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Provider 1093878506

NPI: 1093878506Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.5M

$17,487,067

Total Claims

738K

Beneficiaries

626K

1.2 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$104K
+11%
2019
$115K
+628%
2020
$839K
+369%
2021
$3.9M
+16%
2022
$4.5M
-4%
2023
$4.4M
-17%
2024
$3.6M

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 29% of total spending.

99214Normal range

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

$5.1M

104K claims · 29.2%

Your Cost: $48.93/claim|Median: $53.41
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.7M

23K claims · 9.9%

Your Cost: $76.44/claim|Median: $75.18
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$1.7M

22K claims · 9.7%

Your Cost: $75.15/claim|Median: $74.09
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.5M

20K claims · 8.4%

Your Cost: $75.14/claim|Median: $69.35
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.4M

17K claims · 8.2%

Your Cost: $81.84/claim|Median: $74.82
1.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$1.1M

108K claims · 6.5%

Your Cost: $10.55/claim|Median: $17.85
0.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$881K

10K claims · 5.0%

Your Cost: $87.99/claim|Median: $80.15
1.1× median
87428Normal range

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

$710K

14K claims · 4.1%

Your Cost: $50.03/claim|Median: $39.63
1.3× median
99204Normal range

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

$349K

4,162 claims · 2.0%

Your Cost: $83.75/claim|Median: $84.03
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$327K

24K claims · 1.9%

Your Cost: $13.47/claim|Median: $11.48
1.2× median
99381Normal range

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

$307K

3,751 claims · 1.8%

Your Cost: $81.93/claim|Median: $73.46
1.1× median
99000Top 25%

$296K

31K claims · 1.7%

Your Cost: $9.61/claim|Median: $2.30
4.2× median
99213Normal range

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

$280K

7,827 claims · 1.6%

Your Cost: $35.78/claim|Median: $37.81
0.9× median
87426Top 25%

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

$263K

6,495 claims · 1.5%

Your Cost: $40.54/claim|Median: $30.04
1.3× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$255K

2,332 claims · 1.5%

Your Cost: $109.26/claim|Median: $111.09
1.0× median
96110Normal range

Developmental screening, per standardized instrument

$206K

26K claims · 1.2%

Your Cost: $7.90/claim|Median: $9.10
0.9× median
87635Top 25%

COVID-19 SARS-CoV-2 amplified probe detection

$150K

3,049 claims · 0.9%

Your Cost: $49.33/claim|Median: $39.70
1.2× median
90461Normal range

Immunization admin, additional vaccine, counseling

$144K

28K claims · 0.8%

Your Cost: $5.07/claim|Median: $6.93
0.7× median
87804Normal range

Influenza virus detection, rapid test

$112K

8,413 claims · 0.6%

Your Cost: $13.31/claim|Median: $12.59
1.1× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$86K

2,946 claims · 0.5%

Your Cost: $29.12/claim|Median: $28.46
1.0× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$66K

828 claims · 0.4%

Your Cost: $79.24/claim|Median: $65.64
1.2× median
99211Normal range

Office/outpatient visit, minimal complexity

$55K

5,967 claims · 0.3%

Your Cost: $9.19/claim|Median: $12.93
0.7× median
90471Normal range

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

$50K

4,560 claims · 0.3%

Your Cost: $11.02/claim|Median: $9.80
1.1× median
87807Normal range

$47K

4,458 claims · 0.3%

Your Cost: $10.47/claim|Median: $10.06
1.0× median
69210Normal range

$38K

1,251 claims · 0.2%

Your Cost: $30.19/claim|Median: $21.74
1.4× median
99383Normal range

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

$34K

378 claims · 0.2%

Your Cost: $90.78/claim|Median: $81.92
1.1× median
99429Normal range

$31K

1,017 claims · 0.2%

Your Cost: $30.94/claim|Median: $28.58
1.1× median
17250Top 25%

$29K

454 claims · 0.2%

Your Cost: $64.16/claim|Median: $19.69
3.3× median
96160Normal range

Patient-focused health risk assessment

$26K

12K claims · 0.2%

Your Cost: $2.16/claim|Median: $2.10
1.0× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$22K

25K claims · 0.1%

Your Cost: $0.85/claim|Median: $0.79
1.1× median
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