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Provider 1003861188

NPI: 1003861188Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.4M

$8,379,455

Total Claims

327K

Beneficiaries

276K

1.2 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$1.1M
-2%
2019
$1.1M
-25%
2020
$800K
+39%
2021
$1.1M
+32%
2022
$1.5M
-4%
2023
$1.4M
-0%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 37% of total spending.

99214Normal range

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

$3.1M

78K claims · 36.5%

Your Cost: $39.26/claim|Median: $53.41
0.7× median
99213Normal range

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

$1.9M

70K claims · 23.2%

Your Cost: $27.91/claim|Median: $37.81
0.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$304K

5,145 claims · 3.6%

Your Cost: $59.13/claim|Median: $69.35
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$245K

4,150 claims · 2.9%

Your Cost: $59.15/claim|Median: $75.18
0.8× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$231K

13K claims · 2.8%

Your Cost: $18.34/claim|Median: $20.83
0.9× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$220K

16K claims · 2.6%

Your Cost: $13.67/claim|Median: $23.99
0.6× median
99215Normal range

Office/outpatient visit, high complexity

$179K

3,170 claims · 2.1%

Your Cost: $56.39/claim|Median: $74.09
0.8× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$142K

4,506 claims · 1.7%

Your Cost: $31.57/claim|Median: $28.46
1.1× median
99233Normal range

Subsequent hospital care, per day, high complexity

$129K

5,534 claims · 1.5%

Your Cost: $23.33/claim|Median: $35.30
0.7× median
99223Normal range

Initial hospital care, per day, high complexity

$124K

3,037 claims · 1.5%

Your Cost: $40.93/claim|Median: $67.32
0.6× median
99393Normal range

Preventive medicine, established patient, age 5-11

$119K

2,044 claims · 1.4%

Your Cost: $58.15/claim|Median: $74.82
0.8× median
99204Normal range

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

$117K

2,374 claims · 1.4%

Your Cost: $49.17/claim|Median: $84.03
0.6× median
99000Normal range

$117K

31K claims · 1.4%

Your Cost: $3.71/claim|Median: $2.30
1.6× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$97K

9,489 claims · 1.2%

Your Cost: $10.21/claim|Median: $7.18
1.4× median
97110Normal range

Therapeutic exercises, each 15 min

$89K

3,920 claims · 1.1%

Your Cost: $22.79/claim|Median: $24.49
0.9× median
99203Normal range

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

$86K

2,012 claims · 1.0%

Your Cost: $42.92/claim|Median: $57.85
0.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$79K

1,656 claims · 0.9%

Your Cost: $47.75/claim|Median: $39.70
1.2× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$62K

898 claims · 0.7%

Your Cost: $68.50/claim|Median: $121.58
0.6× median
99222Normal range

Initial hospital care, per day, moderate complexity

$59K

1,725 claims · 0.7%

Your Cost: $34.33/claim|Median: $51.25
0.7× median
11721Normal range

$56K

5,115 claims · 0.7%

Your Cost: $10.96/claim|Median: $8.56
1.3× median
77067Top 25%

Screening mammography, bilateral, including CAD

$55K

584 claims · 0.7%

Your Cost: $95.01/claim|Median: $39.33
2.4× median
0240UNormal range

$52K

1,625 claims · 0.6%

Your Cost: $32.30/claim|Median: $89.76
0.4× median
3008FTop 10%

$46K

5,226 claims · 0.5%

Your Cost: $8.78/claim|Median: $0.06
146.3× median
92507Normal range

Speech/hearing/language treatment

$46K

1,001 claims · 0.5%

Your Cost: $45.53/claim|Median: $49.45
0.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$45K

367 claims · 0.5%

Your Cost: $122.62/claim|Median: $54.68
2.2× median
91322Normal range

$39K

371 claims · 0.5%

Your Cost: $106.45/claim|Median: $76.28
1.4× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$29K

1,102 claims · 0.3%

Your Cost: $26.12/claim|Median: $30.04
0.9× median
90677Top 25%

$25K

516 claims · 0.3%

Your Cost: $48.32/claim|Median: $12.96
3.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$23K

406 claims · 0.3%

Your Cost: $57.21/claim|Median: $80.15
0.7× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$23K

518 claims · 0.3%

Your Cost: $43.51/claim|Median: $29.03
1.5× median
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