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Provider 1174184709

NPI: 1174184709Share
Active Billing Period:2021-01→2024-12(48 months)

Total Paid

$12.4M

$12,375,742

Total Claims

533K

Beneficiaries

390K

1.4 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2021
$2.6M
+16%
2022
$3.1M
+14%
2023
$3.5M
-8%
2024
$3.2M

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 33% of total spending.

99214Normal range

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

$4.0M

70K claims · 32.7%

Your Cost: $57.59/claim|Median: $53.41
1.1× median
99213Normal range

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

$1.0M

26K claims · 8.4%

Your Cost: $40.81/claim|Median: $37.81
1.1× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$579K

16K claims · 4.7%

Your Cost: $37.16/claim|Median: $17.85
2.1× median
98966Top 10%

$573K

11K claims · 4.6%

Your Cost: $53.19/claim|Median: $6.84
7.8× median
96110Top 25%

Developmental screening, per standardized instrument

$511K

27K claims · 4.1%

Your Cost: $18.73/claim|Median: $9.10
2.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$506K

6,379 claims · 4.1%

Your Cost: $79.39/claim|Median: $80.15
1.0× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$383K

5,457 claims · 3.1%

Your Cost: $70.12/claim|Median: $47.08
1.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$375K

5,213 claims · 3.0%

Your Cost: $71.89/claim|Median: $74.82
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$358K

5,078 claims · 2.9%

Your Cost: $70.46/claim|Median: $75.18
0.9× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$328K

4,038 claims · 2.6%

Your Cost: $81.22/claim|Median: $59.72
1.4× median
92015Top 10%

Determination of refractive state

$298K

12K claims · 2.4%

Your Cost: $25.14/claim|Median: $10.36
2.4× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$216K

1,778 claims · 1.7%

Your Cost: $121.69/claim|Median: $54.68
2.2× median
76705Normal range

Ultrasound, abdominal, limited

$190K

3,856 claims · 1.5%

Your Cost: $49.35/claim|Median: $23.81
2.1× median
87811Normal range

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

$182K

5,374 claims · 1.5%

Your Cost: $33.91/claim|Median: $30.53
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$175K

2,737 claims · 1.4%

Your Cost: $64.10/claim|Median: $69.35
0.9× median
92340Normal range

Fitting of spectacles, except for aphakia

$170K

8,623 claims · 1.4%

Your Cost: $19.69/claim|Median: $19.46
1.0× median
99384Normal range

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

$148K

1,708 claims · 1.2%

Your Cost: $86.75/claim|Median: $83.63
1.0× median
99204Normal range

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

$140K

1,900 claims · 1.1%

Your Cost: $73.92/claim|Median: $84.03
0.9× median
92551Normal range

Screening audiometry, pure tone, air only

$124K

17K claims · 1.0%

Your Cost: $7.28/claim|Median: $6.61
1.1× median
99401Top 25%

$113K

4,368 claims · 0.9%

Your Cost: $25.93/claim|Median: $16.53
1.6× median
93015Normal range

$111K

1,956 claims · 0.9%

Your Cost: $56.88/claim|Median: $41.12
1.4× median
99605Normal range

$110K

2,166 claims · 0.9%

Your Cost: $50.83/claim|Median: $50.00
1.0× median
96160Top 10%

Patient-focused health risk assessment

$101K

6,416 claims · 0.8%

Your Cost: $15.71/claim|Median: $2.10
7.5× median
G0447Top 25%

$90K

4,848 claims · 0.7%

Your Cost: $18.61/claim|Median: $5.19
3.6× median
87804Normal range

Influenza virus detection, rapid test

$89K

9,019 claims · 0.7%

Your Cost: $9.88/claim|Median: $12.59
0.8× median
99395Normal range

Preventive medicine, established patient, age 18-39

$88K

1,314 claims · 0.7%

Your Cost: $66.99/claim|Median: $72.71
0.9× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$78K

6,431 claims · 0.6%

Your Cost: $12.13/claim|Median: $9.70
1.3× median
99173Top 25%

$75K

17K claims · 0.6%

Your Cost: $4.38/claim|Median: $2.16
2.0× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$74K

1,475 claims · 0.6%

Your Cost: $49.91/claim|Median: $38.23
1.3× median
92250Normal range

Fundus photography with interpretation and report

$73K

3,086 claims · 0.6%

Your Cost: $23.74/claim|Median: $27.95
0.8× median
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