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Provider 1124013230

NPI: 1124013230Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$15.9M

$15,880,674

Total Claims

470K

Beneficiaries

443K

1.1 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+20%
2019
$2.2M
-23%
2020
$1.7M
+50%
2021
$2.6M
+13%
2022
$2.9M
-7%
2023
$2.7M
-30%
2024
$1.9M

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 45% of total spending.

99213Top 5%

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

$7.1M

76K claims · 44.8%

Your Cost: $93.82/claim|Median: $37.81
2.5× median
99212Top 10%

Office/outpatient visit, low complexity

$1.5M

25K claims · 9.2%

Your Cost: $58.44/claim|Median: $25.06
2.3× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$1.1M

10K claims · 6.8%

Your Cost: $106.85/claim|Median: $74.82
1.4× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$1.0M

31K claims · 6.6%

Your Cost: $33.55/claim|Median: $17.85
1.9× median
99214Top 5%

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

$1.0M

7,894 claims · 6.6%

Your Cost: $131.92/claim|Median: $53.41
2.5× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$845K

7,966 claims · 5.3%

Your Cost: $106.06/claim|Median: $75.18
1.4× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$605K

5,057 claims · 3.8%

Your Cost: $119.58/claim|Median: $80.15
1.5× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$531K

5,353 claims · 3.3%

Your Cost: $99.24/claim|Median: $69.35
1.4× median
92552Top 10%

Pure tone audiometry, air only, each ear

$405K

12K claims · 2.5%

Your Cost: $33.78/claim|Median: $12.63
2.7× median
99211Top 25%

Office/outpatient visit, minimal complexity

$223K

8,734 claims · 1.4%

Your Cost: $25.59/claim|Median: $12.93
2.0× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$162K

7,036 claims · 1.0%

Your Cost: $23.07/claim|Median: $6.93
3.3× median
99188Top 25%

$118K

6,017 claims · 0.7%

Your Cost: $19.64/claim|Median: $12.80
1.5× median
99051Normal range

$100K

16K claims · 0.6%

Your Cost: $6.13/claim|Median: $7.89
0.8× median
99203Top 5%

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

$79K

674 claims · 0.5%

Your Cost: $117.17/claim|Median: $57.85
2.0× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$76K

23K claims · 0.5%

Your Cost: $3.30/claim|Median: $12.70
0.3× median
S9451Top 25%

$73K

21K claims · 0.5%

Your Cost: $3.54/claim|Median: $0.35
10.1× median
99204Top 10%

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

$71K

440 claims · 0.4%

Your Cost: $162.38/claim|Median: $84.03
1.9× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$68K

544 claims · 0.4%

Your Cost: $124.41/claim|Median: $72.71
1.7× median
G0444Normal range

Annual depression screening, fifteen minutes

$63K

6,876 claims · 0.4%

Your Cost: $9.22/claim|Median: $4.23
2.2× median
92587Normal range

$58K

2,733 claims · 0.4%

Your Cost: $21.33/claim|Median: $19.24
1.1× median
96110Normal range

Developmental screening, per standardized instrument

$47K

13K claims · 0.3%

Your Cost: $3.72/claim|Median: $9.10
0.4× median
99396Top 5%

Preventive medicine, established patient, age 40-64

$46K

340 claims · 0.3%

Your Cost: $133.91/claim|Median: $76.06
1.8× median
0072ANormal range

$43K

1,051 claims · 0.3%

Your Cost: $40.73/claim|Median: $39.57
1.0× median
86580Top 10%

Tuberculosis (TB) skin test

$41K

4,437 claims · 0.3%

Your Cost: $9.17/claim|Median: $4.46
2.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$33K

5,047 claims · 0.2%

Your Cost: $6.53/claim|Median: $9.56
0.7× median
0071ANormal range

$33K

796 claims · 0.2%

Your Cost: $41.03/claim|Median: $38.71
1.1× median
83655Normal range

$31K

2,743 claims · 0.2%

Your Cost: $11.27/claim|Median: $10.49
1.1× median
90472Top 25%

Immunization administration, each additional vaccine

$31K

1,389 claims · 0.2%

Your Cost: $22.07/claim|Median: $11.79
1.9× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$21K

484 claims · 0.1%

Your Cost: $42.36/claim|Median: $36.70
1.2× median
85018Normal range

$20K

9,733 claims · 0.1%

Your Cost: $2.08/claim|Median: $1.71
1.2× median
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