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Provider 1114097524

NPI: 1114097524Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.3M

$10,318,143

Total Claims

593K

Beneficiaries

484K

1.2 claims/patient

Avg Cost/Claim

$17

Monthly Spending Trend

Yearly Spending

2018
$62K
+29%
2019
$81K
+615%
2020
$576K
+312%
2021
$2.4M
-3%
2022
$2.3M
+5%
2023
$2.4M
+3%
2024
$2.5M

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 31% of total spending.

99213Normal range

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

$3.2M

148K claims · 31.3%

Your Cost: $21.78/claim|Median: $37.81
0.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.1M

15K claims · 10.8%

Your Cost: $74.09/claim|Median: $75.18
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.0M

13K claims · 9.8%

Your Cost: $78.58/claim|Median: $74.82
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$747K

8,930 claims · 7.2%

Your Cost: $83.71/claim|Median: $80.15
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$738K

50K claims · 7.2%

Your Cost: $14.85/claim|Median: $25.06
0.6× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$712K

73K claims · 6.9%

Your Cost: $9.70/claim|Median: $17.85
0.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$701K

9,631 claims · 6.8%

Your Cost: $72.76/claim|Median: $69.35
1.0× median
99214Normal range

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

$495K

16K claims · 4.8%

Your Cost: $31.23/claim|Median: $53.41
0.6× median
99381Normal range

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

$170K

2,162 claims · 1.6%

Your Cost: $78.41/claim|Median: $73.46
1.1× median
87811Normal range

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

$156K

5,126 claims · 1.5%

Your Cost: $30.51/claim|Median: $30.53
1.0× median
87804Normal range

Influenza virus detection, rapid test

$153K

19K claims · 1.5%

Your Cost: $8.15/claim|Median: $12.59
0.6× median
96110Normal range

Developmental screening, per standardized instrument

$145K

18K claims · 1.4%

Your Cost: $8.00/claim|Median: $9.10
0.9× median
S8301Normal range

$126K

9,860 claims · 1.2%

Your Cost: $12.76/claim|Median: $8.32
1.5× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$108K

15K claims · 1.1%

Your Cost: $7.06/claim|Median: $9.56
0.7× median
99203Normal range

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

$95K

2,629 claims · 0.9%

Your Cost: $36.00/claim|Median: $57.85
0.6× median
90461Normal range

Immunization admin, additional vaccine, counseling

$81K

14K claims · 0.8%

Your Cost: $5.59/claim|Median: $6.93
0.8× median
90472Normal range

Immunization administration, each additional vaccine

$75K

9,260 claims · 0.7%

Your Cost: $8.07/claim|Median: $11.79
0.7× median
99050Normal range

$64K

4,743 claims · 0.6%

Your Cost: $13.59/claim|Median: $11.81
1.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$59K

7,136 claims · 0.6%

Your Cost: $8.23/claim|Median: $11.48
0.7× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$49K

1,776 claims · 0.5%

Your Cost: $27.67/claim|Median: $40.11
0.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$41K

520 claims · 0.4%

Your Cost: $79.70/claim|Median: $72.71
1.1× median
99051Normal range

$34K

8,214 claims · 0.3%

Your Cost: $4.15/claim|Median: $7.89
0.5× median
99383Normal range

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

$31K

365 claims · 0.3%

Your Cost: $86.02/claim|Median: $81.92
1.1× median
G9716Top 25%

$21K

17K claims · 0.2%

Your Cost: $1.26/claim|Median: $0.42
3.0× median
90471Normal range

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

$20K

2,437 claims · 0.2%

Your Cost: $8.24/claim|Median: $9.80
0.8× median
G8510Top 25%

$18K

1,496 claims · 0.2%

Your Cost: $12.33/claim|Median: $1.96
6.3× median
J2930Normal range

$18K

5,252 claims · 0.2%

Your Cost: $3.38/claim|Median: $3.03
1.1× median
94060Normal range

$17K

708 claims · 0.2%

Your Cost: $23.71/claim|Median: $25.18
0.9× median
96160Normal range

Patient-focused health risk assessment

$17K

8,524 claims · 0.2%

Your Cost: $1.94/claim|Median: $2.10
0.9× median
99382Normal range

Preventive visit, new patient, early childhood (1-4 yr)

$14K

165 claims · 0.1%

Your Cost: $86.23/claim|Median: $79.89
1.1× median
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