 claims · 0.0%
$157
8,142 claims
$0.02
$2.00
Urinalysis, non-automated without microscopy
$157
8,142 claims · 0.0%
$139
3,628 claims
$0.04
$74.82
Preventive medicine, established patient, age 5-11
$139
3,628 claims · 0.0%
$101
30K claims · 0.0%
$29
12K claims
$0.00
$9.80
Immunization administration, 1 vaccine, percutaneous/ID/SC/IM
$29
12K claims · 0.0%
$25
14K claims
$0.00
$25.06
Office/outpatient visit, low complexity
$25
14K claims · 0.0%
$18
9,315 claims
$0.00
$11.79
Immunization administration, each additional vaccine
$18
9,315 claims · 0.0%
$8
4,155 claims
$0.00
$6.61
Screening audiometry, pure tone, air only
$8
4,155 claims · 0.0%
$5
5,390 claims · 0.0%
$3
3,868 claims
$0.00
$69.35
Preventive medicine, established patient, infant (under 1)
$3
3,868 claims · 0.0%
$2
4,728 claims · 0.0%
$0
237 claims · 0.0%
$0
1,521 claims · 0.0%
Psychotherapy, 60 min, add-on to E/M
$0
98 claims · 0.0%
$0
5,092 claims · 0.0%
$0
20 claims · 0.0%
$0
63 claims · 0.0%
Psychotherapy, 30 minutes
$0
4,855 claims · 0.0%
$0
1,815 claims · 0.0%
$0
237 claims · 0.0%
Influenza virus detection, rapid test
$0
482 claims · 0.0%
$0
2,552 claims · 0.0%
$0
455 claims
$0.00
$76.06
Preventive medicine, established patient, age 40-64
$0
455 claims · 0.0%
$0
43 claims · 0.0%