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Provider 1124105762

NPI: 1124105762Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.7M

$17,713,010

Total Claims

382K

Beneficiaries

366K

1.0 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$2.4M
-4%
2019
$2.3M
-18%
2020
$1.9M
+52%
2021
$2.9M
+0%
2022
$2.9M
-8%
2023
$2.7M
+3%
2024
$2.7M

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.

99213Top 25%

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

$5.5M

81K claims · 30.8%

Your Cost: $67.78/claim|Median: $37.81
1.8× median
99214Top 25%

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

$3.3M

34K claims · 18.8%

Your Cost: $97.50/claim|Median: $53.41
1.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.2M

16K claims · 6.8%

Your Cost: $76.85/claim|Median: $75.18
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$930K

12K claims · 5.2%

Your Cost: $75.92/claim|Median: $69.35
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$796K

10K claims · 4.5%

Your Cost: $77.29/claim|Median: $74.82
1.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$755K

18K claims · 4.3%

Your Cost: $41.27/claim|Median: $39.70
1.0× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$610K

13K claims · 3.4%

Your Cost: $45.39/claim|Median: $65.64
0.7× median
90460Top 1%

Immunization administration, first vaccine/toxoid, with counseling

$576K

7,912 claims · 3.3%

Your Cost: $72.79/claim|Median: $17.85
4.1× median
90670Top 5%

$489K

8,873 claims · 2.8%

Your Cost: $55.12/claim|Median: $5.94
9.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$387K

4,524 claims · 2.2%

Your Cost: $85.60/claim|Median: $80.15
1.1× median
90698Top 5%

$305K

9,574 claims · 1.7%

Your Cost: $31.90/claim|Median: $6.32
5.0× median
90461Top 5%

Immunization admin, additional vaccine, counseling

$271K

4,399 claims · 1.5%

Your Cost: $61.69/claim|Median: $6.93
8.9× median
90680Top 1%

$243K

6,530 claims · 1.4%

Your Cost: $37.19/claim|Median: $5.58
6.7× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$223K

18K claims · 1.3%

Your Cost: $12.08/claim|Median: $11.48
1.1× median
90651Top 5%

HPV vaccine, 9-valent

$220K

1,599 claims · 1.2%

Your Cost: $137.75/claim|Median: $8.93
15.4× median
90686Top 10%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$216K

11K claims · 1.2%

Your Cost: $18.97/claim|Median: $7.18
2.6× median
90710Top 1%

MMRV vaccine

$141K

1,764 claims · 0.8%

Your Cost: $79.92/claim|Median: $7.00
11.4× median
87070Top 25%

Bacterial culture, any source except blood or urine

$134K

14K claims · 0.8%

Your Cost: $9.43/claim|Median: $5.89
1.6× median
90677Top 25%

$121K

1,681 claims · 0.7%

Your Cost: $71.69/claim|Median: $12.96
5.5× median
90716Top 5%

$107K

1,488 claims · 0.6%

Your Cost: $71.72/claim|Median: $6.18
11.6× median
90633Top 5%

$90K

3,758 claims · 0.5%

Your Cost: $23.94/claim|Median: $3.56
6.7× median
90671Top 25%

$78K

1,139 claims · 0.4%

Your Cost: $68.36/claim|Median: $8.59
8.0× median
90744Top 5%

$76K

3,609 claims · 0.4%

Your Cost: $21.06/claim|Median: $5.00
4.2× median
99173Normal range

$75K

19K claims · 0.4%

Your Cost: $3.87/claim|Median: $2.16
1.8× median
90734Top 5%

$74K

870 claims · 0.4%

Your Cost: $84.72/claim|Median: $6.40
13.2× median
92551Normal range

Screening audiometry, pure tone, air only

$71K

17K claims · 0.4%

Your Cost: $4.26/claim|Median: $6.61
0.6× median
90707Top 5%

MMR vaccine

$69K

1,421 claims · 0.4%

Your Cost: $48.64/claim|Median: $5.76
8.4× median
87804Top 25%

Influenza virus detection, rapid test

$65K

3,181 claims · 0.4%

Your Cost: $20.58/claim|Median: $12.59
1.6× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$64K

7,331 claims · 0.4%

Your Cost: $8.71/claim|Median: $4.71
1.8× median
90471Top 5%

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

$46K

1,531 claims · 0.3%

Your Cost: $30.04/claim|Median: $9.80
3.1× median
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