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Provider 1174532972

NPI: 1174532972Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.3M

$9,293,440

Total Claims

595K

Beneficiaries

391K

1.5 claims/patient

Avg Cost/Claim

$16

Monthly Spending Trend

Yearly Spending

2018
$987K
+8%
2019
$1.1M
-9%
2020
$976K
+38%
2021
$1.3M
+24%
2022
$1.7M
-1%
2023
$1.7M
-4%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99199 (Unlisted special service, procedure, or report)) accounts for 26% of total spending.

99199Normal range

Unlisted special service, procedure, or report

$2.4M

369K claims · 25.7%

Your Cost: $6.46/claim|Median: $5.39
1.2× median
99213Top 25%

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

$1.7M

29K claims · 18.3%

Your Cost: $58.81/claim|Median: $37.81
1.6× median
99214Top 25%

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

$1.3M

15K claims · 13.5%

Your Cost: $86.26/claim|Median: $53.41
1.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$675K

7,853 claims · 7.3%

Your Cost: $86.00/claim|Median: $75.18
1.1× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$649K

7,634 claims · 7.0%

Your Cost: $85.05/claim|Median: $69.35
1.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$578K

6,591 claims · 6.2%

Your Cost: $87.66/claim|Median: $74.82
1.2× median
90471Top 25%

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

$462K

24K claims · 5.0%

Your Cost: $19.23/claim|Median: $9.80
2.0× median
90472Top 10%

Immunization administration, each additional vaccine

$406K

13K claims · 4.4%

Your Cost: $32.09/claim|Median: $11.79
2.7× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$367K

3,877 claims · 4.0%

Your Cost: $94.77/claim|Median: $80.15
1.2× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$129K

3,732 claims · 1.4%

Your Cost: $34.60/claim|Median: $57.30
0.6× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$123K

21K claims · 1.3%

Your Cost: $5.81/claim|Median: $3.67
1.6× median
96110Normal range

Developmental screening, per standardized instrument

$115K

12K claims · 1.2%

Your Cost: $9.60/claim|Median: $9.10
1.1× median
99215Top 25%

Office/outpatient visit, high complexity

$93K

792 claims · 1.0%

Your Cost: $117.37/claim|Median: $74.09
1.6× median
D1206Normal range

Topical application of fluoride varnish

$55K

3,685 claims · 0.6%

Your Cost: $14.96/claim|Median: $18.12
0.8× median
87428Top 25%

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

$46K

782 claims · 0.5%

Your Cost: $58.43/claim|Median: $39.63
1.5× median
87804Normal range

Influenza virus detection, rapid test

$34K

2,574 claims · 0.4%

Your Cost: $13.19/claim|Median: $12.59
1.0× median
90474Top 10%

$31K

1,596 claims · 0.3%

Your Cost: $19.60/claim|Median: $8.42
2.3× median
92583Normal range

$28K

1,156 claims · 0.3%

Your Cost: $23.80/claim|Median: $27.53
0.9× median
87426Normal range

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

$26K

764 claims · 0.3%

Your Cost: $34.15/claim|Median: $30.04
1.1× median
96161Normal range

$23K

6,365 claims · 0.2%

Your Cost: $3.55/claim|Median: $2.49
1.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$21K

1,616 claims · 0.2%

Your Cost: $12.88/claim|Median: $11.48
1.1× median
99417Top 5%

$13K

79 claims · 0.1%

Your Cost: $160.80/claim|Median: $34.90
4.6× median
83718Top 25%

HDL cholesterol, lipoprotein blood test

$11K

1,159 claims · 0.1%

Your Cost: $9.48/claim|Median: $6.11
1.6× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$8K

6,729 claims · 0.1%

Your Cost: $1.19/claim|Median: $7.18
0.2× median
0071ATop 10%

$8K

147 claims · 0.1%

Your Cost: $51.82/claim|Median: $38.71
1.3× median
0072ATop 10%

$7K

123 claims · 0.1%

Your Cost: $58.78/claim|Median: $39.57
1.5× median
90651Top 25%

HPV vaccine, 9-valent

$7K

289 claims · 0.1%

Your Cost: $24.63/claim|Median: $8.93
2.8× median
82465Top 25%

$6K

1,164 claims · 0.1%

Your Cost: $5.03/claim|Median: $3.41
1.5× median
83655Top 25%

$4K

320 claims · 0.0%

Your Cost: $13.88/claim|Median: $10.49
1.3× median
99381Normal range

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

$3K

40 claims · 0.0%

Your Cost: $80.24/claim|Median: $73.46
1.1× median
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