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Provider 1992840409

NPI: 1992840409Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.5M

$11,526,425

Total Claims

159K

Beneficiaries

132K

1.2 claims/patient

Avg Cost/Claim

$72

Monthly Spending Trend

Yearly Spending

2018
$92K
+60%
2019
$147K
+286%
2020
$567K
+377%
2021
$2.7M
+10%
2022
$3.0M
-9%
2023
$2.7M
-14%
2024
$2.3M

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 74% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$8.5M

51K claims · 73.8%

Your Cost: $165.47/claim|Median: $121.16
1.4× median
D0999Top 25%

Unspecified diagnostic procedure, by report

$927K

4,282 claims · 8.0%

Your Cost: $216.45/claim|Median: $101.33
2.1× median
99213Normal range

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

$841K

27K claims · 7.3%

Your Cost: $30.57/claim|Median: $37.81
0.8× median
99214Normal range

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

$273K

6,721 claims · 2.4%

Your Cost: $40.55/claim|Median: $53.41
0.8× median
G0467Top 25%

Federally qualified health center visit, mental health

$186K

5,424 claims · 1.6%

Your Cost: $34.35/claim|Median: $21.91
1.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$157K

2,658 claims · 1.4%

Your Cost: $59.21/claim|Median: $75.18
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$137K

7,946 claims · 1.2%

Your Cost: $17.19/claim|Median: $25.06
0.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$116K

2,072 claims · 1.0%

Your Cost: $56.12/claim|Median: $69.35
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$81K

1,322 claims · 0.7%

Your Cost: $61.29/claim|Median: $74.82
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$63K

968 claims · 0.5%

Your Cost: $65.19/claim|Median: $80.15
0.8× median
CP002Top 10%

$46K

4,664 claims · 0.4%

Your Cost: $9.82/claim|Median: $9.76
1.0× median
59430Normal range

$37K

624 claims · 0.3%

Your Cost: $58.62/claim|Median: $80.32
0.7× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$20K

1,562 claims · 0.2%

Your Cost: $12.58/claim|Median: $28.46
0.4× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$19K

361 claims · 0.2%

Your Cost: $53.98/claim|Median: $73.46
0.7× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$16K

486 claims · 0.1%

Your Cost: $33.35/claim|Median: $100.62
0.3× median
99463Normal range

$12K

133 claims · 0.1%

Your Cost: $91.74/claim|Median: $78.46
1.2× median
99000Normal range

$12K

3,234 claims · 0.1%

Your Cost: $3.76/claim|Median: $2.30
1.6× median
90837Normal range

Psychotherapy, 60 minutes

$11K

128 claims · 0.1%

Your Cost: $88.96/claim|Median: $85.66
1.0× median
99203Normal range

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

$11K

267 claims · 0.1%

Your Cost: $39.55/claim|Median: $57.85
0.7× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$9K

331 claims · 0.1%

Your Cost: $27.37/claim|Median: $40.11
0.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$7K

129 claims · 0.1%

Your Cost: $51.14/claim|Median: $72.71
0.7× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$6K

1,053 claims · 0.1%

Your Cost: $5.76/claim|Median: $9.56
0.6× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$4K

447 claims · 0.0%

Your Cost: $9.01/claim|Median: $41.92
0.2× median
0071ANormal range

$4K

161 claims · 0.0%

Your Cost: $22.40/claim|Median: $38.71
0.6× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$3K

166 claims · 0.0%

Your Cost: $18.17/claim|Median: $97.61
0.2× median
81003Normal range

Urinalysis, automated without microscopy

$2K

2,826 claims · 0.0%

Your Cost: $0.85/claim|Median: $1.48
0.6× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$2K

25 claims · 0.0%

Your Cost: $75.54/claim|Median: $169.17
0.4× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$2K

24 claims · 0.0%

Your Cost: $71.12/claim|Median: $62.48
1.1× median
G2025Normal range

$2K

90 claims · 0.0%

Your Cost: $18.21/claim|Median: $15.63
1.2× median
D0330Normal range

Panoramic radiographic image

$1K

472 claims · 0.0%

Your Cost: $3.09/claim|Median: $37.36
0.1× median
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