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Provider 1023237518

NPI: 1023237518Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.3M

$18,332,928

Total Claims

439K

Beneficiaries

356K

1.2 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$252K
+28%
2019
$321K
+155%
2020
$820K
+350%
2021
$3.7M
+30%
2022
$4.8M
-7%
2023
$4.5M
-10%
2024
$4.0M

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 16% of total spending.

99213Normal range

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

$2.8M

70K claims · 15.5%

Your Cost: $40.50/claim|Median: $37.81
1.1× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$1.6M

32K claims · 8.9%

Your Cost: $51.75/claim|Median: $39.70
1.3× median
99214Normal range

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

$1.3M

24K claims · 7.1%

Your Cost: $55.41/claim|Median: $53.41
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$979K

11K claims · 5.3%

Your Cost: $92.83/claim|Median: $80.15
1.2× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$962K

11K claims · 5.2%

Your Cost: $88.89/claim|Median: $74.82
1.2× median
93303Normal range

Echocardiography, transthoracic, limited

$919K

8,118 claims · 5.0%

Your Cost: $113.20/claim|Median: $112.83
1.0× median
87804Normal range

Influenza virus detection, rapid test

$797K

56K claims · 4.3%

Your Cost: $14.33/claim|Median: $12.59
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$789K

29K claims · 4.3%

Your Cost: $27.03/claim|Median: $25.06
1.1× median
99291Top 25%

Critical care, first 30-74 minutes

$762K

3,924 claims · 4.2%

Your Cost: $194.16/claim|Median: $101.24
1.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$686K

7,993 claims · 3.7%

Your Cost: $85.86/claim|Median: $75.18
1.1× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$683K

9,841 claims · 3.7%

Your Cost: $69.38/claim|Median: $35.30
2.0× median
93229Top 25%

$612K

1,026 claims · 3.3%

Your Cost: $596.63/claim|Median: $364.01
1.6× median
99472Top 25%

Subsequent pediatric critical care, per day, age 2-5

$551K

1,493 claims · 3.0%

Your Cost: $369.26/claim|Median: $307.98
1.2× median
99223Top 10%

Initial hospital care, per day, high complexity

$487K

3,522 claims · 2.7%

Your Cost: $138.14/claim|Median: $67.32
2.1× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$448K

5,317 claims · 2.4%

Your Cost: $84.26/claim|Median: $69.35
1.2× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$434K

7,081 claims · 2.4%

Your Cost: $61.26/claim|Median: $37.22
1.6× median
99471Top 25%

$342K

436 claims · 1.9%

Your Cost: $784.91/claim|Median: $680.99
1.2× median
90471Normal range

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

$296K

23K claims · 1.6%

Your Cost: $12.67/claim|Median: $9.80
1.3× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$265K

2,468 claims · 1.4%

Your Cost: $107.36/claim|Median: $51.25
2.1× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$254K

1,917 claims · 1.4%

Your Cost: $132.63/claim|Median: $121.58
1.1× median
90472Normal range

Immunization administration, each additional vaccine

$244K

22K claims · 1.3%

Your Cost: $11.07/claim|Median: $11.79
0.9× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$216K

1,454 claims · 1.2%

Your Cost: $148.61/claim|Median: $54.68
2.7× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$205K

3,950 claims · 1.1%

Your Cost: $51.84/claim|Median: $23.99
2.2× median
93320Normal range

$192K

4,716 claims · 1.0%

Your Cost: $40.81/claim|Median: $28.68
1.4× median
99050Top 5%

$173K

2,113 claims · 0.9%

Your Cost: $81.93/claim|Median: $11.81
6.9× median
99395Normal range

Preventive medicine, established patient, age 18-39

$170K

1,912 claims · 0.9%

Your Cost: $89.01/claim|Median: $72.71
1.2× median
96110Normal range

Developmental screening, per standardized instrument

$149K

16K claims · 0.8%

Your Cost: $9.43/claim|Median: $9.10
1.0× median
93325Normal range

$88K

4,948 claims · 0.5%

Your Cost: $17.80/claim|Median: $14.61
1.2× median
99245Normal range

Office consultation, high complexity

$88K

593 claims · 0.5%

Your Cost: $148.02/claim|Median: $143.30
1.0× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$82K

5,616 claims · 0.4%

Your Cost: $14.59/claim|Median: $11.48
1.3× median
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