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Provider 1134494909

NPI: 1134494909Share
Active Billing Period:2018-01→2024-12(82 months)

Total Paid

$11.9M

$11,890,334

Total Claims

378K

Beneficiaries

371K

1.0 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$43K
+77%
2019
$76K
+570%
2020
$509K
+230%
2021
$1.7M
+92%
2022
$3.2M
+9%
2023
$3.5M
-18%
2024
$2.9M

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 28% of total spending.

99213Top 25%

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

$3.4M

59K claims · 28.5%

Your Cost: $57.58/claim|Median: $37.81
1.5× median
99214Top 25%

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

$2.0M

21K claims · 16.6%

Your Cost: $92.73/claim|Median: $53.41
1.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.1M

23K claims · 9.6%

Your Cost: $49.64/claim|Median: $75.18
0.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$886K

17K claims · 7.5%

Your Cost: $51.25/claim|Median: $69.35
0.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$757K

17K claims · 6.4%

Your Cost: $44.57/claim|Median: $74.82
0.6× median
87635Top 5%

COVID-19 SARS-CoV-2 amplified probe detection

$513K

7,401 claims · 4.3%

Your Cost: $69.37/claim|Median: $39.70
1.7× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$347K

11K claims · 2.9%

Your Cost: $32.33/claim|Median: $17.85
1.8× median
92551Top 10%

Screening audiometry, pure tone, air only

$344K

27K claims · 2.9%

Your Cost: $12.85/claim|Median: $6.61
1.9× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$316K

30K claims · 2.7%

Your Cost: $10.43/claim|Median: $7.18
1.5× median
99499Normal range

Unlisted evaluation and management service

$305K

13K claims · 2.6%

Your Cost: $22.86/claim|Median: $30.88
0.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$266K

4,477 claims · 2.2%

Your Cost: $59.47/claim|Median: $80.15
0.7× median
99173Top 10%

$175K

19K claims · 1.5%

Your Cost: $9.31/claim|Median: $2.16
4.3× median
99188Top 5%

$143K

4,606 claims · 1.2%

Your Cost: $31.00/claim|Median: $12.80
2.4× median
90648Normal range

$130K

15K claims · 1.1%

Your Cost: $8.89/claim|Median: $4.08
2.2× median
90670Normal range

$87K

12K claims · 0.7%

Your Cost: $7.36/claim|Median: $5.94
1.2× median
96110Normal range

Developmental screening, per standardized instrument

$86K

6,351 claims · 0.7%

Your Cost: $13.47/claim|Median: $9.10
1.5× median
0071ATop 5%

$82K

1,122 claims · 0.7%

Your Cost: $72.84/claim|Median: $38.71
1.9× median
90723Normal range

DTaP-HepB-IPV vaccine

$79K

9,959 claims · 0.7%

Your Cost: $7.93/claim|Median: $5.78
1.4× median
0072ATop 5%

$76K

1,029 claims · 0.6%

Your Cost: $74.33/claim|Median: $39.57
1.9× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$76K

9,570 claims · 0.6%

Your Cost: $7.90/claim|Median: $3.67
2.2× median
90651Normal range

HPV vaccine, 9-valent

$56K

6,123 claims · 0.5%

Your Cost: $9.21/claim|Median: $8.93
1.0× median
90656Normal range

$55K

3,963 claims · 0.5%

Your Cost: $13.79/claim|Median: $8.67
1.6× median
87502Top 5%

Influenza virus detection, reverse transcription, amplified probe

$53K

306 claims · 0.4%

Your Cost: $172.14/claim|Median: $65.64
2.6× median
99177Top 5%

$50K

1,913 claims · 0.4%

Your Cost: $26.34/claim|Median: $3.74
7.0× median
96161Top 25%

$48K

10K claims · 0.4%

Your Cost: $4.57/claim|Median: $2.49
1.8× median
90633Normal range

$45K

6,356 claims · 0.4%

Your Cost: $7.05/claim|Median: $3.56
2.0× median
99212Top 25%

Office/outpatient visit, low complexity

$40K

961 claims · 0.3%

Your Cost: $41.79/claim|Median: $25.06
1.7× median
90681Normal range

$37K

5,312 claims · 0.3%

Your Cost: $6.90/claim|Median: $5.74
1.2× median
90734Normal range

$36K

3,682 claims · 0.3%

Your Cost: $9.79/claim|Median: $6.40
1.5× median
3008FTop 5%

$30K

3,085 claims · 0.3%

Your Cost: $9.80/claim|Median: $0.06
163.4× median
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