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Provider 1093969115

NPI: 1093969115Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.6M

$10,570,473

Total Claims

300K

Beneficiaries

283K

1.1 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$1.7M
-9%
2019
$1.6M
-47%
2020
$847K
+29%
2021
$1.1M
+48%
2022
$1.6M
+30%
2023
$2.1M
-25%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99212 (Office/outpatient visit, low complexity)) accounts for 11% of total spending.

99212Top 10%

Office/outpatient visit, low complexity

$1.2M

15K claims · 11.2%

Your Cost: $78.39/claim|Median: $25.06
3.1× median
99213Top 5%

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

$1.0M

10K claims · 9.9%

Your Cost: $101.97/claim|Median: $37.81
2.7× median
99211Top 10%

Office/outpatient visit, minimal complexity

$966K

21K claims · 9.1%

Your Cost: $46.02/claim|Median: $12.93
3.6× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$946K

1,096 claims · 9.0%

Your Cost: $863.48/claim|Median: $786.43
1.1× median
J3490Top 25%

Unclassified drugs

$935K

33K claims · 8.8%

Your Cost: $28.15/claim|Median: $5.70
4.9× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$705K

3,883 claims · 6.7%

Your Cost: $181.52/claim|Median: $40.11
4.5× median
99203Top 1%

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

$600K

1,897 claims · 5.7%

Your Cost: $316.52/claim|Median: $57.85
5.5× median
99214Top 5%

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

$526K

3,275 claims · 5.0%

Your Cost: $160.60/claim|Median: $53.41
3.0× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$506K

24K claims · 4.8%

Your Cost: $21.28/claim|Median: $24.95
0.9× median
S4993Normal range

$496K

7,751 claims · 4.7%

Your Cost: $64.02/claim|Median: $46.61
1.4× median
87806Normal range

$379K

17K claims · 3.6%

Your Cost: $21.68/claim|Median: $20.54
1.1× median
11981Top 10%

$300K

1,124 claims · 2.8%

Your Cost: $266.72/claim|Median: $117.16
2.3× median
J7304Normal range

$275K

834 claims · 2.6%

Your Cost: $330.21/claim|Median: $630.59
0.5× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$266K

24K claims · 2.5%

Your Cost: $11.20/claim|Median: $23.39
0.5× median
S0199Normal range

$227K

545 claims · 2.1%

Your Cost: $416.46/claim|Median: $454.23
0.9× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$166K

2,151 claims · 1.6%

Your Cost: $76.99/claim|Median: $27.38
2.8× median
A4267Normal range

$134K

26K claims · 1.3%

Your Cost: $5.09/claim|Median: $7.86
0.6× median
99204Top 1%

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

$129K

329 claims · 1.2%

Your Cost: $392.93/claim|Median: $84.03
4.7× median
81025Normal range

Urine pregnancy test

$120K

32K claims · 1.1%

Your Cost: $3.70/claim|Median: $4.81
0.8× median
55250Normal range

$120K

808 claims · 1.1%

Your Cost: $148.31/claim|Median: $149.35
1.0× median
58300Top 25%

$89K

759 claims · 0.8%

Your Cost: $117.31/claim|Median: $74.77
1.6× median
99401Normal range

$75K

3,931 claims · 0.7%

Your Cost: $19.00/claim|Median: $16.53
1.1× median
11976Normal range

$57K

910 claims · 0.5%

Your Cost: $62.18/claim|Median: $57.06
1.1× median
S9445Normal range

$52K

4,115 claims · 0.5%

Your Cost: $12.60/claim|Median: $12.72
1.0× median
99000Normal range

$39K

14K claims · 0.4%

Your Cost: $2.81/claim|Median: $2.30
1.2× median
S5000Normal range

Prescription drug, generic

$38K

5,734 claims · 0.4%

Your Cost: $6.59/claim|Median: $7.47
0.9× median
83986Normal range

$26K

11K claims · 0.2%

Your Cost: $2.40/claim|Median: $2.70
0.9× median
86703Normal range

$23K

2,744 claims · 0.2%

Your Cost: $8.51/claim|Median: $10.37
0.8× median
S0190Normal range

$17K

482 claims · 0.2%

Your Cost: $35.13/claim|Median: $58.42
0.6× median
Q0111Normal range

$16K

4,409 claims · 0.2%

Your Cost: $3.65/claim|Median: $3.66
1.0× median
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