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Provider 1982784740

NPI: 1982784740Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.1M

$16,050,408

Total Claims

272K

Beneficiaries

246K

1.1 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$1.7M
-12%
2019
$1.5M
+36%
2020
$2.0M
+14%
2021
$2.3M
-16%
2022
$1.9M
+27%
2023
$2.4M
+79%
2024
$4.3M

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 95% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$15.2M

103K claims · 95.0%

Your Cost: $147.83/claim|Median: $121.16
1.2× median
G0467Top 25%

Federally qualified health center visit, mental health

$290K

4,538 claims · 1.8%

Your Cost: $63.90/claim|Median: $21.91
2.9× median
99213Normal range

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

$93K

46K claims · 0.6%

Your Cost: $2.02/claim|Median: $37.81
0.1× median
0001ATop 10%

COVID-19 vaccine admin, Pfizer, 1st dose

$67K

1,136 claims · 0.4%

Your Cost: $58.69/claim|Median: $33.72
1.7× median
0002ATop 5%

COVID-19 vaccine admin, Pfizer, 2nd dose

$58K

875 claims · 0.4%

Your Cost: $66.85/claim|Median: $36.70
1.8× median
0064ATop 5%

$36K

537 claims · 0.2%

Your Cost: $66.38/claim|Median: $34.17
1.9× median
0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$32K

492 claims · 0.2%

Your Cost: $65.44/claim|Median: $33.85
1.9× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$32K

540 claims · 0.2%

Your Cost: $58.70/claim|Median: $25.93
2.3× median
0054ATop 10%

$27K

406 claims · 0.2%

Your Cost: $65.41/claim|Median: $35.83
1.8× median
0004ATop 10%

$25K

401 claims · 0.2%

Your Cost: $62.15/claim|Median: $35.62
1.7× median
99212Normal range

Office/outpatient visit, low complexity

$25K

16K claims · 0.2%

Your Cost: $1.58/claim|Median: $25.06
0.1× median
99214Normal range

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

$15K

6,113 claims · 0.1%

Your Cost: $2.38/claim|Median: $53.41
0.0× median
0031ATop 5%

COVID-19 vaccine admin, J&J, single dose

$14K

209 claims · 0.1%

Your Cost: $66.01/claim|Median: $32.49
2.0× median
0071ATop 10%

$12K

180 claims · 0.1%

Your Cost: $66.26/claim|Median: $38.71
1.7× median
0072ATop 10%

$12K

177 claims · 0.1%

Your Cost: $65.77/claim|Median: $39.57
1.7× median
G9920Normal range

$12K

2,356 claims · 0.1%

Your Cost: $4.91/claim|Median: $6.56
0.7× median
96110Normal range

Developmental screening, per standardized instrument

$9K

2,080 claims · 0.1%

Your Cost: $4.39/claim|Median: $9.10
0.5× median
90471Normal range

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

$6K

12K claims · 0.0%

Your Cost: $0.46/claim|Median: $9.80
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$6K

1,762 claims · 0.0%

Your Cost: $3.26/claim|Median: $80.15
0.0× median
0034ATop 5%

$5K

74 claims · 0.0%

Your Cost: $67.00/claim|Median: $35.00
1.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$4K

2,053 claims · 0.0%

Your Cost: $1.92/claim|Median: $74.82
0.0× median
92551Normal range

Screening audiometry, pure tone, air only

$4K

5,369 claims · 0.0%

Your Cost: $0.68/claim|Median: $6.61
0.1× median
90472Normal range

Immunization administration, each additional vaccine

$3K

3,218 claims · 0.0%

Your Cost: $1.08/claim|Median: $11.79
0.1× median
90688Normal range

$3K

2,128 claims · 0.0%

Your Cost: $1.50/claim|Median: $9.00
0.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$3K

1,696 claims · 0.0%

Your Cost: $1.49/claim|Median: $75.18
0.0× median
90739Normal range

$2K

62 claims · 0.0%

Your Cost: $27.52/claim|Median: $74.43
0.4× median
99203Normal range

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

$2K

145 claims · 0.0%

Your Cost: $11.01/claim|Median: $57.85
0.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1K

741 claims · 0.0%

Your Cost: $1.74/claim|Median: $69.35
0.0× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$836

1,079 claims · 0.0%

Your Cost: $0.77/claim|Median: $59.72
0.0× median
99188Normal range

$789

945 claims · 0.0%

Your Cost: $0.84/claim|Median: $12.80
0.1× median
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