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Provider 1033495221

NPI: 1033495221Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.0M

$8,992,377

Total Claims

327K

Beneficiaries

235K

1.4 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$803K
+19%
2019
$952K
+28%
2020
$1.2M
+52%
2021
$1.9M
-1%
2022
$1.8M
-25%
2023
$1.4M
-32%
2024
$938K

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 21% of total spending.

99213Normal range

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

$1.9M

49K claims · 20.8%

Your Cost: $38.30/claim|Median: $37.81
1.0× median
G0482Normal range

Drug test, definitive, 15-21 drug classes

$941K

10K claims · 10.5%

Your Cost: $91.20/claim|Median: $75.26
1.2× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$834K

4,991 claims · 9.3%

Your Cost: $167.11/claim|Median: $169.17
1.0× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$745K

17K claims · 8.3%

Your Cost: $43.34/claim|Median: $35.43
1.2× median
99214Normal range

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

$681K

10K claims · 7.6%

Your Cost: $66.44/claim|Median: $53.41
1.2× median
86769Normal range

Antibody, SARS-CoV-2 (COVID-19)

$432K

19K claims · 4.8%

Your Cost: $22.86/claim|Median: $26.94
0.8× median
99243Top 25%

Office or other outpatient consultation, low complexity

$366K

3,601 claims · 4.1%

Your Cost: $101.63/claim|Median: $82.43
1.2× median
U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$282K

7,184 claims · 3.1%

Your Cost: $39.31/claim|Median: $60.05
0.7× median
99203Normal range

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

$253K

4,263 claims · 2.8%

Your Cost: $59.40/claim|Median: $57.85
1.0× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$204K

12K claims · 2.3%

Your Cost: $17.27/claim|Median: $9.87
1.8× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$194K

5,597 claims · 2.2%

Your Cost: $34.65/claim|Median: $26.72
1.3× median
G2023Normal range

Specimen collection for COVID-19 testing

$147K

11K claims · 1.6%

Your Cost: $12.84/claim|Median: $17.15
0.7× median
87581Normal range

$143K

6,604 claims · 1.6%

Your Cost: $21.69/claim|Median: $17.13
1.3× median
90791Normal range

Psychiatric diagnostic evaluation

$116K

1,453 claims · 1.3%

Your Cost: $79.83/claim|Median: $99.21
0.8× median
87486Normal range

$111K

5,122 claims · 1.2%

Your Cost: $21.72/claim|Median: $19.16
1.1× median
80061Normal range

Lipid panel

$105K

11K claims · 1.2%

Your Cost: $9.97/claim|Median: $8.41
1.2× median
80053Normal range

Comprehensive metabolic panel

$104K

13K claims · 1.2%

Your Cost: $8.25/claim|Median: $7.24
1.1× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$91K

11K claims · 1.0%

Your Cost: $8.10/claim|Median: $4.71
1.7× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$89K

808 claims · 1.0%

Your Cost: $110.51/claim|Median: $121.58
0.9× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$82K

6,670 claims · 0.9%

Your Cost: $12.24/claim|Median: $15.76
0.8× median
71046Normal range

Chest X-ray, 2 views

$81K

7,456 claims · 0.9%

Your Cost: $10.87/claim|Median: $8.92
1.2× median
99211Normal range

Office/outpatient visit, minimal complexity

$80K

6,776 claims · 0.9%

Your Cost: $11.79/claim|Median: $12.93
0.9× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$79K

2,324 claims · 0.9%

Your Cost: $34.10/claim|Median: $65.64
0.5× median
64636Normal range

$76K

1,508 claims · 0.9%

Your Cost: $50.73/claim|Median: $63.60
0.8× median
84146Top 25%

$73K

3,506 claims · 0.8%

Your Cost: $20.83/claim|Median: $13.66
1.5× median
64635Normal range

$68K

730 claims · 0.8%

Your Cost: $92.52/claim|Median: $207.78
0.4× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$67K

7,748 claims · 0.7%

Your Cost: $8.69/claim|Median: $5.50
1.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$63K

13K claims · 0.7%

Your Cost: $4.94/claim|Median: $9.56
0.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$59K

1,978 claims · 0.7%

Your Cost: $29.68/claim|Median: $39.70
0.7× median
82306Normal range

Vitamin D, 25 hydroxy

$48K

1,915 claims · 0.5%

Your Cost: $25.25/claim|Median: $18.18
1.4× median
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