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Provider 1114228475

NPI: 1114228475Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.1M

$8,140,273

Total Claims

419K

Beneficiaries

278K

1.5 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$710K
+52%
2019
$1.1M
-17%
2020
$891K
+58%
2021
$1.4M
-2%
2022
$1.4M
+2%
2023
$1.4M
-11%
2024
$1.3M

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 22% of total spending.

99214Top 25%

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

$1.8M

19K claims · 21.6%

Your Cost: $92.77/claim|Median: $53.41
1.7× median
99213Top 25%

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

$1.5M

24K claims · 18.9%

Your Cost: $63.87/claim|Median: $37.81
1.7× median
99199Normal range

Unlisted special service, procedure, or report

$1.4M

230K claims · 17.0%

Your Cost: $6.01/claim|Median: $5.39
1.1× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$407K

4,377 claims · 5.0%

Your Cost: $92.95/claim|Median: $75.18
1.2× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$353K

3,972 claims · 4.3%

Your Cost: $88.97/claim|Median: $69.35
1.3× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$345K

3,730 claims · 4.2%

Your Cost: $92.42/claim|Median: $74.82
1.2× median
87804Normal range

Influenza virus detection, rapid test

$274K

22K claims · 3.4%

Your Cost: $12.18/claim|Median: $12.59
1.0× median
90472Top 5%

Immunization administration, each additional vaccine

$259K

7,269 claims · 3.2%

Your Cost: $35.63/claim|Median: $11.79
3.0× median
90471Top 25%

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

$254K

13K claims · 3.1%

Your Cost: $18.80/claim|Median: $9.80
1.9× median
87426Normal range

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

$253K

7,865 claims · 3.1%

Your Cost: $32.13/claim|Median: $30.04
1.1× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$218K

2,177 claims · 2.7%

Your Cost: $100.24/claim|Median: $80.15
1.3× median
90837Normal range

Psychotherapy, 60 minutes

$200K

2,439 claims · 2.5%

Your Cost: $81.97/claim|Median: $85.66
1.0× median
87428Normal range

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

$186K

3,269 claims · 2.3%

Your Cost: $56.93/claim|Median: $39.63
1.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$110K

8,787 claims · 1.4%

Your Cost: $12.56/claim|Median: $11.48
1.1× median
99212Top 25%

Office/outpatient visit, low complexity

$101K

2,643 claims · 1.2%

Your Cost: $38.07/claim|Median: $25.06
1.5× median
99215Top 25%

Office/outpatient visit, high complexity

$97K

759 claims · 1.2%

Your Cost: $127.89/claim|Median: $74.09
1.7× median
96110Normal range

Developmental screening, per standardized instrument

$84K

8,974 claims · 1.0%

Your Cost: $9.41/claim|Median: $9.10
1.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$70K

2,445 claims · 0.9%

Your Cost: $28.73/claim|Median: $57.30
0.5× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$39K

9,554 claims · 0.5%

Your Cost: $4.04/claim|Median: $3.67
1.1× median
D1206Normal range

Topical application of fluoride varnish

$31K

2,445 claims · 0.4%

Your Cost: $12.64/claim|Median: $18.12
0.7× median
87807Top 25%

$30K

2,462 claims · 0.4%

Your Cost: $12.23/claim|Median: $10.06
1.2× median
90847Normal range

Family psychotherapy with patient, 50 min

$26K

389 claims · 0.3%

Your Cost: $67.02/claim|Median: $77.33
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$23K

232 claims · 0.3%

Your Cost: $100.05/claim|Median: $99.21
1.0× median
90474Top 10%

$16K

889 claims · 0.2%

Your Cost: $18.49/claim|Median: $8.42
2.2× median
90834Normal range

Psychotherapy, 45 minutes

$14K

309 claims · 0.2%

Your Cost: $44.30/claim|Median: $63.65
0.7× median
92551Normal range

Screening audiometry, pure tone, air only

$11K

8,321 claims · 0.1%

Your Cost: $1.32/claim|Median: $6.61
0.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$5K

3,811 claims · 0.1%

Your Cost: $1.42/claim|Median: $7.18
0.2× median
90651Normal range

HPV vaccine, 9-valent

$5K

361 claims · 0.1%

Your Cost: $14.61/claim|Median: $8.93
1.6× median
90832Normal range

Psychotherapy, 30 minutes

$5K

144 claims · 0.1%

Your Cost: $36.61/claim|Median: $41.28
0.9× median
99173Normal range

$5K

8,912 claims · 0.1%

Your Cost: $0.55/claim|Median: $2.16
0.3× median
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