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Provider 1154425338

NPI: 1154425338Share
Active Billing Period:2019-01→2024-12(67 months)

Total Paid

$8.3M

$8,262,771

Total Claims

150K

Beneficiaries

129K

1.2 claims/patient

Avg Cost/Claim

$55

Monthly Spending Trend

Yearly Spending

2019
$3K
+15500%
2020
$436K
+224%
2021
$1.4M
+45%
2022
$2.1M
+15%
2023
$2.4M
-15%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (S9083 (Global fee, urgent care centers)) accounts for 60% of total spending.

S9083Top 10%

Global fee, urgent care centers

$4.9M

36K claims · 59.7%

Your Cost: $138.54/claim|Median: $103.99
1.3× median
S9088Top 5%

Services provided in an urgent care center

$1.4M

13K claims · 17.2%

Your Cost: $109.39/claim|Median: $28.22
3.9× median
99213Normal range

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

$1.0M

29K claims · 12.3%

Your Cost: $35.47/claim|Median: $37.81
0.9× median
99214Normal range

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

$366K

11K claims · 4.4%

Your Cost: $32.73/claim|Median: $53.41
0.6× median
99203Normal range

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

$204K

5,505 claims · 2.5%

Your Cost: $36.99/claim|Median: $57.85
0.6× median
99204Normal range

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

$111K

2,858 claims · 1.3%

Your Cost: $38.70/claim|Median: $84.03
0.5× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$76K

8,816 claims · 0.9%

Your Cost: $8.66/claim|Median: $39.63
0.2× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$52K

4,660 claims · 0.6%

Your Cost: $11.19/claim|Median: $30.04
0.4× median
99212Normal range

Office/outpatient visit, low complexity

$43K

1,967 claims · 0.5%

Your Cost: $21.66/claim|Median: $25.06
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$17K

323 claims · 0.2%

Your Cost: $51.87/claim|Median: $74.09
0.7× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$7K

797 claims · 0.1%

Your Cost: $8.55/claim|Median: $40.11
0.2× median
90471Top 5%

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

$3K

110 claims · 0.0%

Your Cost: $22.77/claim|Median: $9.80
2.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$2K

8,629 claims · 0.0%

Your Cost: $0.26/claim|Median: $11.48
0.0× median
A6449Normal range

$2K

497 claims · 0.0%

Your Cost: $4.35/claim|Median: $5.88
0.7× median
71046Normal range

Chest X-ray, 2 views

$2K

2,112 claims · 0.0%

Your Cost: $0.86/claim|Median: $8.92
0.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$1K

103 claims · 0.0%

Your Cost: $11.78/claim|Median: $7.18
1.6× median
99058Normal range

$940

111 claims · 0.0%

Your Cost: $8.47/claim|Median: $15.38
0.6× median
J1885Top 5%

Injection, ketorolac tromethamine, fifteen milligrams

$928

31 claims · 0.0%

Your Cost: $29.92/claim|Median: $0.91
32.9× median
80047Normal range

$870

2,730 claims · 0.0%

Your Cost: $0.32/claim|Median: $6.12
0.1× median
87804Normal range

Influenza virus detection, rapid test

$816

3,688 claims · 0.0%

Your Cost: $0.22/claim|Median: $12.59
0.0× median
L3908Top 5%

$773

12 claims · 0.0%

Your Cost: $64.41/claim|Median: $35.79
1.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$712

2,924 claims · 0.0%

Your Cost: $0.24/claim|Median: $4.71
0.1× median
81000Normal range

Urinalysis with microscopy, non-automated

$615

3,122 claims · 0.0%

Your Cost: $0.20/claim|Median: $2.51
0.1× median
81002Normal range

Urinalysis, non-automated without microscopy

$465

2,604 claims · 0.0%

Your Cost: $0.18/claim|Median: $2.00
0.1× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$391

798 claims · 0.0%

Your Cost: $0.49/claim|Median: $9.70
0.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$326

429 claims · 0.0%

Your Cost: $0.76/claim|Median: $9.56
0.1× median
81025Normal range

Urine pregnancy test

$302

1,559 claims · 0.0%

Your Cost: $0.19/claim|Median: $4.81
0.0× median
36415Normal range

Collection of venous blood by venipuncture

$268

3,175 claims · 0.0%

Your Cost: $0.08/claim|Median: $1.57
0.1× median
86580Top 5%

Tuberculosis (TB) skin test

$188

13 claims · 0.0%

Your Cost: $14.43/claim|Median: $4.46
3.2× median
73564Normal range

$142

140 claims · 0.0%

Your Cost: $1.02/claim|Median: $15.00
0.1× median
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