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Provider 1023167541

NPI: 1023167541Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.0M

$15,035,892

Total Claims

94K

Beneficiaries

84K

1.1 claims/patient

Avg Cost/Claim

$159

Monthly Spending Trend

Yearly Spending

2018
$1.9M
-44%
2019
$1.1M
+125%
2020
$2.4M
-1%
2021
$2.4M
+4%
2022
$2.5M
+85%
2023
$4.6M
-95%
2024
$246K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (Z9560) accounts for 82% of total spending.

Z9560Normal range

$12.4M

22K claims · 82.2%

Your Cost: $574.77/claim|Median: $559.78
1.0× median
Z9557Normal range

$862K

1,436 claims · 5.7%

Your Cost: $600.00/claim|Median: $627.80
1.0× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$338K

3,684 claims · 2.2%

Your Cost: $91.73/claim|Median: $40.11
2.3× median
99213Top 25%

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

$300K

4,662 claims · 2.0%

Your Cost: $64.31/claim|Median: $37.81
1.7× median
99211Top 25%

Office/outpatient visit, minimal complexity

$295K

11K claims · 2.0%

Your Cost: $27.38/claim|Median: $12.93
2.1× median
90716Top 5%

$103K

2,985 claims · 0.7%

Your Cost: $34.56/claim|Median: $6.18
5.6× median
90651Top 25%

HPV vaccine, 9-valent

$95K

3,055 claims · 0.6%

Your Cost: $31.08/claim|Median: $8.93
3.5× median
90707Top 5%

MMR vaccine

$92K

2,635 claims · 0.6%

Your Cost: $34.97/claim|Median: $5.76
6.1× median
90715Normal range

Tdap vaccine

$76K

4,742 claims · 0.5%

Your Cost: $15.98/claim|Median: $10.32
1.5× median
99203Top 10%

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

$65K

591 claims · 0.4%

Your Cost: $109.66/claim|Median: $57.85
1.9× median
J0561Normal range

$45K

2,871 claims · 0.3%

Your Cost: $15.58/claim|Median: $96.49
0.2× median
H0033Normal range

Oral medication administration, direct observation

$44K

2,830 claims · 0.3%

Your Cost: $15.49/claim|Median: $31.37
0.5× median
99212Top 25%

Office/outpatient visit, low complexity

$41K

871 claims · 0.3%

Your Cost: $47.42/claim|Median: $25.06
1.9× median
90734Top 25%

$29K

1,890 claims · 0.2%

Your Cost: $15.59/claim|Median: $6.40
2.4× median
Q0144Normal range

$25K

3,119 claims · 0.2%

Your Cost: $7.93/claim|Median: $5.57
1.4× median
90633Normal range

$21K

2,313 claims · 0.1%

Your Cost: $9.13/claim|Median: $3.56
2.6× median
87491Top 5%

Chlamydia detection, nucleic acid, amplified probe

$21K

236 claims · 0.1%

Your Cost: $88.52/claim|Median: $24.95
3.5× median
90713Normal range

Poliovirus vaccine (IPV)

$20K

2,013 claims · 0.1%

Your Cost: $9.95/claim|Median: $5.41
1.8× median
99214Normal range

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

$18K

353 claims · 0.1%

Your Cost: $49.82/claim|Median: $53.41
0.9× median
90739Top 25%

$17K

123 claims · 0.1%

Your Cost: $135.58/claim|Median: $74.43
1.8× median
J3490Top 25%

Unclassified drugs

$16K

366 claims · 0.1%

Your Cost: $44.50/claim|Median: $5.70
7.8× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$16K

1,757 claims · 0.1%

Your Cost: $8.82/claim|Median: $7.18
1.2× median
Q0111Normal range

$14K

3,973 claims · 0.1%

Your Cost: $3.48/claim|Median: $3.66
1.0× median
J0696Top 25%

$14K

2,740 claims · 0.1%

Your Cost: $5.03/claim|Median: $1.34
3.8× median
90670Normal range

$14K

1,093 claims · 0.1%

Your Cost: $12.59/claim|Median: $5.94
2.1× median
90744Normal range

$10K

1,160 claims · 0.1%

Your Cost: $8.98/claim|Median: $5.00
1.8× median
90710Normal range

MMRV vaccine

$9K

1,049 claims · 0.1%

Your Cost: $9.01/claim|Median: $7.00
1.3× median
90723Normal range

DTaP-HepB-IPV vaccine

$9K

1,008 claims · 0.1%

Your Cost: $9.14/claim|Median: $5.78
1.6× median
90648Normal range

$9K

1,026 claims · 0.1%

Your Cost: $8.97/claim|Median: $4.08
2.2× median
99383Top 10%

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

$8K

53 claims · 0.1%

Your Cost: $144.29/claim|Median: $81.92
1.8× median
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