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Provider 1124347182

NPI: 1124347182Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.4M

$18,421,497

Total Claims

404K

Beneficiaries

192K

2.1 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$2.6M
+30%
2019
$3.4M
+1%
2020
$3.5M
-9%
2021
$3.1M
-56%
2022
$1.4M
+81%
2023
$2.5M
-23%
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 36% of total spending.

99213Top 25%

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

$6.7M

103K claims · 36.2%

Your Cost: $64.89/claim|Median: $37.81
1.7× median
90832Top 10%

Psychotherapy, 30 minutes

$2.3M

21K claims · 12.6%

Your Cost: $109.82/claim|Median: $41.28
2.7× median
90834Top 10%

Psychotherapy, 45 minutes

$1.3M

11K claims · 7.2%

Your Cost: $125.73/claim|Median: $63.65
2.0× median
99214Normal range

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

$1.2M

20K claims · 6.7%

Your Cost: $63.36/claim|Median: $53.41
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.0M

34K claims · 5.4%

Your Cost: $29.31/claim|Median: $75.18
0.4× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$930K

28K claims · 5.1%

Your Cost: $33.10/claim|Median: $69.35
0.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$906K

34K claims · 4.9%

Your Cost: $26.91/claim|Median: $74.82
0.4× median
99212Top 25%

Office/outpatient visit, low complexity

$723K

14K claims · 3.9%

Your Cost: $51.65/claim|Median: $25.06
2.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$553K

21K claims · 3.0%

Your Cost: $25.75/claim|Median: $80.15
0.3× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$521K

8,653 claims · 2.8%

Your Cost: $60.19/claim|Median: $47.08
1.3× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$392K

6,269 claims · 2.1%

Your Cost: $62.50/claim|Median: $59.72
1.0× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$311K

3,348 claims · 1.7%

Your Cost: $92.83/claim|Median: $22.44
4.1× median
92551Top 10%

Screening audiometry, pure tone, air only

$296K

21K claims · 1.6%

Your Cost: $14.21/claim|Median: $6.61
2.1× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$294K

3,290 claims · 1.6%

Your Cost: $89.48/claim|Median: $13.30
6.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$123K

2,340 claims · 0.7%

Your Cost: $52.65/claim|Median: $72.71
0.7× median
81003Top 5%

Urinalysis, automated without microscopy

$123K

7,111 claims · 0.7%

Your Cost: $17.29/claim|Median: $1.48
11.7× median
99173Top 10%

$117K

12K claims · 0.6%

Your Cost: $9.63/claim|Median: $2.16
4.5× median
2022FTop 5%

$113K

3,390 claims · 0.6%

Your Cost: $33.36/claim|Median: $0.07
476.6× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$96K

937 claims · 0.5%

Your Cost: $101.93/claim|Median: $76.06
1.3× median
92015Normal range

Determination of refractive state

$58K

5,899 claims · 0.3%

Your Cost: $9.84/claim|Median: $10.36
1.0× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$51K

9,023 claims · 0.3%

Your Cost: $5.61/claim|Median: $12.70
0.4× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$40K

10K claims · 0.2%

Your Cost: $3.86/claim|Median: $17.85
0.2× median
99443Top 25%

Telephone E/M by physician, 21-30 min

$30K

381 claims · 0.2%

Your Cost: $79.63/claim|Median: $32.55
2.4× median
90461Normal range

Immunization admin, additional vaccine, counseling

$29K

5,594 claims · 0.2%

Your Cost: $5.22/claim|Median: $6.93
0.8× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$25K

6,025 claims · 0.1%

Your Cost: $4.21/claim|Median: $7.18
0.6× median
90863Top 25%

$24K

382 claims · 0.1%

Your Cost: $63.14/claim|Median: $29.71
2.1× median
99203Top 25%

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

$14K

172 claims · 0.1%

Your Cost: $82.86/claim|Median: $57.85
1.4× median
81025Top 10%

Urine pregnancy test

$13K

1,606 claims · 0.1%

Your Cost: $8.24/claim|Median: $4.81
1.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$13K

1,014 claims · 0.1%

Your Cost: $12.98/claim|Median: $12.93
1.0× median
2023FTop 25%

$8K

1,583 claims · 0.0%

Your Cost: $5.20/claim|Median: $0.13
40.0× median
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