Total Paid
$24.1M
$24,102,642
Total Claims
537K
Beneficiaries
503K
1.1 claims/patient
Avg Cost/Claim
$45
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 25% of total spending.
$6.0M
80K claims
$75.49
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$6.0M
80K claims · 24.9%
$3.6M
34K claims
$106.27
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$3.6M
34K claims · 15.1%
$3.2M
26K claims
$123.25
$75.18
Preventive medicine, established patient, age 1-4
$3.2M
26K claims · 13.5%
$2.7M
21K claims
$130.43
$69.35
Preventive medicine, established patient, infant (under 1)
$2.7M
21K claims · 11.3%
$1.7M
15K claims
$112.51
$74.82
Preventive medicine, established patient, age 5-11
$1.7M
15K claims · 7.1%
$1.7M
59K claims
$29.07
$17.85
Immunization administration, first vaccine/toxoid, with counseling
$1.7M
59K claims · 7.1%
$776K
6,168 claims
$125.84
$80.15
Preventive medicine, established patient, age 12-17
$776K
6,168 claims · 3.2%
$577K
12K claims
$48.25
$25.06
Office/outpatient visit, low complexity
$577K
12K claims · 2.4%
$480K
25K claims
$19.53
$6.93
Immunization admin, additional vaccine, counseling
$480K
25K claims · 2.0%
$450K
4,790 claims
$93.94
$73.46
Preventive visit, new patient, infant (<1 yr)
$450K
4,790 claims · 1.9%
$381K
20K claims
$18.69
$12.63
Pure tone audiometry, air only, each ear
$381K
20K claims · 1.6%
$305K
7,238 claims
$42.09
$34.62
COVID-19 lab test, non-CDC, nucleic acid
$305K
7,238 claims · 1.3%
$287K
2,341 claims
$122.71
$81.92
Preventive visit, new patient, late childhood (5-11 yr)
$287K
2,341 claims · 1.2%
$211K
1,664 claims
$126.88
$79.89
Preventive visit, new patient, early childhood (1-4 yr)
$211K
1,664 claims · 0.9%
$177K
11K claims
$16.56
$30.53
SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read
$177K
11K claims · 0.7%
$164K
1,143 claims
$143.33
$74.09
Office/outpatient visit, high complexity
$164K
1,143 claims · 0.7%
$134K
939 claims
$142.20
$83.63
Preventive visit, new patient, adolescent (12-17 yr)
$134K
939 claims · 0.6%
Psychotherapy, 60 minutes
$117K
1,183 claims · 0.5%
$96K
1,563 claims
$61.38
$39.70
COVID-19 SARS-CoV-2 amplified probe detection
$96K
1,563 claims · 0.4%
$84K
20K claims
$4.22
$9.10
Developmental screening, per standardized instrument
$84K
20K claims · 0.3%
$73K
6,395 claims
$11.40
$12.59
Influenza virus detection, rapid test
$73K
6,395 claims · 0.3%
$61K
877 claims
$69.90
$22.44
Telephone E/M by physician, 11-20 minutes
$61K
877 claims · 0.3%
$56K
532 claims
$104.90
$57.85
Office/outpatient visit, new patient, low-mod complexity
$56K
532 claims · 0.2%
$54K
6,683 claims
$8.01
$11.48
Streptococcus, Group A, rapid antigen detection
$54K
6,683 claims · 0.2%
$49K
1,782 claims · 0.2%
$39K
7,558 claims · 0.2%
Telephone E/M by physician, 5-10 min
$36K
829 claims · 0.1%
$35K
9,840 claims · 0.1%
$34K
2,913 claims · 0.1%
$32K
5,519 claims · 0.1%
$31K
428 claims
$71.38
$40.11
Office/outpatient visit, new patient, low complexity
$31K
428 claims · 0.1%
$28K
1,541 claims · 0.1%
Psychiatric diagnostic evaluation
$27K
281 claims · 0.1%
$15K
116 claims
$131.69
$133.38
Psychological testing evaluation, each additional hour
$15K
116 claims · 0.1%
$14K
3,136 claims · 0.1%
$14K
360 claims · 0.1%
$13K
65 claims
$204.04
$92.96
Psychological/neuropsychological testing, each additional 30 min
$13K
65 claims · 0.1%
$13K
223 claims · 0.1%
$12K
6,381 claims · 0.1%
$12K
8,283 claims · 0.1%
Percutaneous allergy skin tests, each
$12K
40 claims · 0.0%
$12K
12K claims
$0.97
$2.10
Patient-focused health risk assessment
$12K
12K claims · 0.0%
$10K
266 claims · 0.0%
$10K
4,284 claims
$2.30
$3.67
Brief emotional/behavioral assessment, per standardized instrument
$10K
4,284 claims · 0.0%
$10K
1,571 claims · 0.0%
$9K
785 claims · 0.0%
$9K
324 claims
$26.93
$28.46
Streptococcus Group A detection, nucleic acid, amplified probe
$9K
324 claims · 0.0%
$9K
5,687 claims · 0.0%
$8K
1,155 claims · 0.0%
$8K
210 claims
$36.73
$36.70
COVID-19 vaccine admin, Pfizer, 2nd dose
$8K
210 claims · 0.0%
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