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Provider 1134526221

NPI: 1134526221Share
Active Billing Period:2019-06→2024-12(67 months)

Total Paid

$11.4M

$11,409,914

Total Claims

68K

Beneficiaries

61K

1.1 claims/patient

Avg Cost/Claim

$167

Monthly Spending Trend

Yearly Spending

2019
$833K
+92%
2020
$1.6M
+30%
2021
$2.1M
+19%
2022
$2.5M
-11%
2023
$2.2M
-1%
2024
$2.2M

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 41% of total spending.

99213Top 1%

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

$4.7M

27K claims · 41.4%

Your Cost: $177.07/claim|Median: $37.81
4.7× median
99214Top 5%

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

$1.8M

12K claims · 16.1%

Your Cost: $154.36/claim|Median: $53.41
2.9× median
0502FTop 1%

$941K

5,819 claims · 8.2%

Your Cost: $161.74/claim|Median: $44.10
3.7× median
99391Top 1%

Preventive medicine, established patient, infant (under 1)

$772K

3,862 claims · 6.8%

Your Cost: $199.99/claim|Median: $69.35
2.9× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$628K

3,184 claims · 5.5%

Your Cost: $197.14/claim|Median: $75.18
2.6× median
99203Top 5%

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

$470K

2,651 claims · 4.1%

Your Cost: $177.13/claim|Median: $57.85
3.1× median
Q3014Top 1%

Telehealth originating site facility fee

$348K

1,794 claims · 3.1%

Your Cost: $194.06/claim|Median: $15.37
12.6× median
99212Top 5%

Office/outpatient visit, low complexity

$345K

2,058 claims · 3.0%

Your Cost: $167.78/claim|Median: $25.06
6.7× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$335K

1,677 claims · 2.9%

Your Cost: $199.87/claim|Median: $74.82
2.7× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$221K

1,219 claims · 1.9%

Your Cost: $181.40/claim|Median: $72.71
2.5× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$186K

911 claims · 1.6%

Your Cost: $204.10/claim|Median: $80.15
2.5× median
99396Top 1%

Preventive medicine, established patient, age 40-64

$185K

973 claims · 1.6%

Your Cost: $189.73/claim|Median: $76.06
2.5× median
99204Top 10%

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

$104K

671 claims · 0.9%

Your Cost: $155.42/claim|Median: $84.03
1.8× median
0002ATop 1%

COVID-19 vaccine admin, Pfizer, 2nd dose

$49K

274 claims · 0.4%

Your Cost: $177.07/claim|Median: $36.70
4.8× median
0001ATop 1%

COVID-19 vaccine admin, Pfizer, 1st dose

$40K

290 claims · 0.3%

Your Cost: $136.81/claim|Median: $33.72
4.1× median
Q0091Top 25%

$35K

1,184 claims · 0.3%

Your Cost: $29.46/claim|Median: $11.15
2.6× median
36415Top 1%

Collection of venous blood by venipuncture

$27K

411 claims · 0.2%

Your Cost: $66.05/claim|Median: $1.57
42.1× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$23K

188 claims · 0.2%

Your Cost: $124.07/claim|Median: $9.56
13.0× median
0071ATop 5%

$22K

148 claims · 0.2%

Your Cost: $151.45/claim|Median: $38.71
3.9× median
99385Top 5%

Preventive visit, new patient, 18-39 yr

$21K

141 claims · 0.2%

Your Cost: $149.64/claim|Median: $76.22
2.0× median
0072ATop 1%

$19K

106 claims · 0.2%

Your Cost: $180.17/claim|Median: $39.57
4.6× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$15K

88 claims · 0.1%

Your Cost: $173.76/claim|Median: $40.11
4.3× median
1036FTop 1%

$14K

251 claims · 0.1%

Your Cost: $57.20/claim|Median: $0.01
5720.1× median
90471Top 5%

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

$9K

184 claims · 0.1%

Your Cost: $49.56/claim|Median: $9.80
5.1× median
99211Top 5%

Office/outpatient visit, minimal complexity

$7K

49 claims · 0.1%

Your Cost: $133.63/claim|Median: $12.93
10.3× median
0004ATop 5%

$6K

49 claims · 0.1%

Your Cost: $121.77/claim|Median: $35.62
3.4× median
G0511Top 25%

RHC/FQHC visit, psychiatric collaborative care model

$5K

345 claims · 0.0%

Your Cost: $15.72/claim|Median: $11.35
1.4× median
99386Top 25%

Preventive visit, new patient, 40-64 yr

$4K

35 claims · 0.0%

Your Cost: $121.08/claim|Median: $87.82
1.4× median
99215Top 5%

Office/outpatient visit, high complexity

$4K

22 claims · 0.0%

Your Cost: $188.14/claim|Median: $74.09
2.5× median
0082ATop 5%

$4K

26 claims · 0.0%

Your Cost: $156.97/claim|Median: $39.88
3.9× median
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