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Provider 1043353956

NPI: 1043353956Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.7M

$7,742,017

Total Claims

241K

Beneficiaries

229K

1.1 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$997K
+27%
2019
$1.3M
-12%
2020
$1.1M
+18%
2021
$1.3M
-14%
2022
$1.1M
-6%
2023
$1.1M
-21%
2024
$845K

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 41% of total spending.

99213Normal range

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

$3.1M

62K claims · 40.6%

Your Cost: $50.37/claim|Median: $37.81
1.3× median
99214Normal range

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

$1.5M

23K claims · 19.8%

Your Cost: $67.29/claim|Median: $53.41
1.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$567K

7,751 claims · 7.3%

Your Cost: $73.16/claim|Median: $69.35
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$545K

6,993 claims · 7.0%

Your Cost: $77.93/claim|Median: $75.18
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$319K

4,176 claims · 4.1%

Your Cost: $76.45/claim|Median: $74.82
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$120K

1,475 claims · 1.6%

Your Cost: $81.69/claim|Median: $80.15
1.0× median
99381Normal range

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

$113K

1,972 claims · 1.5%

Your Cost: $57.09/claim|Median: $73.46
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$110K

3,271 claims · 1.4%

Your Cost: $33.73/claim|Median: $25.06
1.3× median
90670Top 25%

$109K

5,963 claims · 1.4%

Your Cost: $18.35/claim|Median: $5.94
3.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$107K

8,564 claims · 1.4%

Your Cost: $12.53/claim|Median: $7.18
1.7× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$104K

2,726 claims · 1.3%

Your Cost: $38.15/claim|Median: $36.70
1.0× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$95K

2,817 claims · 1.2%

Your Cost: $33.84/claim|Median: $33.72
1.0× median
92551Top 25%

Screening audiometry, pure tone, air only

$76K

7,837 claims · 1.0%

Your Cost: $9.70/claim|Median: $6.61
1.5× median
99203Normal range

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

$64K

946 claims · 0.8%

Your Cost: $67.49/claim|Median: $57.85
1.2× median
36415Normal range

Collection of venous blood by venipuncture

$61K

31K claims · 0.8%

Your Cost: $2.00/claim|Median: $1.57
1.3× median
90698Top 25%

$57K

3,995 claims · 0.7%

Your Cost: $14.35/claim|Median: $6.32
2.3× median
96110Normal range

Developmental screening, per standardized instrument

$53K

6,427 claims · 0.7%

Your Cost: $8.28/claim|Median: $9.10
0.9× median
90681Top 25%

$42K

2,663 claims · 0.5%

Your Cost: $15.64/claim|Median: $5.74
2.7× median
81025Normal range

Urine pregnancy test

$41K

6,471 claims · 0.5%

Your Cost: $6.40/claim|Median: $4.81
1.3× median
90633Top 25%

$34K

2,829 claims · 0.4%

Your Cost: $11.86/claim|Median: $3.56
3.3× median
90651Top 25%

HPV vaccine, 9-valent

$31K

1,131 claims · 0.4%

Your Cost: $27.57/claim|Median: $8.93
3.1× median
99174Normal range

$25K

4,959 claims · 0.3%

Your Cost: $5.06/claim|Median: $5.27
1.0× median
0004ANormal range

$24K

653 claims · 0.3%

Your Cost: $36.78/claim|Median: $35.62
1.0× median
99188Top 25%

$21K

1,029 claims · 0.3%

Your Cost: $20.05/claim|Median: $12.80
1.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$19K

1,445 claims · 0.2%

Your Cost: $13.03/claim|Median: $9.56
1.4× median
90710Top 25%

MMRV vaccine

$18K

827 claims · 0.2%

Your Cost: $22.18/claim|Median: $7.00
3.2× median
90648Top 25%

$18K

1,645 claims · 0.2%

Your Cost: $10.90/claim|Median: $4.08
2.7× median
90723Top 25%

DTaP-HepB-IPV vaccine

$18K

1,225 claims · 0.2%

Your Cost: $14.36/claim|Median: $5.78
2.5× median
90744Top 25%

$18K

1,513 claims · 0.2%

Your Cost: $11.57/claim|Median: $5.00
2.3× median
90677Normal range

$16K

476 claims · 0.2%

Your Cost: $34.26/claim|Median: $12.96
2.6× median
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