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Provider 1003904236

NPI: 1003904236Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.8M

$17,807,606

Total Claims

869K

Beneficiaries

730K

1.2 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2018
$2.4M
+17%
2019
$2.8M
-27%
2020
$2.0M
+29%
2021
$2.6M
+10%
2022
$2.8M
-0%
2023
$2.8M
-16%
2024
$2.4M

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 21% of total spending.

99213Normal range

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

$3.7M

87K claims · 20.6%

Your Cost: $42.29/claim|Median: $37.81
1.1× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$3.0M

41K claims · 16.9%

Your Cost: $72.64/claim|Median: $65.64
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.3M

21K claims · 7.5%

Your Cost: $63.54/claim|Median: $75.18
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$1.3M

52K claims · 7.2%

Your Cost: $24.87/claim|Median: $25.06
1.0× median
87634Normal range

$1.1M

21K claims · 6.4%

Your Cost: $53.20/claim|Median: $48.78
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.1M

21K claims · 6.1%

Your Cost: $52.34/claim|Median: $69.35
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.1M

17K claims · 5.9%

Your Cost: $63.15/claim|Median: $74.82
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$808K

12K claims · 4.5%

Your Cost: $66.90/claim|Median: $80.15
0.8× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$696K

16K claims · 3.9%

Your Cost: $42.27/claim|Median: $39.70
1.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$598K

92K claims · 3.4%

Your Cost: $6.47/claim|Median: $4.71
1.4× median
90471Normal range

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

$588K

48K claims · 3.3%

Your Cost: $12.31/claim|Median: $9.80
1.3× median
99214Normal range

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

$541K

8,360 claims · 3.0%

Your Cost: $64.66/claim|Median: $53.41
1.2× median
90472Normal range

Immunization administration, each additional vaccine

$349K

29K claims · 2.0%

Your Cost: $12.18/claim|Median: $11.79
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$224K

21K claims · 1.3%

Your Cost: $10.78/claim|Median: $11.48
0.9× median
80061Normal range

Lipid panel

$197K

20K claims · 1.1%

Your Cost: $9.60/claim|Median: $8.41
1.1× median
99051Normal range

$171K

12K claims · 1.0%

Your Cost: $14.09/claim|Median: $7.89
1.8× median
92551Normal range

Screening audiometry, pure tone, air only

$131K

18K claims · 0.7%

Your Cost: $7.11/claim|Median: $6.61
1.1× median
G0447Normal range

$106K

37K claims · 0.6%

Your Cost: $2.84/claim|Median: $5.19
0.5× median
90474Normal range

$70K

9,558 claims · 0.4%

Your Cost: $7.35/claim|Median: $8.42
0.9× median
82947Normal range

Blood glucose level test

$65K

20K claims · 0.4%

Your Cost: $3.24/claim|Median: $2.38
1.4× median
96110Normal range

Developmental screening, per standardized instrument

$60K

13K claims · 0.3%

Your Cost: $4.66/claim|Median: $9.10
0.5× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$51K

1,172 claims · 0.3%

Your Cost: $43.67/claim|Median: $37.22
1.2× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$47K

1,291 claims · 0.3%

Your Cost: $36.53/claim|Median: $62.48
0.6× median
87806Normal range

$40K

2,847 claims · 0.2%

Your Cost: $14.21/claim|Median: $20.54
0.7× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$36K

35K claims · 0.2%

Your Cost: $1.03/claim|Median: $24.33
0.0× median
99173Normal range

$36K

22K claims · 0.2%

Your Cost: $1.66/claim|Median: $2.16
0.8× median
81025Normal range

Urine pregnancy test

$36K

7,261 claims · 0.2%

Your Cost: $4.92/claim|Median: $4.81
1.0× median
99499Normal range

Unlisted evaluation and management service

$31K

3,581 claims · 0.2%

Your Cost: $8.77/claim|Median: $30.88
0.3× median
83655Normal range

$31K

3,037 claims · 0.2%

Your Cost: $10.07/claim|Median: $10.49
1.0× median
90620Normal range

$28K

2,660 claims · 0.2%

Your Cost: $10.54/claim|Median: $6.49
1.6× median
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