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Provider 1124201199

NPI: 1124201199Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.8M

$7,822,852

Total Claims

19K

Beneficiaries

17K

1.1 claims/patient

Avg Cost/Claim

$413

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+9%
2019
$1.6M
-32%
2020
$1.1M
-32%
2021
$733K
+25%
2022
$918K
+44%
2023
$1.3M
-47%
2024
$707K

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 76% of total spending.

99213Top 1%

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

$6.0M

9,280 claims · 76.2%

Your Cost: $642.08/claim|Median: $37.81
17.0× median
99214Top 1%

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

$978K

1,616 claims · 12.5%

Your Cost: $605.21/claim|Median: $53.41
11.3× median
86580Top 1%

Tuberculosis (TB) skin test

$301K

601 claims · 3.8%

Your Cost: $500.16/claim|Median: $4.46
112.1× median
99212Top 1%

Office/outpatient visit, low complexity

$217K

357 claims · 2.8%

Your Cost: $607.91/claim|Median: $25.06
24.3× median
90471Top 1%

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

$110K

1,589 claims · 1.4%

Your Cost: $69.50/claim|Median: $9.80
7.1× median
71046Top 5%

Chest X-ray, 2 views

$39K

513 claims · 0.5%

Your Cost: $76.40/claim|Median: $8.92
8.6× median
99392Top 1%

Preventive medicine, established patient, age 1-4

$37K

77 claims · 0.5%

Your Cost: $476.91/claim|Median: $75.18
6.3× median
92004Top 1%

Ophthalmological exam, comprehensive, new patient

$32K

48 claims · 0.4%

Your Cost: $674.41/claim|Median: $59.72
11.3× median
90472Top 1%

Immunization administration, each additional vaccine

$23K

216 claims · 0.3%

Your Cost: $105.67/claim|Median: $11.79
9.0× median
80053Top 10%

Comprehensive metabolic panel

$23K

836 claims · 0.3%

Your Cost: $26.96/claim|Median: $7.24
3.7× median
99442Top 1%

Telephone E/M by physician, 11-20 minutes

$22K

61 claims · 0.3%

Your Cost: $356.86/claim|Median: $22.44
15.9× median
87880Top 5%

Streptococcus, Group A, rapid antigen detection

$15K

801 claims · 0.2%

Your Cost: $18.53/claim|Median: $11.48
1.6× median
92002Top 1%

Intermediate eye exam, new patient

$12K

19 claims · 0.1%

Your Cost: $614.39/claim|Median: $41.61
14.8× median
99441Top 1%

Telephone E/M by physician, 5-10 min

$11K

19 claims · 0.1%

Your Cost: $560.53/claim|Median: $13.30
42.1× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$8K

1,051 claims · 0.1%

Your Cost: $7.52/claim|Median: $4.71
1.6× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$7K

62 claims · 0.1%

Your Cost: $120.68/claim|Median: $9.56
12.6× median
92015Top 1%

Determination of refractive state

$7K

111 claims · 0.1%

Your Cost: $58.72/claim|Median: $10.36
5.7× median
92014Top 1%

Ophthalmological exam, comprehensive, established patient

$5K

16 claims · 0.1%

Your Cost: $320.98/claim|Median: $47.08
6.8× median
81001Top 10%

Urinalysis, automated, with microscopy

$5K

435 claims · 0.1%

Your Cost: $11.32/claim|Median: $2.03
5.6× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$4K

14 claims · 0.1%

Your Cost: $292.29/claim|Median: $74.82
3.9× median
82306Normal range

Vitamin D, 25 hydroxy

$3K

244 claims · 0.0%

Your Cost: $10.60/claim|Median: $18.18
0.6× median
80061Top 25%

Lipid panel

$2K

158 claims · 0.0%

Your Cost: $14.09/claim|Median: $8.41
1.7× median
86703Top 5%

$2K

76 claims · 0.0%

Your Cost: $22.68/claim|Median: $10.37
2.2× median
36415Top 10%

Collection of venous blood by venipuncture

$1K

173 claims · 0.0%

Your Cost: $7.55/claim|Median: $1.57
4.8× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$945

41 claims · 0.0%

Your Cost: $23.05/claim|Median: $9.87
2.3× median
86780Normal range

$862

104 claims · 0.0%

Your Cost: $8.29/claim|Median: $9.83
0.8× median
99173Normal range

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.16
99050Normal range

$0

31 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.81
82570Normal range

$0

29 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.18
82043Normal range

Urine albumin, microalbumin, quantitative test

$0

29 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.02
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