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Provider 1104137439

NPI: 1104137439Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.3M

$14,329,086

Total Claims

394K

Beneficiaries

377K

1.0 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+13%
2019
$1.5M
-17%
2020
$1.3M
+45%
2021
$1.8M
+5%
2022
$1.9M
+71%
2023
$3.3M
-2%
2024
$3.2M

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 35% of total spending.

99214Top 25%

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

$5.0M

61K claims · 35.2%

Your Cost: $83.24/claim|Median: $53.41
1.6× median
99213Normal range

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

$1.8M

34K claims · 12.4%

Your Cost: $52.47/claim|Median: $37.81
1.4× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$753K

3,686 claims · 5.3%

Your Cost: $204.32/claim|Median: $169.17
1.2× median
87798Top 5%

Infectious agent detection, nucleic acid, not otherwise specified

$721K

4,356 claims · 5.0%

Your Cost: $165.55/claim|Median: $26.72
6.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$679K

12K claims · 4.7%

Your Cost: $57.34/claim|Median: $75.18
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$594K

10K claims · 4.1%

Your Cost: $57.13/claim|Median: $74.82
0.8× median
87804Top 25%

Influenza virus detection, rapid test

$562K

27K claims · 3.9%

Your Cost: $21.13/claim|Median: $12.59
1.7× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$513K

19K claims · 3.6%

Your Cost: $27.24/claim|Median: $30.53
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$489K

8,598 claims · 3.4%

Your Cost: $56.86/claim|Median: $69.35
0.8× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$335K

28K claims · 2.3%

Your Cost: $11.95/claim|Median: $11.48
1.0× median
87634Normal range

$298K

6,333 claims · 2.1%

Your Cost: $47.01/claim|Median: $48.78
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$189K

3,250 claims · 1.3%

Your Cost: $58.12/claim|Median: $80.15
0.7× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$171K

3,682 claims · 1.2%

Your Cost: $46.54/claim|Median: $65.64
0.7× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$152K

16K claims · 1.1%

Your Cost: $9.25/claim|Median: $4.71
2.0× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$129K

3,670 claims · 0.9%

Your Cost: $35.02/claim|Median: $34.62
1.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$122K

25K claims · 0.8%

Your Cost: $4.94/claim|Median: $3.67
1.3× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$117K

4,737 claims · 0.8%

Your Cost: $24.69/claim|Median: $28.46
0.9× median
90460Top 10%

Immunization administration, first vaccine/toxoid, with counseling

$112K

2,582 claims · 0.8%

Your Cost: $43.32/claim|Median: $17.85
2.4× median
90670Top 25%

$105K

4,830 claims · 0.7%

Your Cost: $21.84/claim|Median: $5.94
3.7× median
87581Normal range

$96K

3,695 claims · 0.7%

Your Cost: $25.94/claim|Median: $17.13
1.5× median
87486Normal range

$96K

3,696 claims · 0.7%

Your Cost: $25.92/claim|Median: $19.16
1.4× median
87640Top 25%

$94K

4,504 claims · 0.7%

Your Cost: $20.85/claim|Median: $8.39
2.5× median
87498Top 25%

$78K

3,693 claims · 0.5%

Your Cost: $21.18/claim|Median: $10.02
2.1× median
99203Top 25%

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

$72K

909 claims · 0.5%

Your Cost: $79.04/claim|Median: $57.85
1.4× median
99173Normal range

$72K

18K claims · 0.5%

Your Cost: $3.94/claim|Median: $2.16
1.8× median
90461Top 5%

Immunization admin, additional vaccine, counseling

$70K

1,326 claims · 0.5%

Your Cost: $53.14/claim|Median: $6.93
7.7× median
92551Normal range

Screening audiometry, pure tone, air only

$66K

15K claims · 0.5%

Your Cost: $4.32/claim|Median: $6.61
0.7× median
90680Top 10%

$62K

3,210 claims · 0.4%

Your Cost: $19.44/claim|Median: $5.58
3.5× median
99215Top 25%

Office/outpatient visit, high complexity

$62K

477 claims · 0.4%

Your Cost: $129.68/claim|Median: $74.09
1.8× median
81003Top 25%

Urinalysis, automated without microscopy

$60K

21K claims · 0.4%

Your Cost: $2.81/claim|Median: $1.48
1.9× median
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