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Provider 1114932514

NPI: 1114932514Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.0M

$18,027,021

Total Claims

759K

Beneficiaries

662K

1.1 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$2.4M
+2%
2019
$2.4M
-4%
2020
$2.3M
+4%
2021
$2.4M
+14%
2022
$2.7M
+8%
2023
$3.0M
-5%
2024
$2.8M

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 35% of total spending.

99213Normal range

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

$6.3M

150K claims · 34.9%

Your Cost: $41.76/claim|Median: $37.81
1.1× median
99214Normal range

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

$1.5M

30K claims · 8.6%

Your Cost: $51.74/claim|Median: $53.41
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$1.5M

36K claims · 8.2%

Your Cost: $41.09/claim|Median: $41.28
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$859K

12K claims · 4.8%

Your Cost: $70.44/claim|Median: $75.18
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$791K

13K claims · 4.4%

Your Cost: $61.51/claim|Median: $69.35
0.9× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$673K

26K claims · 3.7%

Your Cost: $25.43/claim|Median: $17.85
1.4× median
99173Top 1%

$589K

12K claims · 3.3%

Your Cost: $48.97/claim|Median: $2.16
22.7× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$570K

21K claims · 3.2%

Your Cost: $27.17/claim|Median: $32.07
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$374K

5,232 claims · 2.1%

Your Cost: $71.53/claim|Median: $74.82
1.0× median
D0330Normal range

Panoramic radiographic image

$364K

8,672 claims · 2.0%

Your Cost: $41.92/claim|Median: $37.36
1.1× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$359K

16K claims · 2.0%

Your Cost: $22.73/claim|Median: $6.93
3.3× median
99215Normal range

Office/outpatient visit, high complexity

$339K

4,029 claims · 1.9%

Your Cost: $84.04/claim|Median: $74.09
1.1× median
87428Normal range

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

$211K

4,887 claims · 1.2%

Your Cost: $43.11/claim|Median: $39.63
1.1× median
D1110Normal range

Prophylaxis, adult cleaning

$185K

3,625 claims · 1.0%

Your Cost: $50.93/claim|Median: $43.38
1.2× median
D1120Top 25%

Prophylaxis, adult

$184K

4,329 claims · 1.0%

Your Cost: $42.46/claim|Median: $33.86
1.3× median
D0140Normal range

Limited oral evaluation, problem focused

$178K

5,277 claims · 1.0%

Your Cost: $33.64/claim|Median: $27.07
1.2× median
D0274Normal range

Bitewings, four radiographic images

$177K

7,728 claims · 1.0%

Your Cost: $22.97/claim|Median: $22.54
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$172K

3,255 claims · 1.0%

Your Cost: $52.87/claim|Median: $63.65
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$164K

5,270 claims · 0.9%

Your Cost: $31.13/claim|Median: $25.06
1.2× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$162K

1,555 claims · 0.9%

Your Cost: $104.28/claim|Median: $109.42
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$159K

2,567 claims · 0.9%

Your Cost: $61.88/claim|Median: $71.00
0.9× median
90471Normal range

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

$155K

12K claims · 0.9%

Your Cost: $12.75/claim|Median: $9.80
1.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$132K

1,655 claims · 0.7%

Your Cost: $79.55/claim|Median: $80.15
1.0× median
92551Top 25%

Screening audiometry, pure tone, air only

$121K

12K claims · 0.7%

Your Cost: $10.25/claim|Median: $6.61
1.6× median
D7140Normal range

Extraction, erupted tooth or exposed root

$119K

2,458 claims · 0.7%

Your Cost: $48.37/claim|Median: $57.39
0.8× median
D2391Normal range

Resin-based composite, one surface, posterior

$119K

2,483 claims · 0.7%

Your Cost: $47.88/claim|Median: $54.60
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$111K

13K claims · 0.6%

Your Cost: $8.46/claim|Median: $10.51
0.8× median
99203Normal range

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

$106K

2,022 claims · 0.6%

Your Cost: $52.50/claim|Median: $57.85
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$106K

1,278 claims · 0.6%

Your Cost: $82.88/claim|Median: $99.21
0.8× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$106K

8,709 claims · 0.6%

Your Cost: $12.14/claim|Median: $11.48
1.1× median
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