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Provider 1023064482

NPI: 1023064482Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.8M

$9,819,432

Total Claims

443K

Beneficiaries

373K

1.2 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-4%
2019
$1.4M
-5%
2020
$1.3M
+15%
2021
$1.5M
-7%
2022
$1.4M
+2%
2023
$1.4M
-7%
2024
$1.3M

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 43% of total spending.

99214Normal range

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

$4.2M

127K claims · 43.1%

Your Cost: $33.31/claim|Median: $53.41
0.6× median
99213Normal range

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

$1.6M

68K claims · 16.1%

Your Cost: $23.34/claim|Median: $37.81
0.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$489K

8,759 claims · 5.0%

Your Cost: $55.81/claim|Median: $69.35
0.8× median
93010Normal range

Electrocardiogram, interpretation and report only

$413K

70K claims · 4.2%

Your Cost: $5.86/claim|Median: $5.60
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$347K

6,113 claims · 3.5%

Your Cost: $56.78/claim|Median: $75.18
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$271K

8,798 claims · 2.8%

Your Cost: $30.76/claim|Median: $54.68
0.6× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$201K

2,501 claims · 2.0%

Your Cost: $80.41/claim|Median: $106.79
0.8× median
99203Normal range

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

$152K

4,125 claims · 1.5%

Your Cost: $36.84/claim|Median: $57.85
0.6× median
99233Normal range

Subsequent hospital care, per day, high complexity

$135K

7,247 claims · 1.4%

Your Cost: $18.61/claim|Median: $35.30
0.5× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$121K

4,103 claims · 1.2%

Your Cost: $29.41/claim|Median: $58.55
0.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$112K

1,921 claims · 1.1%

Your Cost: $58.25/claim|Median: $74.82
0.8× median
88175Top 25%

Cytopathology, cervical or vaginal, ThinPrep

$111K

4,130 claims · 1.1%

Your Cost: $26.95/claim|Median: $19.06
1.4× median
90834Normal range

Psychotherapy, 45 minutes

$85K

2,470 claims · 0.9%

Your Cost: $34.23/claim|Median: $63.65
0.5× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$83K

1,709 claims · 0.8%

Your Cost: $48.55/claim|Median: $108.91
0.4× median
U0003Top 25%

Infectious disease detection (COVID-19)

$82K

984 claims · 0.8%

Your Cost: $83.65/claim|Median: $63.08
1.3× median
11721Normal range

$81K

8,207 claims · 0.8%

Your Cost: $9.82/claim|Median: $8.56
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$80K

2,180 claims · 0.8%

Your Cost: $36.82/claim|Median: $74.09
0.5× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$71K

1,006 claims · 0.7%

Your Cost: $70.17/claim|Median: $121.58
0.6× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$69K

7,339 claims · 0.7%

Your Cost: $9.38/claim|Median: $7.18
1.3× median
99204Normal range

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

$59K

1,191 claims · 0.6%

Your Cost: $49.55/claim|Median: $84.03
0.6× median
76819Normal range

Fetal biophysical profile with non-stress test

$59K

1,916 claims · 0.6%

Your Cost: $30.70/claim|Median: $49.45
0.6× median
99000Normal range

$49K

17K claims · 0.5%

Your Cost: $2.81/claim|Median: $2.30
1.2× median
93356Normal range

$46K

2,741 claims · 0.5%

Your Cost: $16.67/claim|Median: $9.51
1.8× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$43K

1,130 claims · 0.4%

Your Cost: $37.75/claim|Median: $24.95
1.5× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$41K

1,127 claims · 0.4%

Your Cost: $36.50/claim|Median: $23.39
1.6× median
99212Normal range

Office/outpatient visit, low complexity

$38K

2,476 claims · 0.4%

Your Cost: $15.24/claim|Median: $25.06
0.6× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$31K

2,331 claims · 0.3%

Your Cost: $13.39/claim|Median: $23.99
0.6× median
87661Top 25%

Trichomonas vaginalis detection, nucleic acid, amplified probe

$30K

891 claims · 0.3%

Your Cost: $33.29/claim|Median: $21.08
1.6× median
88305Normal range

Surgical pathology, gross and microscopic examination

$24K

509 claims · 0.2%

Your Cost: $46.32/claim|Median: $35.80
1.3× median
3008FTop 10%

$24K

2,783 claims · 0.2%

Your Cost: $8.45/claim|Median: $0.06
140.9× median
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