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Provider 1164707980

NPI: 1164707980Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.9M

$9,915,401

Total Claims

152K

Beneficiaries

135K

1.1 claims/patient

Avg Cost/Claim

$65

Monthly Spending Trend

Yearly Spending

2018
$59K
-44%
2019
$33K
+4848%
2020
$1.7M
+43%
2021
$2.4M
-4%
2022
$2.3M
-10%
2023
$2.0M
-26%
2024
$1.5M

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 26% of total spending.

99214Top 10%

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

$2.6M

24K claims · 26.3%

Your Cost: $107.08/claim|Median: $53.41
2.0× median
99213Top 5%

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

$2.2M

24K claims · 21.9%

Your Cost: $90.72/claim|Median: $37.81
2.4× median
99203Top 10%

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

$1.7M

16K claims · 16.8%

Your Cost: $102.78/claim|Median: $57.85
1.8× median
S9083Normal range

Global fee, urgent care centers

$1.1M

10K claims · 11.5%

Your Cost: $110.36/claim|Median: $103.99
1.1× median
99204Top 25%

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

$977K

7,042 claims · 9.9%

Your Cost: $138.72/claim|Median: $84.03
1.7× median
87426Top 25%

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

$626K

17K claims · 6.3%

Your Cost: $36.55/claim|Median: $30.04
1.2× median
87804Normal range

Influenza virus detection, rapid test

$145K

16K claims · 1.5%

Your Cost: $9.30/claim|Median: $12.59
0.7× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$144K

1,807 claims · 1.5%

Your Cost: $79.69/claim|Median: $40.11
2.0× median
87811Normal range

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

$134K

4,644 claims · 1.3%

Your Cost: $28.76/claim|Median: $30.53
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$102K

13K claims · 1.0%

Your Cost: $7.83/claim|Median: $11.48
0.7× median
99212Top 10%

Office/outpatient visit, low complexity

$39K

574 claims · 0.4%

Your Cost: $67.83/claim|Median: $25.06
2.7× median
99215Top 10%

Office/outpatient visit, high complexity

$24K

164 claims · 0.2%

Your Cost: $146.91/claim|Median: $74.09
2.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$20K

1,696 claims · 0.2%

Your Cost: $12.00/claim|Median: $9.56
1.3× median
71046Top 25%

Chest X-ray, 2 views

$18K

999 claims · 0.2%

Your Cost: $18.45/claim|Median: $8.92
2.1× median
E0114Normal range

$13K

440 claims · 0.1%

Your Cost: $28.47/claim|Median: $29.11
1.0× median
73610Normal range

X-ray of ankle, complete, minimum three views

$12K

723 claims · 0.1%

Your Cost: $16.64/claim|Median: $13.55
1.2× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$11K

731 claims · 0.1%

Your Cost: $14.81/claim|Median: $12.06
1.2× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$10K

59 claims · 0.1%

Your Cost: $174.37/claim|Median: $111.09
1.6× median
81003Normal range

Urinalysis, automated without microscopy

$8K

5,358 claims · 0.1%

Your Cost: $1.58/claim|Median: $1.48
1.1× median
81025Normal range

Urine pregnancy test

$8K

2,262 claims · 0.1%

Your Cost: $3.69/claim|Median: $4.81
0.8× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$7K

601 claims · 0.1%

Your Cost: $11.52/claim|Median: $9.70
1.2× median
L4350Normal range

$4K

75 claims · 0.0%

Your Cost: $57.53/claim|Median: $52.71
1.1× median
73130Normal range

$3K

190 claims · 0.0%

Your Cost: $18.27/claim|Median: $10.69
1.7× median
L3908Normal range

$3K

81 claims · 0.0%

Your Cost: $34.28/claim|Median: $35.79
1.0× median
73562Normal range

$3K

159 claims · 0.0%

Your Cost: $17.02/claim|Median: $12.28
1.4× median
73110Normal range

X-ray of wrist, complete, minimum three views

$2K

118 claims · 0.0%

Your Cost: $18.78/claim|Median: $12.64
1.5× median
73140Normal range

$2K

127 claims · 0.0%

Your Cost: $14.81/claim|Median: $11.18
1.3× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$2K

205 claims · 0.0%

Your Cost: $9.13/claim|Median: $10.88
0.8× median
90471Normal range

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

$2K

198 claims · 0.0%

Your Cost: $8.34/claim|Median: $9.80
0.9× median
A6449Normal range

$1K

1,272 claims · 0.0%

Your Cost: $1.14/claim|Median: $5.88
0.2× median
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