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Provider 1053492306

NPI: 1053492306Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.1M

$17,131,769

Total Claims

503K

Beneficiaries

415K

1.2 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$28K
+13%
2019
$32K
+2283%
2020
$769K
+475%
2021
$4.4M
+14%
2022
$5.0M
-22%
2023
$3.9M
-27%
2024
$2.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99215 (Office/outpatient visit, high complexity)) accounts for 34% of total spending.

99215Normal range

Office/outpatient visit, high complexity

$5.9M

67K claims · 34.3%

Your Cost: $87.31/claim|Median: $74.09
1.2× median
99213Normal range

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

$2.3M

59K claims · 13.3%

Your Cost: $38.44/claim|Median: $37.81
1.0× median
U0002Top 10%

COVID-19 lab test, non-CDC, nucleic acid

$1.4M

26K claims · 8.2%

Your Cost: $55.08/claim|Median: $34.62
1.6× median
99214Normal range

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

$1.1M

21K claims · 6.7%

Your Cost: $54.12/claim|Median: $53.41
1.0× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$957K

10K claims · 5.6%

Your Cost: $91.16/claim|Median: $74.82
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$916K

11K claims · 5.3%

Your Cost: $85.16/claim|Median: $75.18
1.1× median
87804Normal range

Influenza virus detection, rapid test

$905K

59K claims · 5.3%

Your Cost: $15.33/claim|Median: $12.59
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$794K

9,932 claims · 4.6%

Your Cost: $79.92/claim|Median: $69.35
1.2× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$770K

7,811 claims · 4.5%

Your Cost: $98.63/claim|Median: $80.15
1.2× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$558K

49K claims · 3.3%

Your Cost: $11.38/claim|Median: $17.85
0.6× median
87426Top 25%

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$382K

9,411 claims · 2.2%

Your Cost: $40.58/claim|Median: $30.04
1.4× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$307K

21K claims · 1.8%

Your Cost: $14.55/claim|Median: $11.48
1.3× median
99381Normal range

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

$96K

1,422 claims · 0.6%

Your Cost: $67.41/claim|Median: $73.46
0.9× median
G8510Normal range

$88K

15K claims · 0.5%

Your Cost: $5.70/claim|Median: $1.96
2.9× median
90471Normal range

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

$87K

7,427 claims · 0.5%

Your Cost: $11.69/claim|Median: $9.80
1.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$53K

461 claims · 0.3%

Your Cost: $115.56/claim|Median: $111.09
1.0× median
90461Normal range

Immunization admin, additional vaccine, counseling

$47K

7,771 claims · 0.3%

Your Cost: $6.11/claim|Median: $6.93
0.9× median
99211Normal range

Office/outpatient visit, minimal complexity

$47K

2,908 claims · 0.3%

Your Cost: $16.02/claim|Median: $12.93
1.2× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$44K

456 claims · 0.3%

Your Cost: $96.12/claim|Median: $72.71
1.3× median
99203Normal range

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

$39K

628 claims · 0.2%

Your Cost: $62.84/claim|Median: $57.85
1.1× median
87807Normal range

$39K

3,587 claims · 0.2%

Your Cost: $10.95/claim|Median: $10.06
1.1× median
90472Normal range

Immunization administration, each additional vaccine

$37K

3,807 claims · 0.2%

Your Cost: $9.78/claim|Median: $11.79
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$28K

1,008 claims · 0.2%

Your Cost: $27.84/claim|Median: $25.06
1.1× median
0072ANormal range

$26K

680 claims · 0.2%

Your Cost: $38.23/claim|Median: $39.57
1.0× median
0071ANormal range

$23K

642 claims · 0.1%

Your Cost: $36.44/claim|Median: $38.71
0.9× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$21K

578 claims · 0.1%

Your Cost: $36.39/claim|Median: $33.72
1.1× median
92587Normal range

$20K

5,812 claims · 0.1%

Your Cost: $3.50/claim|Median: $19.24
0.2× median
99204Normal range

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

$16K

170 claims · 0.1%

Your Cost: $95.23/claim|Median: $84.03
1.1× median
97169Top 25%

$15K

564 claims · 0.1%

Your Cost: $27.25/claim|Median: $22.00
1.2× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$15K

376 claims · 0.1%

Your Cost: $39.79/claim|Median: $36.70
1.1× median
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