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Provider 1144464553

NPI: 1144464553Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.9M

$10,923,675

Total Claims

273K

Beneficiaries

257K

1.1 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-11%
2019
$1.4M
-21%
2020
$1.1M
+13%
2021
$1.3M
+41%
2022
$1.8M
+10%
2023
$2.0M
-18%
2024
$1.6M

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 42% of total spending.

99213Top 25%

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

$4.5M

68K claims · 41.6%

Your Cost: $67.31/claim|Median: $37.81
1.8× median
99214Top 25%

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

$1.4M

14K claims · 12.7%

Your Cost: $96.08/claim|Median: $53.41
1.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$767K

8,719 claims · 7.0%

Your Cost: $87.97/claim|Median: $74.82
1.2× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$728K

8,034 claims · 6.7%

Your Cost: $90.57/claim|Median: $75.18
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$598K

7,182 claims · 5.5%

Your Cost: $83.26/claim|Median: $69.35
1.2× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$549K

5,742 claims · 5.0%

Your Cost: $95.64/claim|Median: $80.15
1.2× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$432K

22K claims · 4.0%

Your Cost: $19.28/claim|Median: $17.85
1.1× median
95004Top 10%

Percutaneous allergy skin tests, each

$327K

1,156 claims · 3.0%

Your Cost: $282.55/claim|Median: $134.97
2.1× median
99212Normal range

Office/outpatient visit, low complexity

$287K

8,752 claims · 2.6%

Your Cost: $32.85/claim|Median: $25.06
1.3× median
96110Normal range

Developmental screening, per standardized instrument

$168K

15K claims · 1.5%

Your Cost: $11.07/claim|Median: $9.10
1.2× median
92558Normal range

$131K

16K claims · 1.2%

Your Cost: $7.92/claim|Median: $6.67
1.2× median
90461Normal range

Immunization admin, additional vaccine, counseling

$115K

7,928 claims · 1.1%

Your Cost: $14.49/claim|Median: $6.93
2.1× median
90651Top 10%

HPV vaccine, 9-valent

$93K

1,675 claims · 0.8%

Your Cost: $55.39/claim|Median: $8.93
6.2× median
92587Normal range

$86K

6,424 claims · 0.8%

Your Cost: $13.43/claim|Median: $19.24
0.7× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$85K

886 claims · 0.8%

Your Cost: $96.19/claim|Median: $72.71
1.3× median
90471Top 25%

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

$85K

5,662 claims · 0.8%

Your Cost: $14.95/claim|Median: $9.80
1.5× median
99211Top 25%

Office/outpatient visit, minimal complexity

$55K

2,836 claims · 0.5%

Your Cost: $19.30/claim|Median: $12.93
1.5× median
99188Normal range

$45K

2,782 claims · 0.4%

Your Cost: $16.32/claim|Median: $12.80
1.3× median
90472Normal range

Immunization administration, each additional vaccine

$37K

2,682 claims · 0.3%

Your Cost: $13.86/claim|Median: $11.79
1.2× median
90710Top 10%

MMRV vaccine

$33K

1,043 claims · 0.3%

Your Cost: $31.81/claim|Median: $7.00
4.5× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$31K

6,052 claims · 0.3%

Your Cost: $5.14/claim|Median: $7.18
0.7× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$27K

386 claims · 0.3%

Your Cost: $70.95/claim|Median: $62.48
1.1× median
90670Top 25%

$27K

2,037 claims · 0.3%

Your Cost: $13.42/claim|Median: $5.94
2.3× median
99381Normal range

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

$25K

296 claims · 0.2%

Your Cost: $86.09/claim|Median: $73.46
1.2× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$25K

22K claims · 0.2%

Your Cost: $1.16/claim|Median: $12.70
0.1× median
90621Top 5%

$24K

465 claims · 0.2%

Your Cost: $50.61/claim|Median: $7.66
6.6× median
90619Top 25%

$22K

896 claims · 0.2%

Your Cost: $24.56/claim|Median: $8.36
2.9× median
90734Top 5%

$21K

493 claims · 0.2%

Your Cost: $43.14/claim|Median: $6.40
6.7× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$21K

351 claims · 0.2%

Your Cost: $58.72/claim|Median: $37.22
1.6× median
86580Top 25%

Tuberculosis (TB) skin test

$16K

2,359 claims · 0.1%

Your Cost: $6.91/claim|Median: $4.46
1.5× median
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