Total Paid
$26.2M
$26,194,235
Total Claims
858K
Beneficiaries
740K
1.2 claims/patient
Avg Cost/Claim
$31
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 32% of total spending.
$8.4M
219K claims
$38.51
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$8.4M
219K claims · 32.2%
$5.0M
178K claims
$27.90
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$5.0M
178K claims · 19.0%
$1.2M
36K claims
$33.93
$47.08
Ophthalmological exam, comprehensive, established patient
$1.2M
36K claims · 4.7%
$738K
13K claims
$57.44
$75.18
Preventive medicine, established patient, age 1-4
$738K
13K claims · 2.8%
$725K
13K claims
$57.11
$69.35
Preventive medicine, established patient, infant (under 1)
$725K
13K claims · 2.8%
Psychotherapy, 60 minutes
$663K
8,787 claims · 2.5%
$559K
9,686 claims
$57.66
$74.82
Preventive medicine, established patient, age 5-11
$559K
9,686 claims · 2.1%
Determination of refractive state
$545K
73K claims · 2.1%
$478K
11K claims
$43.27
$38.83
Psychotherapy, 30 min, add-on to E/M service
$478K
11K claims · 1.8%
$466K
8,910 claims
$52.32
$54.68
Echocardiography, transthoracic, complete, with Doppler
$466K
8,910 claims · 1.8%
$366K
39K claims · 1.4%
$363K
9,630 claims
$37.72
$59.72
Ophthalmological exam, comprehensive, new patient
$363K
9,630 claims · 1.4%
$357K
8,113 claims
$43.96
$58.55
Ultrasound, pregnant uterus, follow-up
$357K
8,113 claims · 1.4%
$339K
6,740 claims
$50.32
$74.09
Office/outpatient visit, high complexity
$339K
6,740 claims · 1.3%
$331K
4,121 claims
$80.44
$132.89
Anesthesia for intraoral procedures
$331K
4,121 claims · 1.3%
$272K
659 claims
$413.09
$470.36
Injection, onabotulinumtoxinA, 1 unit
$272K
659 claims · 1.0%
$246K
4,214 claims
$58.37
$80.15
Preventive medicine, established patient, age 12-17
$246K
4,214 claims · 0.9%
$241K
11K claims
$21.50
$35.30
Subsequent hospital care, per day, high complexity
$241K
11K claims · 0.9%
$227K
13K claims · 0.9%
$203K
16K claims
$12.70
$6.61
Screening audiometry, pure tone, air only
$203K
16K claims · 0.8%
$200K
2,357 claims
$84.76
$46.64
Neurobehavioral status examination, first hour
$200K
2,357 claims · 0.8%
$196K
2,003 claims
$97.78
$106.79
Ultrasound, pregnant uterus, detailed, single fetus
$196K
2,003 claims · 0.7%
$195K
708 claims · 0.7%
$192K
9,703 claims
$19.75
$19.46
Fitting of spectacles, except for aphakia
$192K
9,703 claims · 0.7%
Upper GI endoscopy with biopsy
$156K
390 claims · 0.6%
$152K
3,691 claims
$41.13
$57.85
Office/outpatient visit, new patient, low-mod complexity
$152K
3,691 claims · 0.6%
$150K
2,144 claims
$69.97
$121.58
Office or other outpatient consultation, moderate complexity
$150K
2,144 claims · 0.6%
$150K
2,918 claims
$51.35
$58.82
Intravitreal injection of a pharmacologic agent
$150K
2,918 claims · 0.6%
$143K
659 claims · 0.5%
$121K
21K claims
$5.84
$5.60
Electrocardiogram, interpretation and report only
$121K
21K claims · 0.5%
$109K
2,714 claims · 0.4%
$104K
937 claims · 0.4%
Psychotherapy, 45 minutes
$100K
2,076 claims · 0.4%
$85K
1,493 claims
$57.24
$58.16
Ultrasound, pregnant uterus, single fetus, first trimester
$85K
1,493 claims · 0.3%
$81K
6,973 claims
$11.64
$23.99
Subsequent hospital care, per day, moderate complexity
$81K
6,973 claims · 0.3%
$78K
1,596 claims
$48.72
$49.45
Fetal biophysical profile with non-stress test
$78K
1,596 claims · 0.3%
$76K
278 claims · 0.3%
$72K
1,365 claims
$52.83
$70.87
Ultrasound for fetal nuchal translucency measurement
$72K
1,365 claims · 0.3%
$71K
2,315 claims · 0.3%
$71K
3,327 claims
$21.36
$24.49
Therapeutic exercises, each 15 min
$71K
3,327 claims · 0.3%
$69K
1,018 claims
$67.99
$74.78
Ultrasound, pregnant uterus, complete, single fetus
$69K
1,018 claims · 0.3%
$68K
1,253 claims
$54.05
$43.85
Hospital discharge day management, more than 30 minutes
$68K
1,253 claims · 0.3%
$66K
1,825 claims
$36.08
$36.70
COVID-19 vaccine admin, Pfizer, 2nd dose
$66K
1,825 claims · 0.3%
$63K
649 claims
$96.59
$108.91
Psychiatric diagnostic evaluation with medical services
$63K
649 claims · 0.2%
$61K
1,985 claims
$30.55
$9.10
Developmental screening, per standardized instrument
$61K
1,985 claims · 0.2%
$60K
1,762 claims
$33.84
$33.72
COVID-19 vaccine admin, Pfizer, 1st dose
$60K
1,762 claims · 0.2%
$58K
5,355 claims · 0.2%
$53K
3,480 claims
$15.23
$14.00
Nursing facility care, subsequent, low complexity
$53K
3,480 claims · 0.2%
$50K
14K claims · 0.2%
$49K
335 claims
$145.88
$112.83
Echocardiography, transthoracic, limited
$49K
335 claims · 0.2%
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