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Provider 1174539548

NPI: 1174539548Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$14.3M

$14,300,821

Total Claims

346K

Beneficiaries

321K

1.1 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$151K
+1625%
2019
$2.6M
-28%
2020
$1.9M
+6%
2021
$2.0M
+55%
2022
$3.1M
-7%
2023
$2.8M
-36%
2024
$1.8M

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 34% of total spending.

99213Top 10%

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

$4.8M

63K claims · 33.7%

Your Cost: $76.30/claim|Median: $37.81
2.0× median
99214Top 10%

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

$4.1M

36K claims · 29.0%

Your Cost: $115.58/claim|Median: $53.41
2.2× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$1.5M

14K claims · 10.5%

Your Cost: $105.58/claim|Median: $75.18
1.4× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$1.1M

12K claims · 7.9%

Your Cost: $94.93/claim|Median: $69.35
1.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$828K

9,622 claims · 5.8%

Your Cost: $86.10/claim|Median: $74.82
1.2× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$400K

18K claims · 2.8%

Your Cost: $22.74/claim|Median: $17.85
1.3× median
90671Top 5%

$341K

1,941 claims · 2.4%

Your Cost: $175.57/claim|Median: $8.59
20.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$320K

3,518 claims · 2.2%

Your Cost: $91.00/claim|Median: $80.15
1.1× median
87428Normal range

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

$135K

3,476 claims · 0.9%

Your Cost: $38.74/claim|Median: $39.63
1.0× median
99212Top 25%

Office/outpatient visit, low complexity

$124K

2,445 claims · 0.9%

Your Cost: $50.88/claim|Median: $25.06
2.0× median
90461Normal range

Immunization admin, additional vaccine, counseling

$124K

8,627 claims · 0.9%

Your Cost: $14.37/claim|Median: $6.93
2.1× median
90471Normal range

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

$71K

15K claims · 0.5%

Your Cost: $4.70/claim|Median: $9.80
0.5× median
99188Normal range

$49K

5,905 claims · 0.3%

Your Cost: $8.22/claim|Median: $12.80
0.6× median
90472Normal range

Immunization administration, each additional vaccine

$48K

7,962 claims · 0.3%

Your Cost: $6.06/claim|Median: $11.79
0.5× median
87426Normal range

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

$48K

1,820 claims · 0.3%

Your Cost: $26.50/claim|Median: $30.04
0.9× median
99051Normal range

$31K

4,889 claims · 0.2%

Your Cost: $6.33/claim|Median: $7.89
0.8× median
90670Normal range

$21K

4,587 claims · 0.1%

Your Cost: $4.52/claim|Median: $5.94
0.8× median
83655Normal range

$21K

4,019 claims · 0.1%

Your Cost: $5.12/claim|Median: $10.49
0.5× median
99203Normal range

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

$20K

267 claims · 0.1%

Your Cost: $75.18/claim|Median: $57.85
1.3× median
96110Normal range

Developmental screening, per standardized instrument

$19K

3,563 claims · 0.1%

Your Cost: $5.29/claim|Median: $9.10
0.6× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$18K

6,577 claims · 0.1%

Your Cost: $2.67/claim|Median: $7.18
0.4× median
87430Normal range

$14K

1,144 claims · 0.1%

Your Cost: $12.50/claim|Median: $9.41
1.3× median
90698Normal range

$13K

1,762 claims · 0.1%

Your Cost: $7.18/claim|Median: $6.32
1.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$11K

3,214 claims · 0.1%

Your Cost: $3.56/claim|Median: $11.48
0.3× median
85018Normal range

$10K

11K claims · 0.1%

Your Cost: $0.88/claim|Median: $1.71
0.5× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$9K

183 claims · 0.1%

Your Cost: $50.70/claim|Median: $37.22
1.4× median
96160Normal range

Patient-focused health risk assessment

$6K

17K claims · 0.0%

Your Cost: $0.34/claim|Median: $2.10
0.2× median
H0049Top 25%

$5K

209 claims · 0.0%

Your Cost: $21.60/claim|Median: $9.27
2.3× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$4K

4,865 claims · 0.0%

Your Cost: $0.89/claim|Median: $3.67
0.2× median
90474Normal range

$3K

1,190 claims · 0.0%

Your Cost: $2.82/claim|Median: $8.42
0.3× median
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