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Provider 1144250291

NPI: 1144250291Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.4M

$16,398,328

Total Claims

308K

Beneficiaries

192K

1.6 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+24%
2019
$2.8M
+18%
2020
$3.3M
-27%
2021
$2.4M
-45%
2022
$1.3M
+33%
2023
$1.8M
+52%
2024
$2.7M

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 40% of total spending.

99213Top 10%

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

$6.6M

79K claims · 40.1%

Your Cost: $82.75/claim|Median: $37.81
2.2× median
99214Top 25%

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

$3.1M

40K claims · 18.7%

Your Cost: $76.27/claim|Median: $53.41
1.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.0M

20K claims · 6.2%

Your Cost: $51.43/claim|Median: $74.82
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$987K

21K claims · 6.0%

Your Cost: $46.18/claim|Median: $75.18
0.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$770K

15K claims · 4.7%

Your Cost: $51.41/claim|Median: $80.15
0.6× median
99396Normal range

Preventive medicine, established patient, age 40-64

$646K

9,032 claims · 3.9%

Your Cost: $71.50/claim|Median: $76.06
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$594K

13K claims · 3.6%

Your Cost: $45.33/claim|Median: $69.35
0.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$471K

7,123 claims · 2.9%

Your Cost: $66.18/claim|Median: $72.71
0.9× median
90832Top 10%

Psychotherapy, 30 minutes

$346K

3,242 claims · 2.1%

Your Cost: $106.68/claim|Median: $41.28
2.6× median
99212Top 10%

Office/outpatient visit, low complexity

$298K

3,675 claims · 1.8%

Your Cost: $81.15/claim|Median: $25.06
3.2× median
99215Normal range

Office/outpatient visit, high complexity

$192K

2,083 claims · 1.2%

Your Cost: $92.12/claim|Median: $74.09
1.2× median
92004Top 25%

Ophthalmological exam, comprehensive, new patient

$148K

1,531 claims · 0.9%

Your Cost: $96.43/claim|Median: $59.72
1.6× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$141K

1,887 claims · 0.9%

Your Cost: $74.69/claim|Median: $13.30
5.6× median
90834Top 10%

Psychotherapy, 45 minutes

$136K

1,196 claims · 0.8%

Your Cost: $113.71/claim|Median: $63.65
1.8× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$123K

1,886 claims · 0.8%

Your Cost: $65.34/claim|Median: $22.44
2.9× median
99443Top 25%

Telephone E/M by physician, 21-30 min

$110K

1,688 claims · 0.7%

Your Cost: $65.03/claim|Median: $32.55
2.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$95K

16K claims · 0.6%

Your Cost: $5.95/claim|Median: $17.85
0.3× median
90658Normal range

$91K

10K claims · 0.6%

Your Cost: $8.73/claim|Median: $8.96
1.0× median
99203Top 10%

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

$90K

792 claims · 0.5%

Your Cost: $113.69/claim|Median: $57.85
2.0× median
36415Top 10%

Collection of venous blood by venipuncture

$83K

11K claims · 0.5%

Your Cost: $7.34/claim|Median: $1.57
4.7× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$68K

3,034 claims · 0.4%

Your Cost: $22.41/claim|Median: $24.33
0.9× median
11721Top 1%

$57K

580 claims · 0.4%

Your Cost: $99.13/claim|Median: $8.56
11.6× median
92012Top 5%

Ophthalmological exam, intermediate, established patient

$33K

270 claims · 0.2%

Your Cost: $122.60/claim|Median: $38.23
3.2× median
90471Normal range

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

$28K

4,684 claims · 0.2%

Your Cost: $5.99/claim|Median: $9.80
0.6× median
99397Top 25%

$24K

285 claims · 0.1%

Your Cost: $84.25/claim|Median: $22.92
3.7× median
85018Top 10%

$21K

4,364 claims · 0.1%

Your Cost: $4.82/claim|Median: $1.71
2.8× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$18K

4,386 claims · 0.1%

Your Cost: $4.17/claim|Median: $7.18
0.6× median
92551Normal range

Screening audiometry, pure tone, air only

$11K

4,300 claims · 0.1%

Your Cost: $2.48/claim|Median: $6.61
0.4× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$9K

452 claims · 0.1%

Your Cost: $20.54/claim|Median: $33.85
0.6× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$8K

476 claims · 0.0%

Your Cost: $16.68/claim|Median: $25.93
0.6× median
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