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Provider 1144405762

NPI: 1144405762Share
Active Billing Period:2019-08→2024-12(64 months)

Total Paid

$11.5M

$11,518,593

Total Claims

799K

Beneficiaries

542K

1.5 claims/patient

Avg Cost/Claim

$14

Monthly Spending Trend

Yearly Spending

2019
$713
+74958%
2020
$535K
+271%
2021
$2.0M
+47%
2022
$2.9M
+34%
2023
$3.9M
-45%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 22% of total spending.

99214Normal range

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

$2.6M

50K claims · 22.4%

Your Cost: $51.73/claim|Median: $53.41
1.0× median
99000Top 10%

$1.1M

94K claims · 9.4%

Your Cost: $11.56/claim|Median: $2.30
5.0× median
95012Normal range

$848K

55K claims · 7.4%

Your Cost: $15.28/claim|Median: $10.98
1.4× median
87804Normal range

Influenza virus detection, rapid test

$819K

59K claims · 7.1%

Your Cost: $13.83/claim|Median: $12.59
1.1× median
94010Normal range

$668K

30K claims · 5.8%

Your Cost: $22.24/claim|Median: $18.11
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$403K

5,094 claims · 3.5%

Your Cost: $79.07/claim|Median: $75.18
1.1× median
98960Normal range

$360K

44K claims · 3.1%

Your Cost: $8.16/claim|Median: $12.74
0.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$345K

4,668 claims · 3.0%

Your Cost: $73.92/claim|Median: $69.35
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$338K

4,030 claims · 2.9%

Your Cost: $83.78/claim|Median: $74.82
1.1× median
96112Normal range

Developmental test administration

$307K

3,990 claims · 2.7%

Your Cost: $76.86/claim|Median: $102.95
0.7× median
99213Normal range

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

$302K

7,873 claims · 2.6%

Your Cost: $38.39/claim|Median: $37.81
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$299K

3,464 claims · 2.6%

Your Cost: $86.25/claim|Median: $80.15
1.1× median
36410Normal range

$274K

27K claims · 2.4%

Your Cost: $9.98/claim|Median: $5.72
1.7× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$242K

23K claims · 2.1%

Your Cost: $10.39/claim|Median: $17.85
0.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$199K

16K claims · 1.7%

Your Cost: $12.75/claim|Median: $11.48
1.1× median
36406Normal range

$199K

22K claims · 1.7%

Your Cost: $9.13/claim|Median: $8.67
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$182K

2,390 claims · 1.6%

Your Cost: $76.17/claim|Median: $74.09
1.0× median
95076Normal range

$173K

2,576 claims · 1.5%

Your Cost: $67.24/claim|Median: $70.83
0.9× median
99204Normal range

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

$165K

2,055 claims · 1.4%

Your Cost: $80.48/claim|Median: $84.03
1.0× median
92081Normal range

$163K

17K claims · 1.4%

Your Cost: $9.61/claim|Median: $11.63
0.8× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$158K

16K claims · 1.4%

Your Cost: $10.14/claim|Median: $10.88
0.9× median
83655Normal range

$142K

14K claims · 1.2%

Your Cost: $9.79/claim|Median: $10.49
0.9× median
80061Normal range

Lipid panel

$124K

14K claims · 1.1%

Your Cost: $8.60/claim|Median: $8.41
1.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$105K

14K claims · 0.9%

Your Cost: $7.56/claim|Median: $5.50
1.4× median
96110Normal range

Developmental screening, per standardized instrument

$98K

15K claims · 0.9%

Your Cost: $6.37/claim|Median: $9.10
0.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$86K

2,162 claims · 0.7%

Your Cost: $39.66/claim|Median: $39.70
1.0× median
99441Normal range

Telephone E/M by physician, 5-10 min

$81K

3,427 claims · 0.7%

Your Cost: $23.66/claim|Median: $13.30
1.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$70K

6,860 claims · 0.6%

Your Cost: $10.27/claim|Median: $9.56
1.1× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$48K

14K claims · 0.4%

Your Cost: $3.45/claim|Median: $12.70
0.3× median
S9470Normal range

Nutritional counseling

$47K

1,872 claims · 0.4%

Your Cost: $25.27/claim|Median: $16.62
1.5× median
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