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Provider 1003945676

NPI: 1003945676Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.1M

$11,078,711

Total Claims

353K

Beneficiaries

326K

1.1 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$456K
+83%
2019
$832K
+38%
2020
$1.1M
+54%
2021
$1.8M
+25%
2022
$2.2M
+13%
2023
$2.5M
-12%
2024
$2.2M

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 27% of total spending.

99214Top 25%

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

$3.0M

39K claims · 27.4%

Your Cost: $77.08/claim|Median: $53.41
1.4× median
99213Top 25%

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

$2.2M

40K claims · 19.5%

Your Cost: $54.69/claim|Median: $37.81
1.4× median
99203Normal range

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

$1.1M

16K claims · 10.3%

Your Cost: $69.39/claim|Median: $57.85
1.2× median
99204Normal range

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

$979K

9,668 claims · 8.8%

Your Cost: $101.26/claim|Median: $84.03
1.2× median
87428Normal range

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

$535K

18K claims · 4.8%

Your Cost: $29.82/claim|Median: $39.63
0.8× median
99058Normal range

$504K

22K claims · 4.6%

Your Cost: $22.79/claim|Median: $15.38
1.5× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$358K

29K claims · 3.2%

Your Cost: $12.54/claim|Median: $11.48
1.1× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$318K

6,409 claims · 2.9%

Your Cost: $49.58/claim|Median: $40.11
1.2× median
87426Normal range

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

$312K

11K claims · 2.8%

Your Cost: $27.56/claim|Median: $30.04
0.9× median
71046Top 25%

Chest X-ray, 2 views

$228K

9,634 claims · 2.1%

Your Cost: $23.64/claim|Median: $8.92
2.7× median
87804Normal range

Influenza virus detection, rapid test

$228K

18K claims · 2.1%

Your Cost: $12.49/claim|Median: $12.59
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$223K

6,867 claims · 2.0%

Your Cost: $32.41/claim|Median: $25.06
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$135K

1,284 claims · 1.2%

Your Cost: $105.43/claim|Median: $74.09
1.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$105K

16K claims · 1.0%

Your Cost: $6.72/claim|Median: $4.71
1.4× median
80047Normal range

$90K

11K claims · 0.8%

Your Cost: $8.36/claim|Median: $6.12
1.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$55K

452 claims · 0.5%

Your Cost: $120.58/claim|Median: $111.09
1.1× median
36415Normal range

Collection of venous blood by venipuncture

$44K

20K claims · 0.4%

Your Cost: $2.19/claim|Median: $1.57
1.4× median
99051Normal range

$43K

5,960 claims · 0.4%

Your Cost: $7.25/claim|Median: $7.89
0.9× median
73564Top 25%

$42K

1,306 claims · 0.4%

Your Cost: $32.52/claim|Median: $15.00
2.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$37K

3,554 claims · 0.3%

Your Cost: $10.37/claim|Median: $9.56
1.1× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$34K

3,278 claims · 0.3%

Your Cost: $10.46/claim|Median: $9.70
1.1× median
73610Top 25%

X-ray of ankle, complete, minimum three views

$33K

1,277 claims · 0.3%

Your Cost: $26.20/claim|Median: $13.55
1.9× median
81000Normal range

Urinalysis with microscopy, non-automated

$31K

9,857 claims · 0.3%

Your Cost: $3.11/claim|Median: $2.51
1.2× median
73630Top 25%

X-ray, foot, complete, minimum 3 views

$29K

1,196 claims · 0.3%

Your Cost: $24.47/claim|Median: $12.06
2.0× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$24K

1,601 claims · 0.2%

Your Cost: $14.98/claim|Median: $7.18
2.1× median
81025Normal range

Urine pregnancy test

$23K

3,691 claims · 0.2%

Your Cost: $6.34/claim|Median: $4.81
1.3× median
72110Normal range

$23K

660 claims · 0.2%

Your Cost: $35.30/claim|Median: $21.02
1.7× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$23K

788 claims · 0.2%

Your Cost: $29.49/claim|Median: $27.38
1.1× median
90715Top 25%

Tdap vaccine

$23K

763 claims · 0.2%

Your Cost: $29.67/claim|Median: $10.32
2.9× median
81002Normal range

Urinalysis, non-automated without microscopy

$22K

8,672 claims · 0.2%

Your Cost: $2.57/claim|Median: $2.00
1.3× median
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