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Provider 1104265214

NPI: 1104265214Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.8M

$8,764,288

Total Claims

249K

Beneficiaries

218K

1.1 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$586K
+133%
2019
$1.4M
-4%
2020
$1.3M
+15%
2021
$1.5M
+10%
2022
$1.7M
-20%
2023
$1.3M
-26%
2024
$990K

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 47% of total spending.

99213Normal range

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

$4.2M

79K claims · 47.5%

Your Cost: $52.62/claim|Median: $37.81
1.4× median
99214Normal range

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

$2.0M

28K claims · 22.8%

Your Cost: $71.06/claim|Median: $53.41
1.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$396K

5,293 claims · 4.5%

Your Cost: $74.86/claim|Median: $75.18
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$382K

5,614 claims · 4.4%

Your Cost: $68.02/claim|Median: $69.35
1.0× median
95165Normal range

Professional services for allergen immunotherapy, per injection

$209K

1,001 claims · 2.4%

Your Cost: $208.32/claim|Median: $144.04
1.4× median
95004Normal range

Percutaneous allergy skin tests, each

$163K

888 claims · 1.9%

Your Cost: $183.06/claim|Median: $134.97
1.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$142K

12K claims · 1.6%

Your Cost: $12.12/claim|Median: $11.48
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$124K

1,660 claims · 1.4%

Your Cost: $74.89/claim|Median: $74.82
1.0× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$88K

2,265 claims · 1.0%

Your Cost: $39.06/claim|Median: $54.68
0.7× median
85025Normal range

Complete blood count (CBC) with differential, automated

$84K

13K claims · 1.0%

Your Cost: $6.67/claim|Median: $4.71
1.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$78K

958 claims · 0.9%

Your Cost: $81.62/claim|Median: $80.15
1.0× median
87426Normal range

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

$73K

2,408 claims · 0.8%

Your Cost: $30.28/claim|Median: $30.04
1.0× median
99203Normal range

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

$69K

1,042 claims · 0.8%

Your Cost: $66.13/claim|Median: $57.85
1.1× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$60K

701 claims · 0.7%

Your Cost: $84.94/claim|Median: $58.55
1.5× median
99212Normal range

Office/outpatient visit, low complexity

$48K

1,708 claims · 0.5%

Your Cost: $28.03/claim|Median: $25.06
1.1× median
80053Normal range

Comprehensive metabolic panel

$45K

5,328 claims · 0.5%

Your Cost: $8.38/claim|Median: $7.24
1.2× median
93010Normal range

Electrocardiogram, interpretation and report only

$45K

9,682 claims · 0.5%

Your Cost: $4.61/claim|Median: $5.60
0.8× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$44K

3,894 claims · 0.5%

Your Cost: $11.20/claim|Median: $7.18
1.6× median
87804Normal range

Influenza virus detection, rapid test

$43K

3,062 claims · 0.5%

Your Cost: $14.14/claim|Median: $12.59
1.1× median
90670Normal range

$43K

3,848 claims · 0.5%

Your Cost: $11.10/claim|Median: $5.94
1.9× median
95117Normal range

$41K

5,128 claims · 0.5%

Your Cost: $8.01/claim|Median: $8.34
1.0× median
99204Normal range

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

$37K

421 claims · 0.4%

Your Cost: $88.43/claim|Median: $84.03
1.1× median
76856Top 25%

Ultrasound, pelvic, complete

$33K

404 claims · 0.4%

Your Cost: $81.57/claim|Median: $47.58
1.7× median
90680Top 25%

$29K

1,932 claims · 0.3%

Your Cost: $14.91/claim|Median: $5.58
2.7× median
90698Normal range

$24K

2,292 claims · 0.3%

Your Cost: $10.38/claim|Median: $6.32
1.6× median
90633Top 25%

$19K

1,722 claims · 0.2%

Your Cost: $10.95/claim|Median: $3.56
3.1× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$12K

281 claims · 0.1%

Your Cost: $42.88/claim|Median: $106.14
0.4× median
70210Normal range

$12K

659 claims · 0.1%

Your Cost: $18.06/claim|Median: $12.41
1.5× median
99396Normal range

Preventive medicine, established patient, age 40-64

$12K

136 claims · 0.1%

Your Cost: $84.90/claim|Median: $76.06
1.1× median
90744Top 25%

$11K

824 claims · 0.1%

Your Cost: $13.84/claim|Median: $5.00
2.8× median
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