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Provider 1053548487

NPI: 1053548487Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.3M

$10,279,650

Total Claims

361K

Beneficiaries

303K

1.2 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$604K
+17%
2019
$708K
-15%
2020
$600K
+68%
2021
$1.0M
+121%
2022
$2.2M
+20%
2023
$2.7M
-9%
2024
$2.4M

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

$4.3M

116K claims · 41.4%

Your Cost: $36.60/claim|Median: $37.81
1.0× median
87428Normal range

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

$2.1M

39K claims · 20.7%

Your Cost: $54.87/claim|Median: $39.63
1.4× median
99214Normal range

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

$1.9M

38K claims · 18.4%

Your Cost: $50.28/claim|Median: $53.41
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$540K

68K claims · 5.3%

Your Cost: $7.93/claim|Median: $11.48
0.7× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$272K

25K claims · 2.6%

Your Cost: $10.96/claim|Median: $9.56
1.1× median
87804Normal range

Influenza virus detection, rapid test

$151K

16K claims · 1.5%

Your Cost: $9.27/claim|Median: $12.59
0.7× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$139K

3,746 claims · 1.3%

Your Cost: $37.00/claim|Median: $17.85
2.1× median
96110Top 25%

Developmental screening, per standardized instrument

$135K

7,707 claims · 1.3%

Your Cost: $17.55/claim|Median: $9.10
1.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$132K

2,101 claims · 1.3%

Your Cost: $62.85/claim|Median: $75.18
0.8× median
87426Normal range

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

$127K

3,962 claims · 1.2%

Your Cost: $32.12/claim|Median: $30.04
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$103K

1,729 claims · 1.0%

Your Cost: $59.47/claim|Median: $69.35
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$88K

2,677 claims · 0.9%

Your Cost: $32.71/claim|Median: $63.65
0.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$80K

1,312 claims · 0.8%

Your Cost: $61.31/claim|Median: $74.82
0.8× median
99203Normal range

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

$51K

895 claims · 0.5%

Your Cost: $56.96/claim|Median: $57.85
1.0× median
90791Normal range

Psychiatric diagnostic evaluation

$42K

796 claims · 0.4%

Your Cost: $52.69/claim|Median: $99.21
0.5× median
87807Normal range

$26K

3,237 claims · 0.3%

Your Cost: $7.98/claim|Median: $10.06
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$25K

968 claims · 0.2%

Your Cost: $25.85/claim|Median: $41.28
0.6× median
99215Normal range

Office/outpatient visit, high complexity

$21K

374 claims · 0.2%

Your Cost: $55.39/claim|Median: $74.09
0.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$14K

216 claims · 0.1%

Your Cost: $65.47/claim|Median: $80.15
0.8× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$11K

288 claims · 0.1%

Your Cost: $37.58/claim|Median: $40.11
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$7K

320 claims · 0.1%

Your Cost: $23.15/claim|Median: $25.06
0.9× median
76856Normal range

Ultrasound, pelvic, complete

$7K

142 claims · 0.1%

Your Cost: $47.44/claim|Median: $47.58
1.0× median
J0696Normal range

$6K

4,428 claims · 0.1%

Your Cost: $1.43/claim|Median: $1.34
1.1× median
J1100Normal range

$6K

9,017 claims · 0.1%

Your Cost: $0.68/claim|Median: $0.52
1.3× median
3008FNormal range

$5K

7,980 claims · 0.0%

Your Cost: $0.59/claim|Median: $0.06
9.8× median
81003Normal range

Urinalysis, automated without microscopy

$5K

3,983 claims · 0.0%

Your Cost: $1.17/claim|Median: $1.48
0.8× median
87636Top 10%

Respiratory virus detection, 6-11 targets, nucleic acid

$3K

24 claims · 0.0%

Your Cost: $142.63/claim|Median: $97.61
1.5× median
99395Normal range

Preventive medicine, established patient, age 18-39

$2K

28 claims · 0.0%

Your Cost: $62.75/claim|Median: $72.71
0.9× median
90670Normal range

$1K

488 claims · 0.0%

Your Cost: $2.81/claim|Median: $5.94
0.5× median
J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

$1K

828 claims · 0.0%

Your Cost: $1.46/claim|Median: $0.91
1.6× median
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