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Provider 1134191836

NPI: 1134191836Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.0M

$13,999,004

Total Claims

1.2M

Beneficiaries

903K

1.3 claims/patient

Avg Cost/Claim

$12

Monthly Spending Trend

Yearly Spending

2018
$199K
+97%
2019
$392K
+247%
2020
$1.4M
+284%
2021
$5.2M
-27%
2022
$3.8M
-50%
2023
$1.9M
-42%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99211 (Office/outpatient visit, minimal complexity)) accounts for 39% of total spending.

99211Normal range

Office/outpatient visit, minimal complexity

$5.5M

352K claims · 39.5%

Your Cost: $15.69/claim|Median: $12.93
1.2× median
87426Normal range

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

$1.9M

123K claims · 13.7%

Your Cost: $15.69/claim|Median: $30.04
0.5× median
99203Normal range

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

$1.4M

30K claims · 9.9%

Your Cost: $46.76/claim|Median: $57.85
0.8× median
99213Normal range

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

$1.3M

45K claims · 9.6%

Your Cost: $29.75/claim|Median: $37.81
0.8× median
G2023Normal range

Specimen collection for COVID-19 testing

$902K

91K claims · 6.4%

Your Cost: $9.95/claim|Median: $17.15
0.6× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$707K

23K claims · 5.0%

Your Cost: $30.22/claim|Median: $40.11
0.8× median
99214Normal range

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

$661K

16K claims · 4.7%

Your Cost: $41.76/claim|Median: $53.41
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$344K

16K claims · 2.5%

Your Cost: $21.08/claim|Median: $25.06
0.8× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$160K

16K claims · 1.1%

Your Cost: $10.21/claim|Median: $28.46
0.4× median
99204Normal range

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

$160K

2,475 claims · 1.1%

Your Cost: $64.60/claim|Median: $84.03
0.8× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$155K

5,951 claims · 1.1%

Your Cost: $26.07/claim|Median: $65.64
0.4× median
86580Top 10%

Tuberculosis (TB) skin test

$88K

8,907 claims · 0.6%

Your Cost: $9.92/claim|Median: $4.46
2.2× median
87804Normal range

Influenza virus detection, rapid test

$74K

14K claims · 0.5%

Your Cost: $5.39/claim|Median: $12.59
0.4× median
99401Normal range

$68K

3,349 claims · 0.5%

Your Cost: $20.32/claim|Median: $16.53
1.2× median
90471Normal range

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

$62K

15K claims · 0.4%

Your Cost: $4.10/claim|Median: $9.80
0.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$38K

6,673 claims · 0.3%

Your Cost: $5.68/claim|Median: $11.48
0.5× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$37K

3,194 claims · 0.3%

Your Cost: $11.61/claim|Median: $9.56
1.2× median
90739Normal range

$32K

699 claims · 0.2%

Your Cost: $46.07/claim|Median: $74.43
0.6× median
90715Normal range

Tdap vaccine

$29K

3,092 claims · 0.2%

Your Cost: $9.54/claim|Median: $10.32
0.9× median
90746Normal range

Hepatitis B vaccine, adult

$29K

994 claims · 0.2%

Your Cost: $29.58/claim|Median: $48.85
0.6× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$25K

2,004 claims · 0.2%

Your Cost: $12.36/claim|Median: $41.92
0.3× median
90716Top 10%

$22K

850 claims · 0.2%

Your Cost: $26.36/claim|Median: $6.18
4.3× median
90674Normal range

$22K

3,608 claims · 0.2%

Your Cost: $6.05/claim|Median: $15.16
0.4× median
90651Top 25%

HPV vaccine, 9-valent

$19K

438 claims · 0.1%

Your Cost: $43.26/claim|Median: $8.93
4.8× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$19K

2,552 claims · 0.1%

Your Cost: $7.31/claim|Median: $7.18
1.0× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$13K

597 claims · 0.1%

Your Cost: $22.30/claim|Median: $27.38
0.8× median
0071ANormal range

$11K

495 claims · 0.1%

Your Cost: $22.68/claim|Median: $38.71
0.6× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$11K

628 claims · 0.1%

Your Cost: $17.54/claim|Median: $33.72
0.5× median
0081ANormal range

$10K

874 claims · 0.1%

Your Cost: $11.41/claim|Median: $38.21
0.3× median
0072ANormal range

$9K

393 claims · 0.1%

Your Cost: $22.67/claim|Median: $39.57
0.6× median
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