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Provider 1972586386

NPI: 1972586386Share
Active Billing Period:2018-01→2024-09(81 months)

Total Paid

$9.2M

$9,172,841

Total Claims

104K

Beneficiaries

82K

1.3 claims/patient

Avg Cost/Claim

$88

Monthly Spending Trend

Yearly Spending

2018
$3.1M
-37%
2019
$2.0M
-17%
2020
$1.6M
-53%
2021
$776K
-39%
2022
$477K
+53%
2023
$729K
-41%
2024
$433K

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 25%

Clinic visit/encounter, all-inclusive

$8.9M

40K claims · 97.4%

Your Cost: $226.10/claim|Median: $121.16
1.9× median
G0467Top 10%

Federally qualified health center visit, mental health

$114K

1,061 claims · 1.2%

Your Cost: $107.75/claim|Median: $21.91
4.9× median
90834Normal range

Psychotherapy, 45 minutes

$60K

3,847 claims · 0.7%

Your Cost: $15.62/claim|Median: $63.65
0.2× median
99213Normal range

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

$32K

17K claims · 0.3%

Your Cost: $1.82/claim|Median: $37.81
0.0× median
99214Normal range

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

$26K

15K claims · 0.3%

Your Cost: $1.79/claim|Median: $53.41
0.0× median
59425Normal range

Antepartum care only, 4-6 visits

$4K

787 claims · 0.0%

Your Cost: $5.21/claim|Median: $63.63
0.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$2K

1,676 claims · 0.0%

Your Cost: $1.07/claim|Median: $69.35
0.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$891

1,636 claims · 0.0%

Your Cost: $0.54/claim|Median: $75.18
0.0× median
90670Normal range

$347

1,502 claims · 0.0%

Your Cost: $0.23/claim|Median: $5.94
0.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$262

312 claims · 0.0%

Your Cost: $0.84/claim|Median: $39.70
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$249

382 claims · 0.0%

Your Cost: $0.65/claim|Median: $25.06
0.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$239

837 claims · 0.0%

Your Cost: $0.29/claim|Median: $5.50
0.1× median
90688Normal range

$232

186 claims · 0.0%

Your Cost: $1.25/claim|Median: $9.00
0.1× median
90723Normal range

DTaP-HepB-IPV vaccine

$207

659 claims · 0.0%

Your Cost: $0.31/claim|Median: $5.78
0.1× median
81002Normal range

Urinalysis, non-automated without microscopy

$180

289 claims · 0.0%

Your Cost: $0.62/claim|Median: $2.00
0.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$131

847 claims · 0.0%

Your Cost: $0.15/claim|Median: $74.82
0.0× median
81025Normal range

Urine pregnancy test

$128

541 claims · 0.0%

Your Cost: $0.24/claim|Median: $4.81
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$117

1,731 claims · 0.0%

Your Cost: $0.07/claim|Median: $7.18
0.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$68

14 claims · 0.0%

Your Cost: $4.85/claim|Median: $40.11
0.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$64

238 claims · 0.0%

Your Cost: $0.27/claim|Median: $9.56
0.0× median
85018Normal range

$57

1,622 claims · 0.0%

Your Cost: $0.04/claim|Median: $1.71
0.0× median
90647Normal range

$57

998 claims · 0.0%

Your Cost: $0.06/claim|Median: $4.31
0.0× median
90680Normal range

$57

679 claims · 0.0%

Your Cost: $0.08/claim|Median: $5.58
0.0× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$51

14 claims · 0.0%

Your Cost: $3.64/claim|Median: $62.48
0.1× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$41

17 claims · 0.0%

Your Cost: $2.39/claim|Median: $37.22
0.1× median
90715Normal range

Tdap vaccine

$37

405 claims · 0.0%

Your Cost: $0.09/claim|Median: $10.32
0.0× median
92552Normal range

Pure tone audiometry, air only, each ear

$33

347 claims · 0.0%

Your Cost: $0.10/claim|Median: $12.63
0.0× median
H1003Normal range

$17

14 claims · 0.0%

Your Cost: $1.19/claim|Median: $10.04
0.1× median
86580Normal range

Tuberculosis (TB) skin test

$4

197 claims · 0.0%

Your Cost: $0.02/claim|Median: $4.46
0.0× median
90633Normal range

$0

274 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.56
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