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Provider 1972773224

NPI: 1972773224Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.6M

$10,591,560

Total Claims

174K

Beneficiaries

134K

1.3 claims/patient

Avg Cost/Claim

$61

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-56%
2019
$612K
+106%
2020
$1.3M
-7%
2021
$1.2M
+108%
2022
$2.4M
+4%
2023
$2.5M
-53%
2024
$1.2M

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 90% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$9.5M

70K claims · 90.1%

Your Cost: $136.94/claim|Median: $121.16
1.1× median
99213Normal range

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

$269K

34K claims · 2.5%

Your Cost: $8.00/claim|Median: $37.81
0.2× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$207K

18K claims · 2.0%

Your Cost: $11.20/claim|Median: $3.67
3.1× median
3008FTop 5%

$118K

6,276 claims · 1.1%

Your Cost: $18.81/claim|Median: $0.06
313.5× median
99214Normal range

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

$102K

11K claims · 1.0%

Your Cost: $9.11/claim|Median: $53.41
0.2× median
99406Normal range

$42K

6,102 claims · 0.4%

Your Cost: $6.82/claim|Median: $6.53
1.0× median
90471Normal range

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

$34K

2,723 claims · 0.3%

Your Cost: $12.32/claim|Median: $9.80
1.3× median
83036Top 5%

Hemoglobin A1c (glycated hemoglobin)

$29K

1,863 claims · 0.3%

Your Cost: $15.48/claim|Median: $5.50
2.8× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$27K

1,796 claims · 0.3%

Your Cost: $15.18/claim|Median: $7.18
2.1× median
90834Normal range

Psychotherapy, 45 minutes

$26K

6,613 claims · 0.2%

Your Cost: $3.96/claim|Median: $63.65
0.1× median
81002Top 1%

Urinalysis, non-automated without microscopy

$21K

730 claims · 0.2%

Your Cost: $29.30/claim|Median: $2.00
14.6× median
99203Normal range

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

$18K

790 claims · 0.2%

Your Cost: $22.28/claim|Median: $57.85
0.4× median
81025Top 1%

Urine pregnancy test

$14K

280 claims · 0.1%

Your Cost: $49.00/claim|Median: $4.81
10.2× median
90472Normal range

Immunization administration, each additional vaccine

$13K

1,434 claims · 0.1%

Your Cost: $9.20/claim|Median: $11.79
0.8× median
G2023Normal range

Specimen collection for COVID-19 testing

$13K

746 claims · 0.1%

Your Cost: $17.45/claim|Median: $17.15
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$11K

1,085 claims · 0.1%

Your Cost: $9.80/claim|Median: $25.06
0.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$11K

1,216 claims · 0.1%

Your Cost: $8.71/claim|Median: $11.48
0.8× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$10K

588 claims · 0.1%

Your Cost: $16.69/claim|Median: $9.56
1.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$8K

595 claims · 0.1%

Your Cost: $13.99/claim|Median: $74.82
0.2× median
90837Normal range

Psychotherapy, 60 minutes

$8K

654 claims · 0.1%

Your Cost: $12.04/claim|Median: $85.66
0.1× median
96110Top 10%

Developmental screening, per standardized instrument

$7K

263 claims · 0.1%

Your Cost: $26.53/claim|Median: $9.10
2.9× median
90715Top 10%

Tdap vaccine

$7K

214 claims · 0.1%

Your Cost: $32.58/claim|Median: $10.32
3.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$6K

680 claims · 0.1%

Your Cost: $8.72/claim|Median: $80.15
0.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$5K

373 claims · 0.1%

Your Cost: $14.50/claim|Median: $75.18
0.2× median
1090FTop 1%

$4K

58 claims · 0.0%

Your Cost: $74.11/claim|Median: $0.23
322.2× median
90670Top 25%

$4K

297 claims · 0.0%

Your Cost: $13.75/claim|Median: $5.94
2.3× median
87210Top 5%

$4K

79 claims · 0.0%

Your Cost: $47.24/claim|Median: $3.65
12.9× median
3044FTop 1%

$4K

103 claims · 0.0%

Your Cost: $36.23/claim|Median: $0.16
226.4× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$4K

118 claims · 0.0%

Your Cost: $29.81/claim|Median: $69.35
0.4× median
99395Normal range

Preventive medicine, established patient, age 18-39

$3K

61 claims · 0.0%

Your Cost: $48.61/claim|Median: $72.71
0.7× median
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