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Provider 1134189103

NPI: 1134189103Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.2M

$10,230,338

Total Claims

97K

Beneficiaries

76K

1.3 claims/patient

Avg Cost/Claim

$106

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+26%
2019
$1.4M
-0%
2020
$1.4M
+26%
2021
$1.8M
-54%
2022
$835K
+110%
2023
$1.8M
+1%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H1000 (Prenatal care, at-risk assessment)) accounts for 89% of total spending.

H1000Top 5%

Prenatal care, at-risk assessment

$9.1M

61K claims · 88.7%

Your Cost: $148.18/claim|Median: $50.36
2.9× median
99213Top 5%

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

$340K

3,836 claims · 3.3%

Your Cost: $88.54/claim|Median: $37.81
2.3× median
99214Top 25%

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

$200K

2,194 claims · 2.0%

Your Cost: $91.07/claim|Median: $53.41
1.7× median
D1351Normal range

Sealant, per tooth

$168K

7,009 claims · 1.6%

Your Cost: $23.91/claim|Median: $26.10
0.9× median
99211Top 5%

Office/outpatient visit, minimal complexity

$159K

982 claims · 1.6%

Your Cost: $161.63/claim|Median: $12.93
12.5× median
D1206Normal range

Topical application of fluoride varnish

$95K

5,518 claims · 0.9%

Your Cost: $17.20/claim|Median: $18.12
0.9× median
D0191Normal range

$48K

5,951 claims · 0.5%

Your Cost: $8.12/claim|Median: $11.16
0.7× median
99203Top 5%

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

$32K

240 claims · 0.3%

Your Cost: $132.17/claim|Median: $57.85
2.3× median
99212Top 5%

Office/outpatient visit, low complexity

$26K

246 claims · 0.3%

Your Cost: $105.20/claim|Median: $25.06
4.2× median
99443Normal range

Telephone E/M by physician, 21-30 min

$25K

1,075 claims · 0.2%

Your Cost: $23.10/claim|Median: $32.55
0.7× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$23K

1,608 claims · 0.2%

Your Cost: $14.16/claim|Median: $41.92
0.3× median
J7307Top 25%

Etonogestrel implant system, including implant and supplies

$15K

15 claims · 0.1%

Your Cost: $1,005.65/claim|Median: $786.43
1.3× median
D0190Normal range

$5K

1,372 claims · 0.0%

Your Cost: $3.70/claim|Median: $12.78
0.3× median
59430Top 25%

$5K

39 claims · 0.0%

Your Cost: $122.65/claim|Median: $80.32
1.5× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$4K

27 claims · 0.0%

Your Cost: $142.24/claim|Median: $40.11
3.5× median
99204Top 5%

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

$3K

16 claims · 0.0%

Your Cost: $163.26/claim|Median: $84.03
1.9× median
D1330Normal range

$2K

3,360 claims · 0.0%

Your Cost: $0.47/claim|Median: $5.73
0.1× median
D9999Normal range

Unspecified adjunctive procedure, by report

$1K

87 claims · 0.0%

Your Cost: $16.09/claim|Median: $37.60
0.4× median
90471Normal range

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

$1K

627 claims · 0.0%

Your Cost: $2.22/claim|Median: $9.80
0.2× median
90472Normal range

Immunization administration, each additional vaccine

$984

327 claims · 0.0%

Your Cost: $3.01/claim|Median: $11.79
0.3× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$449

29 claims · 0.0%

Your Cost: $15.49/claim|Median: $22.44
0.7× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$400

123 claims · 0.0%

Your Cost: $3.25/claim|Median: $7.18
0.5× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$251

59 claims · 0.0%

Your Cost: $4.25/claim|Median: $17.85
0.2× median
90633Normal range

$132

32 claims · 0.0%

Your Cost: $4.13/claim|Median: $3.56
1.2× median
90670Normal range

$44

26 claims · 0.0%

Your Cost: $1.69/claim|Median: $5.94
0.3× median
90715Normal range

Tdap vaccine

$33

13 claims · 0.0%

Your Cost: $2.54/claim|Median: $10.32
0.2× median
11981Normal range

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $117.16
D1353Normal range

$0

56 claims · 0.0%

Your Cost: $0.00/claim|Median: $14.03
2010F

$0

541 claims · 0.0%

97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$0

71 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.70
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