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Provider 1033144027

NPI: 1033144027Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.0M

$10,031,196

Total Claims

227K

Beneficiaries

215K

1.1 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$3.3M
-61%
2019
$1.3M
-42%
2020
$752K
+16%
2021
$870K
+10%
2022
$958K
+53%
2023
$1.5M
-6%
2024
$1.4M

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 20% of total spending.

99213Top 10%

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

$2.0M

25K claims · 19.6%

Your Cost: $80.12/claim|Median: $37.81
2.1× median
99214Top 5%

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

$1.3M

9,805 claims · 12.6%

Your Cost: $128.47/claim|Median: $53.41
2.4× median
99203Top 1%

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

$995K

4,336 claims · 9.9%

Your Cost: $229.51/claim|Median: $57.85
4.0× median
87806Normal range

$764K

34K claims · 7.6%

Your Cost: $22.24/claim|Median: $20.54
1.1× median
99212Top 10%

Office/outpatient visit, low complexity

$660K

11K claims · 6.6%

Your Cost: $59.09/claim|Median: $25.06
2.4× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$597K

4,422 claims · 6.0%

Your Cost: $135.06/claim|Median: $40.11
3.4× median
S4993Top 25%

$556K

4,904 claims · 5.5%

Your Cost: $113.30/claim|Median: $46.61
2.4× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$468K

608 claims · 4.7%

Your Cost: $770.37/claim|Median: $786.43
1.0× median
J3490Top 25%

Unclassified drugs

$432K

9,824 claims · 4.3%

Your Cost: $44.01/claim|Median: $5.70
7.7× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$416K

14K claims · 4.2%

Your Cost: $29.81/claim|Median: $24.95
1.2× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$380K

14K claims · 3.8%

Your Cost: $27.17/claim|Median: $23.39
1.2× median
S0199Normal range

$262K

522 claims · 2.6%

Your Cost: $501.81/claim|Median: $454.23
1.1× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$174K

1,972 claims · 1.7%

Your Cost: $88.47/claim|Median: $27.38
3.2× median
99211Top 10%

Office/outpatient visit, minimal complexity

$172K

3,384 claims · 1.7%

Your Cost: $50.83/claim|Median: $12.93
3.9× median
J7304Normal range

$146K

251 claims · 1.5%

Your Cost: $581.08/claim|Median: $630.59
0.9× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$141K

6,655 claims · 1.4%

Your Cost: $21.21/claim|Median: $21.08
1.0× median
11981Normal range

$91K

466 claims · 0.9%

Your Cost: $196.16/claim|Median: $117.16
1.7× median
81025Normal range

Urine pregnancy test

$74K

26K claims · 0.7%

Your Cost: $2.83/claim|Median: $4.81
0.6× median
58300Normal range

$61K

608 claims · 0.6%

Your Cost: $100.99/claim|Median: $74.77
1.4× median
99000Normal range

$60K

18K claims · 0.6%

Your Cost: $3.36/claim|Median: $2.30
1.5× median
J1050Top 25%

Injection, medroxyprogesterone acetate, one milligram

$53K

668 claims · 0.5%

Your Cost: $79.27/claim|Median: $41.92
1.9× median
A4267Normal range

$51K

7,197 claims · 0.5%

Your Cost: $7.02/claim|Median: $7.86
0.9× median
S9445Normal range

$31K

2,428 claims · 0.3%

Your Cost: $12.71/claim|Median: $12.72
1.0× median
J7300Normal range

$28K

45 claims · 0.3%

Your Cost: $629.84/claim|Median: $692.75
0.9× median
S0190Normal range

$23K

380 claims · 0.2%

Your Cost: $61.00/claim|Median: $58.42
1.0× median
83986Normal range

$23K

8,799 claims · 0.2%

Your Cost: $2.60/claim|Median: $2.70
1.0× median
S5000Normal range

Prescription drug, generic

$22K

3,262 claims · 0.2%

Your Cost: $6.74/claim|Median: $7.47
0.9× median
87210Normal range

$17K

6,056 claims · 0.2%

Your Cost: $2.84/claim|Median: $3.65
0.8× median
99204Top 1%

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

$16K

64 claims · 0.2%

Your Cost: $244.03/claim|Median: $84.03
2.9× median
J7303Normal range

$14K

155 claims · 0.1%

Your Cost: $92.11/claim|Median: $125.58
0.7× median
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