Provider 1982793345
Total Paid
$8.1M
$8,065,232
Total Claims
183K
Beneficiaries
161K
1.1 claims/patient
Avg Cost/Claim
$44
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 86% of total spending.
$6.9M
62K claims
$111.44
$121.16
Clinic visit/encounter, all-inclusive
$6.9M
62K claims · 86.0%
$172K
11K claims
$15.56
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$172K
11K claims · 2.1%
$145K
3,705 claims
$39.10
$39.63
SARS-CoV-2 COVID-19 antigen detection, immunoassay, each
$145K
3,705 claims · 1.8%
$144K
32K claims
$4.57
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$144K
32K claims · 1.8%
$122K
10K claims
$11.98
$11.48
Streptococcus, Group A, rapid antigen detection
$122K
10K claims · 1.5%
$72K
3,614 claims
$19.96
$12.59
Influenza virus detection, rapid test
$72K
3,614 claims · 0.9%
$62K
2,255 claims
$27.35
$30.53
SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read
$62K
2,255 claims · 0.8%
$43K
5,482 claims · 0.5%
$34K
1,353 claims
$25.20
$30.04
SARS-CoV-2 COVID-19 antigen detection, immunoassay
$34K
1,353 claims · 0.4%
$31K
3,792 claims · 0.4%
$25K
4,740 claims
$5.34
$75.18
Preventive medicine, established patient, age 1-4
$25K
4,740 claims · 0.3%
$25K
4,182 claims
$5.88
$74.82
Preventive medicine, established patient, age 5-11
$25K
4,182 claims · 0.3%
$23K
2,863 claims · 0.3%
$20K
2,458 claims · 0.2%
$19K
2,590 claims · 0.2%
$19K
3,456 claims
$5.40
$80.15
Preventive medicine, established patient, age 12-17
$19K
3,456 claims · 0.2%
$19K
3,449 claims
$5.38
$69.35
Preventive medicine, established patient, infant (under 1)
$19K
3,449 claims · 0.2%
$16K
1,916 claims · 0.2%
$15K
1,106 claims · 0.2%
HPV vaccine, 9-valent
$15K
1,714 claims · 0.2%
$15K
1,784 claims · 0.2%
MMR vaccine
$14K
1,751 claims · 0.2%
$14K
1,597 claims · 0.2%
DTaP-HepB-IPV vaccine
$12K
1,518 claims · 0.1%
$11K
1,383 claims · 0.1%
$10K
1,244 claims · 0.1%
Poliovirus vaccine (IPV)
$5K
539 claims · 0.1%
Tdap vaccine
$4K
468 claims · 0.0%
$4K
1,960 claims · 0.0%
$3K
348 claims · 0.0%