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Provider 1063790608

NPI: 1063790608Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.4M

$13,410,286

Total Claims

214K

Beneficiaries

200K

1.1 claims/patient

Avg Cost/Claim

$63

Monthly Spending Trend

Yearly Spending

2018
$460K
+84%
2019
$846K
+87%
2020
$1.6M
+71%
2021
$2.7M
+6%
2022
$2.9M
+17%
2023
$3.4M
-53%
2024
$1.6M

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 47% of total spending.

99213Top 25%

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

$6.3M

98K claims · 47.1%

Your Cost: $64.38/claim|Median: $37.81
1.7× median
99214Top 10%

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

$3.8M

38K claims · 28.3%

Your Cost: $100.04/claim|Median: $53.41
1.9× median
99203Top 25%

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

$823K

9,277 claims · 6.1%

Your Cost: $88.73/claim|Median: $57.85
1.5× median
99204Top 25%

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

$526K

4,027 claims · 3.9%

Your Cost: $130.50/claim|Median: $84.03
1.6× median
95165Normal range

Professional services for allergen immunotherapy, per injection

$146K

748 claims · 1.1%

Your Cost: $195.61/claim|Median: $144.04
1.4× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$124K

1,214 claims · 0.9%

Your Cost: $102.37/claim|Median: $74.82
1.4× median
99212Normal range

Office/outpatient visit, low complexity

$123K

3,369 claims · 0.9%

Your Cost: $36.43/claim|Median: $25.06
1.5× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$109K

1,071 claims · 0.8%

Your Cost: $101.49/claim|Median: $75.18
1.4× median
95117Normal range

$89K

10K claims · 0.7%

Your Cost: $8.67/claim|Median: $8.34
1.0× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$82K

1,493 claims · 0.6%

Your Cost: $54.83/claim|Median: $29.03
1.9× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$78K

685 claims · 0.6%

Your Cost: $114.26/claim|Median: $80.15
1.4× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$74K

4,242 claims · 0.6%

Your Cost: $17.43/claim|Median: $17.85
1.0× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$69K

1,750 claims · 0.5%

Your Cost: $39.67/claim|Median: $36.70
1.1× median
73630Top 25%

X-ray, foot, complete, minimum 3 views

$69K

2,453 claims · 0.5%

Your Cost: $27.93/claim|Median: $12.06
2.3× median
20611Top 25%

Aspiration or injection of intermediate joint or bursa

$68K

839 claims · 0.5%

Your Cost: $81.25/claim|Median: $42.51
1.9× median
99215Top 25%

Office/outpatient visit, high complexity

$63K

470 claims · 0.5%

Your Cost: $133.53/claim|Median: $74.09
1.8× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$62K

1,705 claims · 0.5%

Your Cost: $36.57/claim|Median: $33.72
1.1× median
V2020Top 10%

Frames, purchases

$61K

1,398 claims · 0.5%

Your Cost: $43.49/claim|Median: $19.33
2.2× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$57K

663 claims · 0.4%

Your Cost: $85.64/claim|Median: $69.35
1.2× median
92014Top 10%

Ophthalmological exam, comprehensive, established patient

$45K

473 claims · 0.3%

Your Cost: $95.08/claim|Median: $47.08
2.0× median
78815Top 10%

PET imaging for limited area

$45K

40 claims · 0.3%

Your Cost: $1,113.41/claim|Median: $325.10
3.4× median
73721Normal range

MRI joint of lower extremity without contrast

$40K

191 claims · 0.3%

Your Cost: $211.90/claim|Median: $127.34
1.7× median
G2066Top 5%

$40K

241 claims · 0.3%

Your Cost: $164.23/claim|Median: $14.66
11.2× median
87635Top 25%

COVID-19 SARS-CoV-2 amplified probe detection

$32K

644 claims · 0.2%

Your Cost: $49.36/claim|Median: $39.70
1.2× median
72110Top 25%

$28K

716 claims · 0.2%

Your Cost: $39.48/claim|Median: $21.02
1.9× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$27K

874 claims · 0.2%

Your Cost: $30.80/claim|Median: $27.28
1.1× median
G0108Top 25%

Diabetes self-management training, individual

$25K

409 claims · 0.2%

Your Cost: $61.35/claim|Median: $35.89
1.7× median
92004Top 25%

Ophthalmological exam, comprehensive, new patient

$23K

212 claims · 0.2%

Your Cost: $109.63/claim|Median: $59.72
1.8× median
81000Top 25%

Urinalysis with microscopy, non-automated

$23K

6,406 claims · 0.2%

Your Cost: $3.62/claim|Median: $2.51
1.4× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$21K

395 claims · 0.2%

Your Cost: $54.22/claim|Median: $22.44
2.4× median
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