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Provider 1093779696

NPI: 1093779696Share
Active Billing Period:2018-02→2024-12(82 months)

Total Paid

$9.7M

$9,710,088

Total Claims

160K

Beneficiaries

102K

1.6 claims/patient

Avg Cost/Claim

$61

Monthly Spending Trend

Yearly Spending

2018
$125K
+986%
2019
$1.4M
-16%
2020
$1.1M
+29%
2021
$1.5M
+52%
2022
$2.2M
+5%
2023
$2.3M
-54%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (95165 (Professional services for allergen immunotherapy, per injection)) accounts for 42% of total spending.

95165Top 25%

Professional services for allergen immunotherapy, per injection

$4.1M

18K claims · 42.4%

Your Cost: $226.55/claim|Median: $144.04
1.6× median
99214Top 25%

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

$1.9M

23K claims · 19.3%

Your Cost: $81.97/claim|Median: $53.41
1.5× median
95004Normal range

Percutaneous allergy skin tests, each

$1.4M

7,894 claims · 14.7%

Your Cost: $180.61/claim|Median: $134.97
1.3× median
95117Normal range

$783K

85K claims · 8.1%

Your Cost: $9.17/claim|Median: $8.34
1.1× median
99213Top 25%

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

$555K

9,811 claims · 5.7%

Your Cost: $56.60/claim|Median: $37.81
1.5× median
99204Top 25%

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

$443K

3,413 claims · 4.6%

Your Cost: $129.90/claim|Median: $84.03
1.5× median
95024Top 25%

$315K

2,422 claims · 3.2%

Your Cost: $130.03/claim|Median: $60.31
2.2× median
94010Normal range

$77K

8,485 claims · 0.8%

Your Cost: $9.11/claim|Median: $18.11
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$47K

474 claims · 0.5%

Your Cost: $98.30/claim|Median: $74.09
1.3× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$38K

324 claims · 0.4%

Your Cost: $118.62/claim|Median: $111.09
1.1× median
99244Top 25%

Office or other outpatient consultation, moderate complexity

$15K

99 claims · 0.2%

Your Cost: $152.15/claim|Median: $121.58
1.3× median
99245Top 5%

Office consultation, high complexity

$11K

42 claims · 0.1%

Your Cost: $255.02/claim|Median: $143.30
1.8× median
99203Top 25%

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

$6K

65 claims · 0.1%

Your Cost: $84.96/claim|Median: $57.85
1.5× median
95115Normal range

$2K

313 claims · 0.0%

Your Cost: $7.58/claim|Median: $6.96
1.1× median
94060Normal range

$567

35 claims · 0.0%

Your Cost: $16.20/claim|Median: $25.18
0.6× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$499

14 claims · 0.0%

Your Cost: $35.63/claim|Median: $9.56
3.7× median
94728Normal range

$432

41 claims · 0.0%

Your Cost: $10.54/claim|Median: $15.32
0.7× median
92567Normal range

$294

29 claims · 0.0%

Your Cost: $10.15/claim|Median: $11.50
0.9× median
94664Normal range

$47

25 claims · 0.0%

Your Cost: $1.89/claim|Median: $8.88
0.2× median
A4206Normal range

$2

180 claims · 0.0%

Your Cost: $0.01/claim|Median: $1.96
0.0× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$0

123 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.79
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