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Provider 1134175060

NPI: 1134175060Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$7.5M

$7,538,716

Total Claims

193K

Beneficiaries

171K

1.1 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$928K
-3%
2019
$898K
+8%
2020
$967K
+22%
2021
$1.2M
+25%
2022
$1.5M
-17%
2023
$1.2M
-29%
2024
$866K

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 51% of total spending.

99213Top 25%

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

$3.8M

62K claims · 50.6%

Your Cost: $61.59/claim|Median: $37.81
1.6× median
99212Normal range

Office/outpatient visit, low complexity

$780K

22K claims · 10.3%

Your Cost: $36.04/claim|Median: $25.06
1.4× median
99214Top 25%

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

$604K

7,134 claims · 8.0%

Your Cost: $84.63/claim|Median: $53.41
1.6× median
99393Normal range

Preventive medicine, established patient, age 5-11

$365K

4,516 claims · 4.8%

Your Cost: $80.81/claim|Median: $74.82
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$342K

3,882 claims · 4.5%

Your Cost: $88.01/claim|Median: $80.15
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$341K

4,277 claims · 4.5%

Your Cost: $79.70/claim|Median: $75.18
1.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$225K

13K claims · 3.0%

Your Cost: $16.76/claim|Median: $17.85
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$222K

3,216 claims · 2.9%

Your Cost: $69.03/claim|Median: $69.35
1.0× median
92552Top 25%

Pure tone audiometry, air only, each ear

$220K

8,989 claims · 2.9%

Your Cost: $24.47/claim|Median: $12.63
1.9× median
87426Top 25%

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$110K

3,013 claims · 1.5%

Your Cost: $36.65/claim|Median: $30.04
1.2× median
99496Normal range

Transitional care management, moderate complexity face-to-face visit

$60K

603 claims · 0.8%

Your Cost: $99.75/claim|Median: $54.66
1.8× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$55K

5,750 claims · 0.7%

Your Cost: $9.63/claim|Median: $11.48
0.8× median
86580Top 25%

Tuberculosis (TB) skin test

$50K

7,402 claims · 0.7%

Your Cost: $6.80/claim|Median: $4.46
1.5× median
99211Normal range

Office/outpatient visit, minimal complexity

$41K

2,715 claims · 0.5%

Your Cost: $15.23/claim|Median: $12.93
1.2× median
90472Top 10%

Immunization administration, each additional vaccine

$36K

1,156 claims · 0.5%

Your Cost: $31.52/claim|Median: $11.79
2.7× median
99401Normal range

$24K

1,020 claims · 0.3%

Your Cost: $23.11/claim|Median: $16.53
1.4× median
87804Normal range

Influenza virus detection, rapid test

$20K

1,827 claims · 0.3%

Your Cost: $10.96/claim|Median: $12.59
0.9× median
90461Normal range

Immunization admin, additional vaccine, counseling

$20K

1,250 claims · 0.3%

Your Cost: $15.79/claim|Median: $6.93
2.3× median
92587Normal range

$16K

1,205 claims · 0.2%

Your Cost: $13.59/claim|Median: $19.24
0.7× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$14K

4,034 claims · 0.2%

Your Cost: $3.52/claim|Median: $3.67
1.0× median
92551Top 25%

Screening audiometry, pure tone, air only

$11K

1,216 claims · 0.2%

Your Cost: $9.41/claim|Median: $6.61
1.4× median
99173Normal range

$11K

7,726 claims · 0.1%

Your Cost: $1.46/claim|Median: $2.16
0.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$11K

129 claims · 0.1%

Your Cost: $84.78/claim|Median: $72.71
1.2× median
80050Normal range

General health panel

$10K

252 claims · 0.1%

Your Cost: $38.14/claim|Median: $25.59
1.5× median
36415Normal range

Collection of venous blood by venipuncture

$9K

5,477 claims · 0.1%

Your Cost: $1.71/claim|Median: $1.57
1.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$9K

3,294 claims · 0.1%

Your Cost: $2.72/claim|Median: $7.18
0.4× median
96110Normal range

Developmental screening, per standardized instrument

$9K

1,190 claims · 0.1%

Your Cost: $7.39/claim|Median: $9.10
0.8× median
90677Normal range

$8K

442 claims · 0.1%

Your Cost: $18.47/claim|Median: $12.96
1.4× median
90670Normal range

$7K

849 claims · 0.1%

Your Cost: $8.05/claim|Median: $5.94
1.4× median
0071ANormal range

$6K

186 claims · 0.1%

Your Cost: $33.56/claim|Median: $38.71
0.9× median
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