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Provider 1093159105

NPI: 1093159105Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.1M

$10,123,803

Total Claims

645K

Beneficiaries

527K

1.2 claims/patient

Avg Cost/Claim

$16

Monthly Spending Trend

Yearly Spending

2018
$476K
+80%
2019
$856K
-10%
2020
$772K
+53%
2021
$1.2M
+64%
2022
$1.9M
+17%
2023
$2.3M
+16%
2024
$2.6M

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 47% of total spending.

99214Top 25%

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

$4.7M

48K claims · 46.5%

Your Cost: $97.48/claim|Median: $53.41
1.8× median
D0190Normal range

$712K

47K claims · 7.0%

Your Cost: $15.16/claim|Median: $12.78
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$631K

7,448 claims · 6.2%

Your Cost: $84.76/claim|Median: $75.18
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$528K

7,336 claims · 5.2%

Your Cost: $72.02/claim|Median: $69.35
1.0× median
99213Top 10%

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

$505K

7,009 claims · 5.0%

Your Cost: $72.03/claim|Median: $37.81
1.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$338K

4,053 claims · 3.3%

Your Cost: $83.31/claim|Median: $74.82
1.1× median
99204Top 25%

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

$335K

2,787 claims · 3.3%

Your Cost: $120.34/claim|Median: $84.03
1.4× median
87426Normal range

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

$294K

10K claims · 2.9%

Your Cost: $28.56/claim|Median: $30.04
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$287K

2,787 claims · 2.8%

Your Cost: $102.92/claim|Median: $74.09
1.4× median
87631Top 25%

Respiratory virus detection, 3-5 targets, multiplex

$281K

2,614 claims · 2.8%

Your Cost: $107.68/claim|Median: $65.45
1.6× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$248K

11K claims · 2.4%

Your Cost: $22.69/claim|Median: $17.85
1.3× median
87804Normal range

Influenza virus detection, rapid test

$211K

12K claims · 2.1%

Your Cost: $17.01/claim|Median: $12.59
1.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$137K

1,563 claims · 1.4%

Your Cost: $87.52/claim|Median: $80.15
1.1× median
96110Normal range

Developmental screening, per standardized instrument

$126K

12K claims · 1.2%

Your Cost: $10.77/claim|Median: $9.10
1.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$126K

9,287 claims · 1.2%

Your Cost: $13.58/claim|Median: $11.48
1.2× median
99401Normal range

$111K

18K claims · 1.1%

Your Cost: $6.03/claim|Median: $16.53
0.4× median
99381Normal range

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

$97K

1,080 claims · 1.0%

Your Cost: $89.60/claim|Median: $73.46
1.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$89K

669 claims · 0.9%

Your Cost: $133.49/claim|Median: $111.09
1.2× median
92551Normal range

Screening audiometry, pure tone, air only

$61K

8,675 claims · 0.6%

Your Cost: $7.01/claim|Median: $6.61
1.1× median
87807Normal range

$43K

4,358 claims · 0.4%

Your Cost: $9.77/claim|Median: $10.06
1.0× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$38K

21K claims · 0.4%

Your Cost: $1.77/claim|Median: $24.33
0.1× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$36K

371 claims · 0.4%

Your Cost: $96.15/claim|Median: $81.92
1.2× median
99051Normal range

$35K

18K claims · 0.3%

Your Cost: $1.98/claim|Median: $7.89
0.3× median
99382Top 25%

Preventive visit, new patient, early childhood (1-4 yr)

$32K

325 claims · 0.3%

Your Cost: $97.51/claim|Median: $79.89
1.2× median
69210Normal range

$25K

825 claims · 0.2%

Your Cost: $30.20/claim|Median: $21.74
1.4× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$10K

131 claims · 0.1%

Your Cost: $72.53/claim|Median: $65.64
1.1× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$9K

1,393 claims · 0.1%

Your Cost: $6.64/claim|Median: $10.88
0.6× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$9K

2,282 claims · 0.1%

Your Cost: $3.85/claim|Median: $12.70
0.3× median
G8420Top 25%

$9K

10K claims · 0.1%

Your Cost: $0.84/claim|Median: $0.06
14.0× median
99174Normal range

$8K

4,278 claims · 0.1%

Your Cost: $1.84/claim|Median: $5.27
0.3× median
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