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Provider 1154425494

NPI: 1154425494Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.7M

$10,678,640

Total Claims

432K

Beneficiaries

366K

1.2 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$36K
-9%
2019
$33K
+795%
2020
$292K
+725%
2021
$2.4M
+29%
2022
$3.1M
-2%
2023
$3.1M
-43%
2024
$1.7M

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 21% of total spending.

99213Normal range

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

$2.2M

58K claims · 21.1%

Your Cost: $39.01/claim|Median: $37.81
1.0× median
87426Top 5%

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

$1.2M

25K claims · 11.0%

Your Cost: $48.01/claim|Median: $30.04
1.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$964K

11K claims · 9.0%

Your Cost: $87.09/claim|Median: $75.18
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$943K

11K claims · 8.8%

Your Cost: $83.07/claim|Median: $69.35
1.2× median
99214Normal range

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

$939K

17K claims · 8.8%

Your Cost: $55.13/claim|Median: $53.41
1.0× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$815K

8,983 claims · 7.6%

Your Cost: $90.73/claim|Median: $74.82
1.2× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$712K

60K claims · 6.7%

Your Cost: $11.78/claim|Median: $17.85
0.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$645K

7,979 claims · 6.0%

Your Cost: $80.83/claim|Median: $80.15
1.0× median
87804Normal range

Influenza virus detection, rapid test

$319K

20K claims · 3.0%

Your Cost: $15.69/claim|Median: $12.59
1.2× median
87811Top 5%

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$314K

6,721 claims · 2.9%

Your Cost: $46.72/claim|Median: $30.53
1.5× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$304K

20K claims · 2.9%

Your Cost: $15.58/claim|Median: $11.48
1.4× median
99429Top 10%

$240K

6,274 claims · 2.2%

Your Cost: $38.20/claim|Median: $28.58
1.3× median
87428Normal range

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

$217K

5,581 claims · 2.0%

Your Cost: $38.97/claim|Median: $39.63
1.0× median
S8301Normal range

$213K

29K claims · 2.0%

Your Cost: $7.41/claim|Median: $8.32
0.9× median
87077Top 25%

Bacterial culture, aerobic, additional methods required

$126K

17K claims · 1.2%

Your Cost: $7.61/claim|Median: $4.52
1.7× median
96110Normal range

Developmental screening, per standardized instrument

$103K

11K claims · 1.0%

Your Cost: $9.31/claim|Median: $9.10
1.0× median
90461Normal range

Immunization admin, additional vaccine, counseling

$84K

17K claims · 0.8%

Your Cost: $5.06/claim|Median: $6.93
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$57K

2,196 claims · 0.5%

Your Cost: $25.84/claim|Median: $25.06
1.0× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$44K

6,051 claims · 0.4%

Your Cost: $7.34/claim|Median: $4.71
1.6× median
99203Normal range

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

$29K

463 claims · 0.3%

Your Cost: $63.43/claim|Median: $57.85
1.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$25K

1,681 claims · 0.2%

Your Cost: $14.84/claim|Median: $12.93
1.1× median
87086Normal range

Urine culture, colony count, with identification

$23K

3,064 claims · 0.2%

Your Cost: $7.54/claim|Median: $5.31
1.4× median
G8510Top 5%

$21K

1,447 claims · 0.2%

Your Cost: $14.79/claim|Median: $1.96
7.5× median
54150Normal range

$20K

162 claims · 0.2%

Your Cost: $125.11/claim|Median: $84.60
1.5× median
96160Normal range

Patient-focused health risk assessment

$13K

5,492 claims · 0.1%

Your Cost: $2.45/claim|Median: $2.10
1.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$13K

1,007 claims · 0.1%

Your Cost: $12.66/claim|Median: $9.56
1.3× median
99384Top 25%

Preventive visit, new patient, adolescent (12-17 yr)

$11K

99 claims · 0.1%

Your Cost: $110.72/claim|Median: $83.63
1.3× median
81002Top 10%

Urinalysis, non-automated without microscopy

$10K

3,178 claims · 0.1%

Your Cost: $3.25/claim|Median: $2.00
1.6× median
86580Top 25%

Tuberculosis (TB) skin test

$9K

1,108 claims · 0.1%

Your Cost: $8.40/claim|Median: $4.46
1.9× median
99381Normal range

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

$7K

89 claims · 0.1%

Your Cost: $80.76/claim|Median: $73.46
1.1× median
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