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Provider 1972662294

NPI: 1972662294Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.3M

$11,343,711

Total Claims

174K

Beneficiaries

129K

1.4 claims/patient

Avg Cost/Claim

$65

Monthly Spending Trend

Yearly Spending

2018
$1.7M
-12%
2019
$1.5M
+22%
2020
$1.8M
-19%
2021
$1.4M
-9%
2022
$1.3M
+25%
2023
$1.7M
+20%
2024
$2.0M

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 100% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$11.3M

66K claims · 99.5%

Your Cost: $172.02/claim|Median: $121.16
1.4× median
T1016Normal range

Case management, each 15 min

$26K

1,293 claims · 0.2%

Your Cost: $20.10/claim|Median: $49.62
0.4× median
99214Normal range

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

$12K

18K claims · 0.1%

Your Cost: $0.65/claim|Median: $53.41
0.0× median
99213Normal range

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

$6K

11K claims · 0.0%

Your Cost: $0.53/claim|Median: $37.81
0.0× median
90471Normal range

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

$1K

2,617 claims · 0.0%

Your Cost: $0.54/claim|Median: $9.80
0.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$1K

1,348 claims · 0.0%

Your Cost: $0.85/claim|Median: $17.85
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$728

109 claims · 0.0%

Your Cost: $6.68/claim|Median: $80.15
0.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$645

1,959 claims · 0.0%

Your Cost: $0.33/claim|Median: $7.18
0.0× median
3044FNormal range

$525

1,339 claims · 0.0%

Your Cost: $0.39/claim|Median: $0.16
2.5× median
3008FNormal range

$525

11K claims · 0.0%

Your Cost: $0.05/claim|Median: $0.06
0.8× median
H0031Normal range

Mental health assessment by non-physician

$465

3,495 claims · 0.0%

Your Cost: $0.13/claim|Median: $96.18
0.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$413

54 claims · 0.0%

Your Cost: $7.65/claim|Median: $74.82
0.1× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$291

16K claims · 0.0%

Your Cost: $0.02/claim|Median: $74.63
0.0× median
3079FNormal range

$263

3,142 claims · 0.0%

Your Cost: $0.08/claim|Median: $0.12
0.7× median
3074FNormal range

$263

6,235 claims · 0.0%

Your Cost: $0.04/claim|Median: $0.11
0.4× median
3049FNormal range

$263

1,880 claims · 0.0%

Your Cost: $0.14/claim|Median: $0.03
4.7× median
3075FNormal range

$263

1,922 claims · 0.0%

Your Cost: $0.14/claim|Median: $0.15
0.9× median
3078FNormal range

$263

6,730 claims · 0.0%

Your Cost: $0.04/claim|Median: $0.08
0.5× median
3048FNormal range

$263

2,266 claims · 0.0%

Your Cost: $0.12/claim|Median: $0.03
3.9× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$261

2,689 claims · 0.0%

Your Cost: $0.10/claim|Median: $17.67
0.0× median
H2014Normal range

Skills training & development, per 15 min

$218

1,749 claims · 0.0%

Your Cost: $0.12/claim|Median: $83.88
0.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$148

76 claims · 0.0%

Your Cost: $1.94/claim|Median: $40.11
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$124

480 claims · 0.0%

Your Cost: $0.26/claim|Median: $25.06
0.0× median
96150Normal range

Health behavior assessment, initial

$40

207 claims · 0.0%

Your Cost: $0.19/claim|Median: $17.83
0.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$36

111 claims · 0.0%

Your Cost: $0.32/claim|Median: $9.56
0.0× median
G0467Normal range

Federally qualified health center visit, mental health

$35

987 claims · 0.0%

Your Cost: $0.04/claim|Median: $21.91
0.0× median
90715Normal range

Tdap vaccine

$33

430 claims · 0.0%

Your Cost: $0.08/claim|Median: $10.32
0.0× median
90472Normal range

Immunization administration, each additional vaccine

$25

108 claims · 0.0%

Your Cost: $0.23/claim|Median: $11.79
0.0× median
90685Normal range

$23

28 claims · 0.0%

Your Cost: $0.81/claim|Median: $5.96
0.1× median
G0008Normal range

$7

225 claims · 0.0%

Your Cost: $0.03/claim|Median: $2.54
0.0× median
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