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Provider 1033130117

NPI: 1033130117Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.1M

$11,135,917

Total Claims

646K

Beneficiaries

478K

1.4 claims/patient

Avg Cost/Claim

$17

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+15%
2019
$1.5M
-21%
2020
$1.2M
+45%
2021
$1.7M
+23%
2022
$2.1M
-11%
2023
$1.9M
-17%
2024
$1.5M

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 33% of total spending.

99213Top 25%

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

$3.7M

64K claims · 32.9%

Your Cost: $57.63/claim|Median: $37.81
1.5× median
99199Normal range

Unlisted special service, procedure, or report

$1.5M

247K claims · 13.3%

Your Cost: $5.98/claim|Median: $5.39
1.1× median
99214Top 25%

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

$1.1M

13K claims · 9.9%

Your Cost: $83.61/claim|Median: $53.41
1.6× median
99393Normal range

Preventive medicine, established patient, age 5-11

$803K

9,777 claims · 7.2%

Your Cost: $82.12/claim|Median: $74.82
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$796K

9,758 claims · 7.1%

Your Cost: $81.58/claim|Median: $75.18
1.1× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$782K

20K claims · 7.0%

Your Cost: $38.67/claim|Median: $17.85
2.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$591K

7,487 claims · 5.3%

Your Cost: $78.92/claim|Median: $69.35
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$478K

5,508 claims · 4.3%

Your Cost: $86.83/claim|Median: $80.15
1.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$308K

6,930 claims · 2.8%

Your Cost: $44.48/claim|Median: $39.70
1.1× median
96110Normal range

Developmental screening, per standardized instrument

$140K

16K claims · 1.3%

Your Cost: $8.89/claim|Median: $9.10
1.0× median
87804Normal range

Influenza virus detection, rapid test

$135K

10K claims · 1.2%

Your Cost: $12.87/claim|Median: $12.59
1.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$107K

21K claims · 1.0%

Your Cost: $5.23/claim|Median: $3.67
1.4× median
99051Top 25%

$102K

4,477 claims · 0.9%

Your Cost: $22.82/claim|Median: $7.89
2.9× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$101K

3,052 claims · 0.9%

Your Cost: $33.05/claim|Median: $57.30
0.6× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$77K

13K claims · 0.7%

Your Cost: $5.91/claim|Median: $12.70
0.5× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$63K

5,025 claims · 0.6%

Your Cost: $12.57/claim|Median: $11.48
1.1× median
87899Top 25%

$55K

4,623 claims · 0.5%

Your Cost: $11.80/claim|Median: $7.65
1.5× median
D1206Normal range

Topical application of fluoride varnish

$45K

3,054 claims · 0.4%

Your Cost: $14.64/claim|Median: $18.12
0.8× median
92551Normal range

Screening audiometry, pure tone, air only

$34K

19K claims · 0.3%

Your Cost: $1.76/claim|Median: $6.61
0.3× median
90471Top 25%

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

$32K

1,699 claims · 0.3%

Your Cost: $18.79/claim|Median: $9.80
1.9× median
99212Top 25%

Office/outpatient visit, low complexity

$26K

685 claims · 0.2%

Your Cost: $38.58/claim|Median: $25.06
1.5× median
96160Normal range

Patient-focused health risk assessment

$21K

6,764 claims · 0.2%

Your Cost: $3.17/claim|Median: $2.10
1.5× median
99211Normal range

Office/outpatient visit, minimal complexity

$21K

1,149 claims · 0.2%

Your Cost: $18.66/claim|Median: $12.93
1.4× median
95117Normal range

$19K

2,220 claims · 0.2%

Your Cost: $8.56/claim|Median: $8.34
1.0× median
85018Normal range

$17K

12K claims · 0.2%

Your Cost: $1.45/claim|Median: $1.71
0.8× median
80061Top 25%

Lipid panel

$17K

1,195 claims · 0.2%

Your Cost: $14.20/claim|Median: $8.41
1.7× median
96161Normal range

$13K

3,919 claims · 0.1%

Your Cost: $3.34/claim|Median: $2.49
1.3× median
99381Top 25%

Preventive visit, new patient, infant (<1 yr)

$13K

139 claims · 0.1%

Your Cost: $93.30/claim|Median: $73.46
1.3× median
E0570Top 5%

Nebulizer, with compressor

$13K

106 claims · 0.1%

Your Cost: $119.76/claim|Median: $16.16
7.4× median
99173Normal range

$11K

20K claims · 0.1%

Your Cost: $0.58/claim|Median: $2.16
0.3× median
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