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Provider 1043285729

NPI: 1043285729Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.6M

$10,629,986

Total Claims

457K

Beneficiaries

353K

1.3 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+26%
2019
$1.3M
+6%
2020
$1.4M
+21%
2021
$1.7M
+8%
2022
$1.8M
-5%
2023
$1.7M
+1%
2024
$1.7M

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 29% of total spending.

99213Normal range

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

$3.1M

68K claims · 28.7%

Your Cost: $44.79/claim|Median: $37.81
1.2× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$1.3M

53K claims · 12.6%

Your Cost: $25.42/claim|Median: $17.85
1.4× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.0M

15K claims · 9.6%

Your Cost: $69.72/claim|Median: $75.18
0.9× median
99214Normal range

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

$836K

13K claims · 7.9%

Your Cost: $66.08/claim|Median: $53.41
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$730K

12K claims · 6.9%

Your Cost: $62.45/claim|Median: $69.35
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$707K

10K claims · 6.6%

Your Cost: $70.24/claim|Median: $74.82
0.9× median
96110Top 10%

Developmental screening, per standardized instrument

$650K

26K claims · 6.1%

Your Cost: $25.19/claim|Median: $9.10
2.8× median
96160Top 10%

Patient-focused health risk assessment

$635K

37K claims · 6.0%

Your Cost: $17.22/claim|Median: $2.10
8.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$353K

4,569 claims · 3.3%

Your Cost: $77.29/claim|Median: $80.15
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$249K

8,620 claims · 2.3%

Your Cost: $28.94/claim|Median: $25.06
1.2× median
96161Top 5%

$116K

7,804 claims · 1.1%

Your Cost: $14.89/claim|Median: $2.49
6.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$102K

24K claims · 1.0%

Your Cost: $4.31/claim|Median: $3.67
1.2× median
87804Normal range

Influenza virus detection, rapid test

$87K

8,182 claims · 0.8%

Your Cost: $10.60/claim|Median: $12.59
0.8× median
92551Normal range

Screening audiometry, pure tone, air only

$84K

11K claims · 0.8%

Your Cost: $7.87/claim|Median: $6.61
1.2× median
G2211Top 25%

$59K

8,623 claims · 0.6%

Your Cost: $6.87/claim|Median: $2.40
2.9× median
99401Normal range

$58K

2,955 claims · 0.5%

Your Cost: $19.51/claim|Median: $16.53
1.2× median
54150Top 25%

$54K

351 claims · 0.5%

Your Cost: $152.48/claim|Median: $84.60
1.8× median
99051Normal range

$41K

9,227 claims · 0.4%

Your Cost: $4.49/claim|Median: $7.89
0.6× median
99211Normal range

Office/outpatient visit, minimal complexity

$34K

2,301 claims · 0.3%

Your Cost: $14.61/claim|Median: $12.93
1.1× median
90471Normal range

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

$32K

2,221 claims · 0.3%

Your Cost: $14.42/claim|Median: $9.80
1.5× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$31K

635 claims · 0.3%

Your Cost: $48.72/claim|Median: $62.48
0.8× median
83655Normal range

$31K

2,640 claims · 0.3%

Your Cost: $11.57/claim|Median: $10.49
1.1× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$29K

586 claims · 0.3%

Your Cost: $49.08/claim|Median: $37.22
1.3× median
3008FNormal range

$26K

26K claims · 0.2%

Your Cost: $0.99/claim|Median: $0.06
16.5× median
99463Normal range

$26K

408 claims · 0.2%

Your Cost: $63.14/claim|Median: $78.46
0.8× median
99050Top 25%

$22K

1,131 claims · 0.2%

Your Cost: $19.20/claim|Median: $11.81
1.6× median
92558Normal range

$16K

2,350 claims · 0.2%

Your Cost: $6.91/claim|Median: $6.67
1.0× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$15K

486 claims · 0.1%

Your Cost: $31.19/claim|Median: $28.46
1.1× median
99177Normal range

$14K

2,432 claims · 0.1%

Your Cost: $5.94/claim|Median: $3.74
1.6× median
90670Normal range

$14K

7,323 claims · 0.1%

Your Cost: $1.93/claim|Median: $5.94
0.3× median
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