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Provider 1144236902

NPI: 1144236902Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.1M

$8,073,803

Total Claims

1.2M

Beneficiaries

942K

1.3 claims/patient

Avg Cost/Claim

$7

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+9%
2019
$1.2M
-0%
2020
$1.2M
+3%
2021
$1.3M
-9%
2022
$1.1M
+1%
2023
$1.2M
-22%
2024
$909K

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 27% of total spending.

99213Normal range

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

$2.2M

71K claims · 26.7%

Your Cost: $30.43/claim|Median: $37.81
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$649K

9,734 claims · 8.0%

Your Cost: $66.71/claim|Median: $75.18
0.9× median
99214Normal range

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

$564K

18K claims · 7.0%

Your Cost: $32.10/claim|Median: $53.41
0.6× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$548K

16K claims · 6.8%

Your Cost: $33.77/claim|Median: $17.85
1.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$541K

7,910 claims · 6.7%

Your Cost: $68.36/claim|Median: $74.82
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$474K

8,118 claims · 5.9%

Your Cost: $58.43/claim|Median: $69.35
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$364K

18K claims · 4.5%

Your Cost: $20.76/claim|Median: $25.06
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$351K

4,772 claims · 4.3%

Your Cost: $73.55/claim|Median: $80.15
0.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$211K

3,627 claims · 2.6%

Your Cost: $58.16/claim|Median: $108.91
0.5× median
99395Normal range

Preventive medicine, established patient, age 18-39

$187K

2,722 claims · 2.3%

Your Cost: $68.66/claim|Median: $72.71
0.9× median
96110Normal range

Developmental screening, per standardized instrument

$157K

15K claims · 1.9%

Your Cost: $10.25/claim|Median: $9.10
1.1× median
G0467Normal range

Federally qualified health center visit, mental health

$107K

14K claims · 1.3%

Your Cost: $7.82/claim|Median: $21.91
0.4× median
90471Normal range

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

$85K

11K claims · 1.0%

Your Cost: $7.88/claim|Median: $9.80
0.8× median
90472Normal range

Immunization administration, each additional vaccine

$84K

5,756 claims · 1.0%

Your Cost: $14.66/claim|Median: $11.79
1.2× median
99177Normal range

$80K

15K claims · 1.0%

Your Cost: $5.32/claim|Median: $3.74
1.4× median
D1120Normal range

Prophylaxis, adult

$70K

2,473 claims · 0.9%

Your Cost: $28.42/claim|Median: $33.86
0.8× median
D0330Normal range

Panoramic radiographic image

$68K

2,436 claims · 0.8%

Your Cost: $27.73/claim|Median: $37.36
0.7× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$67K

4,465 claims · 0.8%

Your Cost: $14.96/claim|Median: $9.56
1.6× median
77067Normal range

Screening mammography, bilateral, including CAD

$60K

3,397 claims · 0.7%

Your Cost: $17.68/claim|Median: $39.33
0.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$60K

1,675 claims · 0.7%

Your Cost: $35.78/claim|Median: $39.70
0.9× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$55K

20K claims · 0.7%

Your Cost: $2.70/claim|Median: $3.67
0.7× median
3078FNormal range

$53K

95K claims · 0.7%

Your Cost: $0.56/claim|Median: $0.08
7.0× median
D1206Normal range

Topical application of fluoride varnish

$53K

3,091 claims · 0.7%

Your Cost: $17.18/claim|Median: $18.12
0.9× median
81002Normal range

Urinalysis, non-automated without microscopy

$52K

33K claims · 0.6%

Your Cost: $1.56/claim|Median: $2.00
0.8× median
99381Normal range

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

$51K

722 claims · 0.6%

Your Cost: $70.90/claim|Median: $73.46
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$51K

2,577 claims · 0.6%

Your Cost: $19.70/claim|Median: $32.07
0.6× median
92558Normal range

$48K

14K claims · 0.6%

Your Cost: $3.40/claim|Median: $6.67
0.5× median
3008FNormal range

$43K

122K claims · 0.5%

Your Cost: $0.36/claim|Median: $0.06
5.9× median
99441Normal range

Telephone E/M by physician, 5-10 min

$38K

3,856 claims · 0.5%

Your Cost: $9.83/claim|Median: $13.30
0.7× median
Q0091Normal range

$37K

3,205 claims · 0.5%

Your Cost: $11.58/claim|Median: $11.15
1.0× median
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