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Provider 1013278720

NPI: 1013278720Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.0M

$9,966,051

Total Claims

397K

Beneficiaries

375K

1.1 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$607K
+197%
2019
$1.8M
-4%
2020
$1.7M
+16%
2021
$2.0M
-18%
2022
$1.6M
-28%
2023
$1.2M
-17%
2024
$992K

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 28% of total spending.

99213Normal range

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

$2.8M

55K claims · 27.9%

Your Cost: $50.71/claim|Median: $37.81
1.3× median
S0302Top 10%

$1.8M

43K claims · 17.7%

Your Cost: $40.85/claim|Median: $9.05
4.5× median
99214Normal range

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

$937K

14K claims · 9.4%

Your Cost: $67.17/claim|Median: $53.41
1.3× median
X5622Normal range

$893K

16K claims · 9.0%

Your Cost: $56.09/claim|Median: $52.61
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$489K

9,076 claims · 4.9%

Your Cost: $53.92/claim|Median: $75.18
0.7× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$482K

19K claims · 4.8%

Your Cost: $24.88/claim|Median: $17.85
1.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$384K

7,422 claims · 3.9%

Your Cost: $51.71/claim|Median: $74.82
0.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$342K

7,653 claims · 3.4%

Your Cost: $44.71/claim|Median: $69.35
0.6× median
87635Top 25%

COVID-19 SARS-CoV-2 amplified probe detection

$285K

5,641 claims · 2.9%

Your Cost: $50.46/claim|Median: $39.70
1.3× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$233K

8,100 claims · 2.3%

Your Cost: $28.80/claim|Median: $28.46
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$191K

3,662 claims · 1.9%

Your Cost: $52.28/claim|Median: $80.15
0.7× median
0241UTop 25%

Proprietary lab analysis, genomic sequencing

$120K

895 claims · 1.2%

Your Cost: $134.30/claim|Median: $91.47
1.5× median
96110Normal range

Developmental screening, per standardized instrument

$101K

24K claims · 1.0%

Your Cost: $4.21/claim|Median: $9.10
0.5× median
99188Normal range

$96K

16K claims · 1.0%

Your Cost: $6.07/claim|Median: $12.80
0.5× median
90461Normal range

Immunization admin, additional vaccine, counseling

$95K

8,718 claims · 1.0%

Your Cost: $10.90/claim|Median: $6.93
1.6× median
G2023Normal range

Specimen collection for COVID-19 testing

$92K

3,988 claims · 0.9%

Your Cost: $22.98/claim|Median: $17.15
1.3× median
92551Normal range

Screening audiometry, pure tone, air only

$87K

19K claims · 0.9%

Your Cost: $4.65/claim|Median: $6.61
0.7× median
0240UTop 25%

$84K

601 claims · 0.8%

Your Cost: $139.95/claim|Median: $89.76
1.6× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$76K

20K claims · 0.8%

Your Cost: $3.86/claim|Median: $3.67
1.1× median
90471Normal range

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

$73K

10K claims · 0.7%

Your Cost: $7.15/claim|Median: $9.80
0.7× median
U0003Top 10%

Infectious disease detection (COVID-19)

$69K

678 claims · 0.7%

Your Cost: $101.07/claim|Median: $63.08
1.6× median
99203Normal range

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

$38K

532 claims · 0.4%

Your Cost: $70.86/claim|Median: $57.85
1.2× median
83655Normal range

$27K

2,569 claims · 0.3%

Your Cost: $10.64/claim|Median: $10.49
1.0× median
87502Top 25%

Influenza virus detection, reverse transcription, amplified probe

$25K

275 claims · 0.2%

Your Cost: $89.36/claim|Median: $65.64
1.4× median
90472Normal range

Immunization administration, each additional vaccine

$24K

4,455 claims · 0.2%

Your Cost: $5.45/claim|Median: $11.79
0.5× median
36416Normal range

$23K

8,825 claims · 0.2%

Your Cost: $2.59/claim|Median: $1.31
2.0× median
99173Normal range

$18K

20K claims · 0.2%

Your Cost: $0.88/claim|Median: $2.16
0.4× median
99212Normal range

Office/outpatient visit, low complexity

$12K

464 claims · 0.1%

Your Cost: $26.00/claim|Median: $25.06
1.0× median
80061Normal range

Lipid panel

$11K

1,149 claims · 0.1%

Your Cost: $9.91/claim|Median: $8.41
1.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$11K

12K claims · 0.1%

Your Cost: $0.91/claim|Median: $7.18
0.1× median
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