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Provider 1083793525

NPI: 1083793525Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.5M

$13,538,201

Total Claims

428K

Beneficiaries

384K

1.1 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$1.0M
-4%
2019
$980K
+8%
2020
$1.1M
+90%
2021
$2.0M
+23%
2022
$2.5M
+34%
2023
$3.3M
-18%
2024
$2.7M

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 40% of total spending.

99214Top 25%

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

$5.4M

60K claims · 39.5%

Your Cost: $89.53/claim|Median: $53.41
1.7× median
99213Top 25%

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

$4.2M

61K claims · 30.8%

Your Cost: $67.79/claim|Median: $37.81
1.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$717K

8,817 claims · 5.3%

Your Cost: $81.32/claim|Median: $75.18
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$568K

7,533 claims · 4.2%

Your Cost: $75.43/claim|Median: $69.35
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$533K

6,466 claims · 3.9%

Your Cost: $82.39/claim|Median: $74.82
1.1× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$268K

18K claims · 2.0%

Your Cost: $14.72/claim|Median: $7.18
2.0× median
0240UNormal range

$255K

2,110 claims · 1.9%

Your Cost: $120.84/claim|Median: $89.76
1.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$215K

2,394 claims · 1.6%

Your Cost: $89.92/claim|Median: $80.15
1.1× median
87426Normal range

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

$145K

4,266 claims · 1.1%

Your Cost: $33.88/claim|Median: $30.04
1.1× median
96160Normal range

Patient-focused health risk assessment

$129K

48K claims · 0.9%

Your Cost: $2.70/claim|Median: $2.10
1.3× median
G2211Top 25%

$127K

11K claims · 0.9%

Your Cost: $11.80/claim|Median: $2.40
4.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$116K

9,710 claims · 0.9%

Your Cost: $11.94/claim|Median: $11.48
1.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$103K

21K claims · 0.8%

Your Cost: $4.97/claim|Median: $3.67
1.4× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$96K

2,625 claims · 0.7%

Your Cost: $36.39/claim|Median: $30.53
1.2× median
90670Top 10%

$84K

3,657 claims · 0.6%

Your Cost: $22.91/claim|Median: $5.94
3.9× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$79K

39K claims · 0.6%

Your Cost: $2.03/claim|Median: $17.85
0.1× median
87804Normal range

Influenza virus detection, rapid test

$66K

4,285 claims · 0.5%

Your Cost: $15.31/claim|Median: $12.59
1.2× median
90471Normal range

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

$40K

9,207 claims · 0.3%

Your Cost: $4.37/claim|Median: $9.80
0.4× median
96110Normal range

Developmental screening, per standardized instrument

$33K

3,914 claims · 0.2%

Your Cost: $8.34/claim|Median: $9.10
0.9× median
90698Top 25%

$29K

1,756 claims · 0.2%

Your Cost: $16.36/claim|Median: $6.32
2.6× median
90461Normal range

Immunization admin, additional vaccine, counseling

$28K

11K claims · 0.2%

Your Cost: $2.61/claim|Median: $6.93
0.4× median
90656Top 25%

$28K

1,658 claims · 0.2%

Your Cost: $17.02/claim|Median: $8.67
2.0× median
90651Top 10%

HPV vaccine, 9-valent

$28K

556 claims · 0.2%

Your Cost: $50.52/claim|Median: $8.93
5.7× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$27K

794 claims · 0.2%

Your Cost: $34.14/claim|Median: $28.46
1.2× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$22K

176 claims · 0.2%

Your Cost: $122.80/claim|Median: $91.47
1.3× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$20K

226 claims · 0.2%

Your Cost: $90.45/claim|Median: $62.48
1.4× median
99238Top 10%

Hospital discharge day management, 30 minutes or less

$20K

290 claims · 0.1%

Your Cost: $69.41/claim|Median: $37.22
1.9× median
90619Top 5%

$18K

183 claims · 0.1%

Your Cost: $97.66/claim|Median: $8.36
11.7× median
90680Top 25%

$18K

1,114 claims · 0.1%

Your Cost: $15.96/claim|Median: $5.58
2.9× median
99173Normal range

$16K

6,719 claims · 0.1%

Your Cost: $2.31/claim|Median: $2.16
1.1× median
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