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Provider 1023175239

NPI: 1023175239Share
Active Billing Period:2019-06→2024-12(58 months)

Total Paid

$8.8M

$8,848,044

Total Claims

118K

Beneficiaries

94K

1.3 claims/patient

Avg Cost/Claim

$75

Monthly Spending Trend

Yearly Spending

2019
$976
+39471%
2020
$386K
+541%
2021
$2.5M
+6%
2022
$2.6M
-12%
2023
$2.3M
-54%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (J2357 (Injection, omalizumab, 5 mg)) accounts for 47% of total spending.

J2357Top 25%

Injection, omalizumab, 5 mg

$4.2M

2,141 claims · 47.2%

Your Cost: $1,949.79/claim|Median: $920.37
2.1× median
95165Top 25%

Professional services for allergen immunotherapy, per injection

$1.3M

5,219 claims · 14.4%

Your Cost: $244.88/claim|Median: $144.04
1.7× median
95004Top 25%

Percutaneous allergy skin tests, each

$1.0M

4,377 claims · 11.5%

Your Cost: $233.30/claim|Median: $134.97
1.7× median
99214Normal range

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

$729K

15K claims · 8.2%

Your Cost: $48.26/claim|Median: $53.41
0.9× median
96401Top 25%

$401K

3,735 claims · 4.5%

Your Cost: $107.48/claim|Median: $40.24
2.7× median
95117Top 25%

$256K

25K claims · 2.9%

Your Cost: $10.31/claim|Median: $8.34
1.2× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$194K

1,609 claims · 2.2%

Your Cost: $120.64/claim|Median: $121.58
1.0× median
94375Top 25%

$152K

5,089 claims · 1.7%

Your Cost: $29.83/claim|Median: $17.23
1.7× median
99204Normal range

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

$140K

1,762 claims · 1.6%

Your Cost: $79.46/claim|Median: $84.03
0.9× median
99213Normal range

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

$114K

3,324 claims · 1.3%

Your Cost: $34.18/claim|Median: $37.81
0.9× median
94010Normal range

$75K

3,132 claims · 0.8%

Your Cost: $23.94/claim|Median: $18.11
1.3× median
70486Top 25%

$66K

516 claims · 0.7%

Your Cost: $127.14/claim|Median: $44.28
2.9× median
95012Normal range

$50K

3,573 claims · 0.6%

Your Cost: $13.96/claim|Median: $10.98
1.3× median
95115Top 25%

$50K

5,896 claims · 0.6%

Your Cost: $8.43/claim|Median: $6.96
1.2× median
94060Normal range

$33K

815 claims · 0.4%

Your Cost: $40.46/claim|Median: $25.18
1.6× median
A7016Normal range

$23K

7,334 claims · 0.3%

Your Cost: $3.08/claim|Median: $3.21
1.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$21K

1,830 claims · 0.2%

Your Cost: $11.60/claim|Median: $12.93
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$16K

210 claims · 0.2%

Your Cost: $75.66/claim|Median: $74.09
1.0× median
99245Normal range

Office consultation, high complexity

$14K

91 claims · 0.2%

Your Cost: $156.99/claim|Median: $143.30
1.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$14K

1,303 claims · 0.2%

Your Cost: $10.86/claim|Median: $9.56
1.1× median
99243Normal range

Office or other outpatient consultation, low complexity

$7K

85 claims · 0.1%

Your Cost: $83.72/claim|Median: $82.43
1.0× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$5K

775 claims · 0.1%

Your Cost: $6.44/claim|Median: $10.88
0.6× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$4K

9,141 claims · 0.0%

Your Cost: $0.44/claim|Median: $0.79
0.6× median
99203Normal range

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

$3K

49 claims · 0.0%

Your Cost: $51.40/claim|Median: $57.85
0.9× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$2K

43 claims · 0.0%

Your Cost: $40.00/claim|Median: $33.72
1.2× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$2K

42 claims · 0.0%

Your Cost: $40.00/claim|Median: $36.70
1.1× median
A4208Normal range

$2K

3,555 claims · 0.0%

Your Cost: $0.43/claim|Median: $0.12
3.5× median
99358Top 25%

$1K

26 claims · 0.0%

Your Cost: $52.16/claim|Median: $14.34
3.6× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$1K

13 claims · 0.0%

Your Cost: $101.68/claim|Median: $111.09
0.9× median
A7015Normal range

$907

755 claims · 0.0%

Your Cost: $1.20/claim|Median: $1.08
1.1× median
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