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Provider 1104234376

NPI: 1104234376Share
Active Billing Period:2019-10→2024-12(60 months)

Total Paid

$16.1M

$16,069,448

Total Claims

127K

Beneficiaries

110K

1.2 claims/patient

Avg Cost/Claim

$126

Monthly Spending Trend

Yearly Spending

2019
$5K
+365%
2020
$23K
+7020%
2021
$1.6M
+242%
2022
$5.6M
+10%
2023
$6.2M
-57%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 25% of total spending.

99213Top 1%

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

$4.0M

23K claims · 24.8%

Your Cost: $169.85/claim|Median: $37.81
4.5× median
36415Top 1%

Collection of venous blood by venipuncture

$1.3M

14K claims · 7.9%

Your Cost: $89.54/claim|Median: $1.57
57.0× median
99283Top 5%

Emergency dept visit, moderate complexity

$1.1M

4,835 claims · 7.0%

Your Cost: $233.54/claim|Median: $42.48
5.5× median
99212Top 1%

Office/outpatient visit, low complexity

$968K

3,741 claims · 6.0%

Your Cost: $258.69/claim|Median: $25.06
10.3× median
87651Top 1%

Streptococcus Group A detection, nucleic acid, amplified probe

$656K

3,588 claims · 4.1%

Your Cost: $182.73/claim|Median: $28.46
6.4× median
99214Top 1%

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

$619K

3,048 claims · 3.9%

Your Cost: $203.20/claim|Median: $53.41
3.8× median
99284Top 25%

Emergency dept visit, high complexity

$619K

5,115 claims · 3.8%

Your Cost: $120.95/claim|Median: $69.51
1.7× median
97530Top 1%

Therapeutic activities, each 15 min

$580K

3,470 claims · 3.6%

Your Cost: $167.26/claim|Median: $33.11
5.1× median
96361Top 10%

IV infusion, hydration, each additional hour

$573K

1,689 claims · 3.6%

Your Cost: $339.50/claim|Median: $38.92
8.7× median
99203Top 1%

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

$418K

1,532 claims · 2.6%

Your Cost: $273.05/claim|Median: $57.85
4.7× median
G2023Top 1%

Specimen collection for COVID-19 testing

$415K

3,607 claims · 2.6%

Your Cost: $115.09/claim|Median: $17.15
6.7× median
96372Top 1%

Therapeutic injection, subcutaneous/intramuscular

$379K

1,597 claims · 2.4%

Your Cost: $237.38/claim|Median: $9.56
24.8× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$322K

2,509 claims · 2.0%

Your Cost: $128.41/claim|Median: $85.65
1.5× median
80053Top 5%

Comprehensive metabolic panel

$312K

7,081 claims · 1.9%

Your Cost: $44.06/claim|Median: $7.24
6.1× median
99000Top 1%

$264K

1,025 claims · 1.6%

Your Cost: $257.33/claim|Median: $2.30
111.9× median
99202Top 1%

Office/outpatient visit, new patient, low complexity

$244K

760 claims · 1.5%

Your Cost: $321.54/claim|Median: $40.11
8.0× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$241K

1,231 claims · 1.5%

Your Cost: $196.00/claim|Median: $69.35
2.8× median
96365Top 1%

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$233K

756 claims · 1.5%

Your Cost: $308.70/claim|Median: $54.77
5.6× median
41899Top 25%

Unlisted procedure, dentoalveolar structures

$222K

116 claims · 1.4%

Your Cost: $1,913.96/claim|Median: $763.43
2.5× median
74177Top 10%

CT abdomen and pelvis with contrast

$197K

614 claims · 1.2%

Your Cost: $320.34/claim|Median: $65.76
4.9× median
81025Top 1%

Urine pregnancy test

$185K

1,204 claims · 1.1%

Your Cost: $153.26/claim|Median: $4.81
31.9× median
92551Top 1%

Screening audiometry, pure tone, air only

$173K

1,120 claims · 1.1%

Your Cost: $154.50/claim|Median: $6.61
23.4× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$163K

791 claims · 1.0%

Your Cost: $205.57/claim|Median: $75.18
2.7× median
U0003Normal range

Infectious disease detection (COVID-19)

$152K

2,148 claims · 0.9%

Your Cost: $70.82/claim|Median: $63.08
1.1× median
G0463Normal range

Hospital outpatient clinic visit

$144K

2,612 claims · 0.9%

Your Cost: $55.29/claim|Median: $26.41
2.1× median
70450Top 1%

CT head/brain without contrast

$141K

320 claims · 0.9%

Your Cost: $439.24/claim|Median: $45.53
9.6× median
96160Top 1%

Patient-focused health risk assessment

$130K

719 claims · 0.8%

Your Cost: $180.94/claim|Median: $2.10
86.2× median
87502Top 25%

Influenza virus detection, reverse transcription, amplified probe

$124K

1,379 claims · 0.8%

Your Cost: $90.15/claim|Median: $65.64
1.4× median
87491Top 5%

Chlamydia detection, nucleic acid, amplified probe

$118K

938 claims · 0.7%

Your Cost: $125.31/claim|Median: $24.95
5.0× median
99282Top 1%

Emergency dept visit, low complexity

$97K

242 claims · 0.6%

Your Cost: $402.73/claim|Median: $37.72
10.7× median
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