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Provider 1093800534

NPI: 1093800534Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.6M

$15,602,588

Total Claims

318K

Beneficiaries

287K

1.1 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$1.9M
-6%
2019
$1.7M
+4%
2020
$1.8M
+8%
2021
$2.0M
+20%
2022
$2.3M
+20%
2023
$2.8M
+10%
2024
$3.1M

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 34% of total spending.

99214Top 10%

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

$5.3M

53K claims · 33.7%

Your Cost: $99.52/claim|Median: $53.41
1.9× median
99213Top 10%

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

$2.6M

35K claims · 16.5%

Your Cost: $73.60/claim|Median: $37.81
1.9× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$1.8M

18K claims · 11.6%

Your Cost: $100.58/claim|Median: $69.35
1.5× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$1.6M

16K claims · 10.5%

Your Cost: $100.39/claim|Median: $75.18
1.3× median
90472Top 25%

Immunization administration, each additional vaccine

$1.3M

48K claims · 8.6%

Your Cost: $27.66/claim|Median: $11.79
2.3× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$879K

8,816 claims · 5.6%

Your Cost: $99.73/claim|Median: $74.82
1.3× median
90471Top 10%

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

$695K

34K claims · 4.5%

Your Cost: $20.56/claim|Median: $9.80
2.1× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$415K

4,120 claims · 2.7%

Your Cost: $100.70/claim|Median: $80.15
1.3× median
90473Top 5%

Immunization admin, intranasal, first

$213K

10K claims · 1.4%

Your Cost: $20.64/claim|Median: $9.17
2.3× median
96110Normal range

Developmental screening, per standardized instrument

$150K

11K claims · 1.0%

Your Cost: $14.19/claim|Median: $9.10
1.6× median
99238Top 10%

Hospital discharge day management, 30 minutes or less

$146K

2,107 claims · 0.9%

Your Cost: $69.13/claim|Median: $37.22
1.9× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$90K

14K claims · 0.6%

Your Cost: $6.40/claim|Median: $7.18
0.9× median
99239Top 5%

Hospital discharge day management, more than 30 minutes

$69K

609 claims · 0.4%

Your Cost: $112.53/claim|Median: $43.85
2.6× median
99222Top 5%

Initial hospital care, per day, moderate complexity

$65K

495 claims · 0.4%

Your Cost: $131.13/claim|Median: $51.25
2.6× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$49K

608 claims · 0.3%

Your Cost: $80.80/claim|Median: $62.48
1.3× median
99215Top 25%

Office/outpatient visit, high complexity

$28K

204 claims · 0.2%

Your Cost: $135.26/claim|Median: $74.09
1.8× median
99383Top 5%

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

$27K

165 claims · 0.2%

Your Cost: $163.09/claim|Median: $81.92
2.0× median
99212Top 25%

Office/outpatient visit, low complexity

$25K

474 claims · 0.2%

Your Cost: $51.89/claim|Median: $25.06
2.1× median
99235Top 10%

$20K

121 claims · 0.1%

Your Cost: $165.27/claim|Median: $110.13
1.5× median
88720Top 25%

$17K

3,387 claims · 0.1%

Your Cost: $5.06/claim|Median: $3.88
1.3× median
90656Normal range

$14K

962 claims · 0.1%

Your Cost: $15.01/claim|Median: $8.67
1.7× median
90834Top 25%

Psychotherapy, 45 minutes

$13K

131 claims · 0.1%

Your Cost: $96.45/claim|Median: $63.65
1.5× median
90672Top 25%

$12K

926 claims · 0.1%

Your Cost: $13.00/claim|Median: $3.59
3.6× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$10K

639 claims · 0.1%

Your Cost: $15.18/claim|Median: $11.48
1.3× median
99188Normal range

$8K

420 claims · 0.0%

Your Cost: $18.19/claim|Median: $12.80
1.4× median
99223Top 5%

Initial hospital care, per day, high complexity

$8K

47 claims · 0.0%

Your Cost: $161.21/claim|Median: $67.32
2.4× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$7K

118 claims · 0.0%

Your Cost: $61.35/claim|Median: $23.99
2.6× median
0072ANormal range

$6K

153 claims · 0.0%

Your Cost: $38.30/claim|Median: $39.57
1.0× median
99080Normal range

$5K

1,102 claims · 0.0%

Your Cost: $4.98/claim|Median: $6.15
0.8× median
0071ANormal range

$5K

132 claims · 0.0%

Your Cost: $37.10/claim|Median: $38.71
1.0× median
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