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Provider 1003902610

NPI: 1003902610Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.8M

$9,844,897

Total Claims

375K

Beneficiaries

367K

1.0 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+31%
2019
$1.4M
+11%
2020
$1.6M
+20%
2021
$1.9M
-0%
2022
$1.9M
-20%
2023
$1.5M
-66%
2024
$516K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 29% of total spending.

99213Top 25%

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

$2.9M

49K claims · 29.2%

Your Cost: $59.21/claim|Median: $37.81
1.6× median
96156Top 25%

$1.9M

24K claims · 18.8%

Your Cost: $76.33/claim|Median: $22.36
3.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$617K

9,737 claims · 6.3%

Your Cost: $63.35/claim|Median: $80.15
0.8× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$608K

24K claims · 6.2%

Your Cost: $25.84/claim|Median: $12.70
2.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$466K

8,825 claims · 4.7%

Your Cost: $52.76/claim|Median: $74.82
0.7× median
G9920Top 25%

$413K

18K claims · 4.2%

Your Cost: $22.77/claim|Median: $6.56
3.5× median
96110Top 5%

Developmental screening, per standardized instrument

$318K

5,489 claims · 3.2%

Your Cost: $57.90/claim|Median: $9.10
6.4× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$315K

2,776 claims · 3.2%

Your Cost: $113.64/claim|Median: $72.71
1.6× median
92551Top 25%

Screening audiometry, pure tone, air only

$287K

25K claims · 2.9%

Your Cost: $11.44/claim|Median: $6.61
1.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$228K

5,161 claims · 2.3%

Your Cost: $44.23/claim|Median: $75.18
0.6× median
87110Top 25%

$212K

13K claims · 2.2%

Your Cost: $16.73/claim|Median: $8.42
2.0× median
G0442Top 25%

$182K

13K claims · 1.8%

Your Cost: $13.70/claim|Median: $4.91
2.8× median
80061Normal range

Lipid panel

$143K

13K claims · 1.5%

Your Cost: $11.21/claim|Median: $8.41
1.3× median
96150Normal range

Health behavior assessment, initial

$134K

5,805 claims · 1.4%

Your Cost: $23.08/claim|Median: $17.83
1.3× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$117K

14K claims · 1.2%

Your Cost: $8.34/claim|Median: $7.18
1.2× median
D1206Normal range

Topical application of fluoride varnish

$99K

5,507 claims · 1.0%

Your Cost: $17.97/claim|Median: $18.12
1.0× median
87070Normal range

Bacterial culture, any source except blood or urine

$91K

12K claims · 0.9%

Your Cost: $7.32/claim|Median: $5.89
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$90K

1,869 claims · 0.9%

Your Cost: $47.92/claim|Median: $69.35
0.7× median
81000Normal range

Urinalysis with microscopy, non-automated

$66K

25K claims · 0.7%

Your Cost: $2.64/claim|Median: $2.51
1.1× median
96151Top 25%

Health behavior reassessment

$49K

1,741 claims · 0.5%

Your Cost: $27.94/claim|Median: $15.43
1.8× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$43K

6,399 claims · 0.4%

Your Cost: $6.65/claim|Median: $11.48
0.6× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$35K

536 claims · 0.4%

Your Cost: $66.15/claim|Median: $81.92
0.8× median
85018Normal range

$34K

19K claims · 0.3%

Your Cost: $1.81/claim|Median: $1.71
1.1× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$32K

379 claims · 0.3%

Your Cost: $84.37/claim|Median: $83.63
1.0× median
99000Normal range

$32K

8,424 claims · 0.3%

Your Cost: $3.79/claim|Median: $2.30
1.6× median
90651Normal range

HPV vaccine, 9-valent

$31K

3,910 claims · 0.3%

Your Cost: $7.92/claim|Median: $8.93
0.9× median
36406Top 5%

$29K

1,384 claims · 0.3%

Your Cost: $20.87/claim|Median: $8.67
2.4× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$28K

167 claims · 0.3%

Your Cost: $170.48/claim|Median: $13.30
12.8× median
90700Normal range

$28K

3,473 claims · 0.3%

Your Cost: $7.98/claim|Median: $4.56
1.8× median
90621Normal range

$26K

3,426 claims · 0.3%

Your Cost: $7.71/claim|Median: $7.66
1.0× median
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