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Provider 1134394539

NPI: 1134394539Share
Active Billing Period:2018-01→2024-12(65 months)

Total Paid

$9.2M

$9,241,201

Total Claims

416K

Beneficiaries

361K

1.2 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$3K
+9654%
2020
$277K
+664%
2021
$2.1M
+21%
2022
$2.6M
-5%
2023
$2.4M
-24%
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 26% of total spending.

99213Normal range

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

$2.4M

69K claims · 26.4%

Your Cost: $35.43/claim|Median: $37.81
0.9× median
99214Normal range

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

$1.5M

30K claims · 15.9%

Your Cost: $49.66/claim|Median: $53.41
0.9× median
S9470Normal range

Nutritional counseling

$575K

17K claims · 6.2%

Your Cost: $32.99/claim|Median: $16.62
2.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$544K

6,912 claims · 5.9%

Your Cost: $78.75/claim|Median: $74.82
1.1× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$531K

15K claims · 5.7%

Your Cost: $35.50/claim|Median: $30.53
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$510K

6,963 claims · 5.5%

Your Cost: $73.25/claim|Median: $75.18
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$448K

5,783 claims · 4.9%

Your Cost: $77.55/claim|Median: $80.15
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$374K

31K claims · 4.0%

Your Cost: $12.06/claim|Median: $11.48
1.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$358K

33K claims · 3.9%

Your Cost: $10.73/claim|Median: $17.85
0.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$334K

4,515 claims · 3.6%

Your Cost: $74.03/claim|Median: $69.35
1.1× median
87804Top 25%

Influenza virus detection, rapid test

$238K

12K claims · 2.6%

Your Cost: $20.49/claim|Median: $12.59
1.6× median
99000Top 25%

$149K

15K claims · 1.6%

Your Cost: $10.17/claim|Median: $2.30
4.4× median
99429Normal range

$147K

5,129 claims · 1.6%

Your Cost: $28.75/claim|Median: $28.58
1.0× median
99050Normal range

$131K

9,185 claims · 1.4%

Your Cost: $14.30/claim|Median: $11.81
1.2× median
96110Normal range

Developmental screening, per standardized instrument

$104K

13K claims · 1.1%

Your Cost: $8.02/claim|Median: $9.10
0.9× median
92552Normal range

Pure tone audiometry, air only, each ear

$92K

6,826 claims · 1.0%

Your Cost: $13.43/claim|Median: $12.63
1.1× median
87420Normal range

$80K

8,469 claims · 0.9%

Your Cost: $9.44/claim|Median: $9.78
1.0× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$76K

994 claims · 0.8%

Your Cost: $76.21/claim|Median: $73.46
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$74K

3,144 claims · 0.8%

Your Cost: $23.64/claim|Median: $25.06
0.9× median
87400Normal range

$72K

6,396 claims · 0.8%

Your Cost: $11.31/claim|Median: $8.40
1.3× median
87426Normal range

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

$72K

2,567 claims · 0.8%

Your Cost: $27.90/claim|Median: $30.04
0.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$55K

9,718 claims · 0.6%

Your Cost: $5.68/claim|Median: $4.71
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$44K

613 claims · 0.5%

Your Cost: $71.80/claim|Median: $74.09
1.0× median
90461Normal range

Immunization admin, additional vaccine, counseling

$35K

6,636 claims · 0.4%

Your Cost: $5.33/claim|Median: $6.93
0.8× median
H0049Normal range

$32K

3,615 claims · 0.3%

Your Cost: $8.88/claim|Median: $9.27
1.0× median
92567Normal range

$28K

2,266 claims · 0.3%

Your Cost: $12.24/claim|Median: $11.50
1.1× median
87428Normal range

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

$24K

443 claims · 0.3%

Your Cost: $54.24/claim|Median: $39.63
1.4× median
99051Normal range

$20K

3,444 claims · 0.2%

Your Cost: $5.69/claim|Median: $7.89
0.7× median
G8510Normal range

$19K

2,602 claims · 0.2%

Your Cost: $7.34/claim|Median: $1.96
3.7× median
87807Normal range

$18K

1,821 claims · 0.2%

Your Cost: $9.77/claim|Median: $10.06
1.0× median
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