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Provider 1164789467

NPI: 1164789467Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.3M

$9,292,147

Total Claims

486K

Beneficiaries

375K

1.3 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$115K
+24%
2019
$142K
+446%
2020
$775K
+105%
2021
$1.6M
+28%
2022
$2.0M
+16%
2023
$2.4M
-4%
2024
$2.3M

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 35% of total spending.

99214Normal range

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

$3.3M

80K claims · 35.4%

Your Cost: $41.32/claim|Median: $53.41
0.8× median
99213Normal range

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

$2.5M

68K claims · 27.4%

Your Cost: $37.55/claim|Median: $37.81
1.0× median
90460Top 10%

Immunization administration, first vaccine/toxoid, with counseling

$527K

12K claims · 5.7%

Your Cost: $42.24/claim|Median: $17.85
2.4× median
99392Normal range

Preventive medicine, established patient, age 1-4

$451K

5,894 claims · 4.8%

Your Cost: $76.45/claim|Median: $75.18
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$419K

5,965 claims · 4.5%

Your Cost: $70.28/claim|Median: $69.35
1.0× median
99204Normal range

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

$233K

3,808 claims · 2.5%

Your Cost: $61.25/claim|Median: $84.03
0.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$222K

3,004 claims · 2.4%

Your Cost: $74.00/claim|Median: $74.82
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$213K

22K claims · 2.3%

Your Cost: $9.75/claim|Median: $11.48
0.8× median
87804Normal range

Influenza virus detection, rapid test

$144K

15K claims · 1.5%

Your Cost: $9.72/claim|Median: $12.59
0.8× median
96110Top 25%

Developmental screening, per standardized instrument

$137K

7,015 claims · 1.5%

Your Cost: $19.56/claim|Median: $9.10
2.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$108K

1,330 claims · 1.2%

Your Cost: $81.37/claim|Median: $80.15
1.0× median
87811Normal range

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

$81K

2,658 claims · 0.9%

Your Cost: $30.38/claim|Median: $30.53
1.0× median
87426Normal range

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

$57K

1,996 claims · 0.6%

Your Cost: $28.77/claim|Median: $30.04
1.0× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$52K

963 claims · 0.6%

Your Cost: $54.05/claim|Median: $58.55
0.9× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$48K

539 claims · 0.5%

Your Cost: $88.94/claim|Median: $97.61
0.9× median
99203Normal range

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

$43K

924 claims · 0.5%

Your Cost: $46.99/claim|Median: $57.85
0.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$39K

3,979 claims · 0.4%

Your Cost: $9.83/claim|Median: $9.56
1.0× median
0503FNormal range

$35K

1,056 claims · 0.4%

Your Cost: $33.60/claim|Median: $10.68
3.1× median
59400Normal range

Routine obstetric care, vaginal delivery, including postpartum

$34K

28 claims · 0.4%

Your Cost: $1,207.68/claim|Median: $1,482.45
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$32K

2,033 claims · 0.3%

Your Cost: $15.91/claim|Median: $54.68
0.3× median
99215Normal range

Office/outpatient visit, high complexity

$32K

495 claims · 0.3%

Your Cost: $63.97/claim|Median: $74.09
0.9× median
95165Normal range

Professional services for allergen immunotherapy, per injection

$29K

328 claims · 0.3%

Your Cost: $88.87/claim|Median: $144.04
0.6× median
96160Top 25%

Patient-focused health risk assessment

$27K

4,932 claims · 0.3%

Your Cost: $5.53/claim|Median: $2.10
2.6× median
99177Normal range

$26K

4,983 claims · 0.3%

Your Cost: $5.23/claim|Median: $3.74
1.4× median
59025Normal range

Fetal non-stress test

$26K

990 claims · 0.3%

Your Cost: $26.21/claim|Median: $26.45
1.0× median
59410Normal range

$25K

34 claims · 0.3%

Your Cost: $746.80/claim|Median: $781.64
1.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$25K

6,270 claims · 0.3%

Your Cost: $4.03/claim|Median: $3.67
1.1× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$24K

292 claims · 0.3%

Your Cost: $82.16/claim|Median: $74.78
1.1× median
92558Normal range

$24K

7,159 claims · 0.3%

Your Cost: $3.35/claim|Median: $6.67
0.5× median
99381Normal range

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

$24K

332 claims · 0.3%

Your Cost: $71.06/claim|Median: $73.46
1.0× median
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