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Provider 1154655439

NPI: 1154655439Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$11.9M

$11,944,724

Total Claims

301K

Beneficiaries

234K

1.3 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$846K
+19%
2019
$1.0M
+42%
2020
$1.4M
+66%
2021
$2.4M
+3%
2022
$2.4M
-5%
2023
$2.3M
-33%
2024
$1.5M

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 84% of total spending.

99213Top 25%

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

$10.0M

144K claims · 84.0%

Your Cost: $69.82/claim|Median: $37.81
1.8× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$441K

4,530 claims · 3.7%

Your Cost: $97.38/claim|Median: $76.06
1.3× median
99395Normal range

Preventive medicine, established patient, age 18-39

$371K

4,139 claims · 3.1%

Your Cost: $89.73/claim|Median: $72.71
1.2× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$218K

12K claims · 1.8%

Your Cost: $17.96/claim|Median: $9.56
1.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$173K

1,942 claims · 1.5%

Your Cost: $89.19/claim|Median: $80.15
1.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$142K

3,749 claims · 1.2%

Your Cost: $37.76/claim|Median: $39.70
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$107K

1,270 claims · 0.9%

Your Cost: $84.31/claim|Median: $74.82
1.1× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$67K

703 claims · 0.6%

Your Cost: $95.93/claim|Median: $76.22
1.3× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$48K

469 claims · 0.4%

Your Cost: $103.08/claim|Median: $87.82
1.2× median
86769Normal range

Antibody, SARS-CoV-2 (COVID-19)

$45K

2,616 claims · 0.4%

Your Cost: $17.32/claim|Median: $26.94
0.6× median
81000Normal range

Urinalysis with microscopy, non-automated

$35K

12K claims · 0.3%

Your Cost: $2.87/claim|Median: $2.51
1.1× median
90658Normal range

$35K

3,379 claims · 0.3%

Your Cost: $10.34/claim|Median: $8.96
1.2× median
82042Normal range

$35K

10K claims · 0.3%

Your Cost: $3.30/claim|Median: $3.42
1.0× median
90471Normal range

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

$33K

4,752 claims · 0.3%

Your Cost: $6.96/claim|Median: $9.80
0.7× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$28K

2,317 claims · 0.2%

Your Cost: $12.16/claim|Median: $9.70
1.3× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$19K

3,410 claims · 0.2%

Your Cost: $5.51/claim|Median: $5.50
1.0× median
99397Top 10%

$14K

157 claims · 0.1%

Your Cost: $90.98/claim|Median: $22.92
4.0× median
86580Normal range

Tuberculosis (TB) skin test

$14K

3,234 claims · 0.1%

Your Cost: $4.28/claim|Median: $4.46
1.0× median
0031ANormal range

COVID-19 vaccine admin, J&J, single dose

$13K

369 claims · 0.1%

Your Cost: $36.22/claim|Median: $32.49
1.1× median
83700Normal range

$12K

12K claims · 0.1%

Your Cost: $1.05/claim|Median: $1.47
0.7× median
99384Normal range

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

$9K

112 claims · 0.1%

Your Cost: $84.48/claim|Median: $83.63
1.0× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$9K

108 claims · 0.1%

Your Cost: $83.52/claim|Median: $81.92
1.0× median
J3420Normal range

Injection, vitamin B-12 cyanocobalamin, up to one thousand mcg

$8K

6,770 claims · 0.1%

Your Cost: $1.14/claim|Median: $1.04
1.1× median
82270Normal range

$7K

2,592 claims · 0.1%

Your Cost: $2.61/claim|Median: $2.38
1.1× median
90733Normal range

$5K

200 claims · 0.0%

Your Cost: $26.48/claim|Median: $9.55
2.8× median
90472Normal range

Immunization administration, each additional vaccine

$5K

816 claims · 0.0%

Your Cost: $6.00/claim|Median: $11.79
0.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$4K

52 claims · 0.0%

Your Cost: $76.01/claim|Median: $75.18
1.0× median
36415Normal range

Collection of venous blood by venipuncture

$4K

14K claims · 0.0%

Your Cost: $0.28/claim|Median: $1.57
0.2× median
99382Normal range

Preventive visit, new patient, early childhood (1-4 yr)

$3K

30 claims · 0.0%

Your Cost: $87.18/claim|Median: $79.89
1.1× median
J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

$2K

5,774 claims · 0.0%

Your Cost: $0.36/claim|Median: $0.91
0.4× median
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