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Provider 1063573079

NPI: 1063573079Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.4M

$16,373,718

Total Claims

1.6M

Beneficiaries

1.4M

1.2 claims/patient

Avg Cost/Claim

$10

Monthly Spending Trend

Yearly Spending

2018
$934K
+28%
2019
$1.2M
+108%
2020
$2.5M
+78%
2021
$4.4M
-15%
2022
$3.8M
-51%
2023
$1.9M
-10%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 59% of total spending.

99214Normal range

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

$9.6M

148K claims · 58.9%

Your Cost: $65.24/claim|Median: $53.41
1.2× median
99213Normal range

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

$2.0M

43K claims · 12.3%

Your Cost: $46.65/claim|Median: $37.81
1.2× median
99350Normal range

$1.5M

23K claims · 9.1%

Your Cost: $64.31/claim|Median: $35.62
1.8× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$344K

2,941 claims · 2.1%

Your Cost: $117.11/claim|Median: $108.91
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$344K

4,382 claims · 2.1%

Your Cost: $78.45/claim|Median: $74.09
1.1× median
99337Top 10%

$302K

3,237 claims · 1.8%

Your Cost: $93.34/claim|Median: $29.39
3.2× median
99349Top 25%

$278K

5,666 claims · 1.7%

Your Cost: $48.99/claim|Median: $24.29
2.0× median
99203Normal range

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

$236K

3,617 claims · 1.4%

Your Cost: $65.21/claim|Median: $57.85
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$231K

5,152 claims · 1.4%

Your Cost: $44.75/claim|Median: $41.28
1.1× median
99204Normal range

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

$203K

2,094 claims · 1.2%

Your Cost: $96.78/claim|Median: $84.03
1.2× median
99396Normal range

Preventive medicine, established patient, age 40-64

$142K

1,778 claims · 0.9%

Your Cost: $79.83/claim|Median: $76.06
1.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$131K

1,588 claims · 0.8%

Your Cost: $82.49/claim|Median: $72.71
1.1× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$106K

117K claims · 0.6%

Your Cost: $0.90/claim|Median: $0.79
1.1× median
96160Normal range

Patient-focused health risk assessment

$89K

26K claims · 0.5%

Your Cost: $3.50/claim|Median: $2.10
1.7× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$87K

7,053 claims · 0.5%

Your Cost: $12.31/claim|Median: $9.70
1.3× median
36415Normal range

Collection of venous blood by venipuncture

$83K

32K claims · 0.5%

Your Cost: $2.62/claim|Median: $1.57
1.7× median
99051Normal range

$74K

5,651 claims · 0.5%

Your Cost: $13.17/claim|Median: $7.89
1.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$69K

821 claims · 0.4%

Your Cost: $84.30/claim|Median: $80.15
1.1× median
81002Top 25%

Urinalysis, non-automated without microscopy

$68K

26K claims · 0.4%

Your Cost: $2.61/claim|Median: $2.00
1.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$63K

5,024 claims · 0.4%

Your Cost: $12.57/claim|Median: $11.48
1.1× median
99336Normal range

$57K

1,627 claims · 0.4%

Your Cost: $35.22/claim|Median: $20.35
1.7× median
81025Normal range

Urine pregnancy test

$44K

7,081 claims · 0.3%

Your Cost: $6.23/claim|Median: $4.81
1.3× median
99443Top 25%

Telephone E/M by physician, 21-30 min

$35K

522 claims · 0.2%

Your Cost: $66.45/claim|Median: $32.55
2.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$28K

2,285 claims · 0.2%

Your Cost: $12.36/claim|Median: $9.56
1.3× median
90791Normal range

Psychiatric diagnostic evaluation

$28K

266 claims · 0.2%

Your Cost: $103.81/claim|Median: $99.21
1.0× median
99497Normal range

$24K

1,524 claims · 0.1%

Your Cost: $15.79/claim|Median: $10.99
1.4× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$18K

675 claims · 0.1%

Your Cost: $26.85/claim|Median: $17.85
1.5× median
Q0091Top 25%

$17K

597 claims · 0.1%

Your Cost: $28.70/claim|Median: $11.15
2.6× median
G0101Normal range

Cervical/vaginal cancer screening; pelvic exam

$15K

622 claims · 0.1%

Your Cost: $24.09/claim|Median: $21.28
1.1× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$11K

339 claims · 0.1%

Your Cost: $32.21/claim|Median: $33.85
1.0× median
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