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Provider 1134569049

NPI: 1134569049Share
Active Billing Period:2018-02→2024-12(75 months)

Total Paid

$8.3M

$8,343,425

Total Claims

227K

Beneficiaries

202K

1.1 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$1K
+66616%
2019
$974K
-5%
2020
$923K
+50%
2021
$1.4M
+34%
2022
$1.9M
+13%
2023
$2.1M
-48%
2024
$1.1M

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 47% of total spending.

99213Top 25%

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

$3.9M

66K claims · 47.2%

Your Cost: $59.26/claim|Median: $37.81
1.6× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$900K

9,270 claims · 10.8%

Your Cost: $97.14/claim|Median: $69.35
1.4× median
99214Top 25%

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

$881K

8,992 claims · 10.6%

Your Cost: $97.93/claim|Median: $53.41
1.8× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$737K

6,889 claims · 8.8%

Your Cost: $107.01/claim|Median: $75.18
1.4× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$381K

3,579 claims · 4.6%

Your Cost: $106.32/claim|Median: $74.82
1.4× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$250K

15K claims · 3.0%

Your Cost: $17.05/claim|Median: $17.85
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$180K

6,505 claims · 2.2%

Your Cost: $27.60/claim|Median: $25.06
1.1× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$166K

2,105 claims · 2.0%

Your Cost: $78.68/claim|Median: $62.48
1.3× median
87804Top 25%

Influenza virus detection, rapid test

$159K

8,731 claims · 1.9%

Your Cost: $18.25/claim|Median: $12.59
1.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$145K

16K claims · 1.7%

Your Cost: $8.99/claim|Median: $11.48
0.8× median
94060Normal range

$106K

2,936 claims · 1.3%

Your Cost: $36.26/claim|Median: $25.18
1.4× median
90461Normal range

Immunization admin, additional vaccine, counseling

$94K

6,533 claims · 1.1%

Your Cost: $14.39/claim|Median: $6.93
2.1× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$85K

704 claims · 1.0%

Your Cost: $121.21/claim|Median: $80.15
1.5× median
87811Normal range

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

$52K

2,747 claims · 0.6%

Your Cost: $18.96/claim|Median: $30.53
0.6× median
99462Normal range

$48K

2,652 claims · 0.6%

Your Cost: $18.25/claim|Median: $27.49
0.7× median
99223Top 1%

Initial hospital care, per day, high complexity

$39K

167 claims · 0.5%

Your Cost: $234.19/claim|Median: $67.32
3.5× median
96110Normal range

Developmental screening, per standardized instrument

$32K

11K claims · 0.4%

Your Cost: $2.92/claim|Median: $9.10
0.3× median
99188Normal range

$20K

2,052 claims · 0.2%

Your Cost: $9.80/claim|Median: $12.80
0.8× median
87807Normal range

$19K

2,669 claims · 0.2%

Your Cost: $7.27/claim|Median: $10.06
0.7× median
92552Normal range

Pure tone audiometry, air only, each ear

$19K

5,380 claims · 0.2%

Your Cost: $3.49/claim|Median: $12.63
0.3× median
92558Normal range

$16K

2,137 claims · 0.2%

Your Cost: $7.53/claim|Median: $6.67
1.1× median
99051Normal range

$9K

1,877 claims · 0.1%

Your Cost: $4.70/claim|Median: $7.89
0.6× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$8K

2,242 claims · 0.1%

Your Cost: $3.61/claim|Median: $10.88
0.3× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$8K

287 claims · 0.1%

Your Cost: $27.91/claim|Median: $34.62
0.8× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$7K

2,284 claims · 0.1%

Your Cost: $3.20/claim|Median: $7.18
0.4× median
H0049Normal range

$6K

737 claims · 0.1%

Your Cost: $8.11/claim|Median: $9.27
0.9× median
90670Normal range

$6K

4,126 claims · 0.1%

Your Cost: $1.34/claim|Median: $5.94
0.2× median
99381Normal range

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

$5K

76 claims · 0.1%

Your Cost: $62.62/claim|Median: $73.46
0.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$4K

260 claims · 0.0%

Your Cost: $13.84/claim|Median: $39.70
0.3× median
69210Normal range

$3K

124 claims · 0.0%

Your Cost: $26.11/claim|Median: $21.74
1.2× median
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