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Provider 1174812853

NPI: 1174812853Share
Active Billing Period:2018-03→2024-09(79 months)

Total Paid

$8.2M

$8,217,072

Total Claims

223K

Beneficiaries

167K

1.3 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$96K
+598%
2019
$670K
+111%
2020
$1.4M
+75%
2021
$2.5M
-14%
2022
$2.1M
-68%
2023
$680K
+9%
2024
$739K

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 16% of total spending.

99213Normal range

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

$1.3M

27K claims · 16.2%

Your Cost: $48.42/claim|Median: $37.81
1.3× median
87426Normal range

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

$676K

19K claims · 8.2%

Your Cost: $34.88/claim|Median: $30.04
1.2× median
99214Top 25%

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

$673K

8,837 claims · 8.2%

Your Cost: $76.20/claim|Median: $53.41
1.4× median
99203Normal range

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

$624K

13K claims · 7.6%

Your Cost: $46.54/claim|Median: $57.85
0.8× median
99243Top 25%

Office or other outpatient consultation, low complexity

$495K

4,989 claims · 6.0%

Your Cost: $99.21/claim|Median: $82.43
1.2× median
87635Top 25%

COVID-19 SARS-CoV-2 amplified probe detection

$470K

9,224 claims · 5.7%

Your Cost: $51.01/claim|Median: $39.70
1.3× median
99204Normal range

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

$372K

4,751 claims · 4.5%

Your Cost: $78.40/claim|Median: $84.03
0.9× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$337K

4,748 claims · 4.1%

Your Cost: $71.03/claim|Median: $65.64
1.1× median
87389Top 5%

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$282K

3,691 claims · 3.4%

Your Cost: $76.30/claim|Median: $18.03
4.2× median
G2023Normal range

Specimen collection for COVID-19 testing

$246K

11K claims · 3.0%

Your Cost: $23.09/claim|Median: $17.15
1.3× median
87491Top 10%

Chlamydia detection, nucleic acid, amplified probe

$228K

4,714 claims · 2.8%

Your Cost: $48.30/claim|Median: $24.95
1.9× median
87591Top 10%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$225K

4,674 claims · 2.7%

Your Cost: $48.20/claim|Median: $23.39
2.1× median
87651Top 25%

Streptococcus Group A detection, nucleic acid, amplified probe

$218K

5,011 claims · 2.7%

Your Cost: $43.46/claim|Median: $28.46
1.5× median
99244Top 25%

Office or other outpatient consultation, moderate complexity

$129K

885 claims · 1.6%

Your Cost: $145.83/claim|Median: $121.58
1.2× median
87798Top 25%

Infectious agent detection, nucleic acid, not otherwise specified

$128K

1,641 claims · 1.6%

Your Cost: $77.90/claim|Median: $26.72
2.9× median
87804Top 10%

Influenza virus detection, rapid test

$121K

4,160 claims · 1.5%

Your Cost: $29.04/claim|Median: $12.59
2.3× median
87634Normal range

$98K

1,898 claims · 1.2%

Your Cost: $51.39/claim|Median: $48.78
1.1× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$89K

3,102 claims · 1.1%

Your Cost: $28.60/claim|Median: $21.08
1.4× median
87481Top 25%

$89K

1,651 claims · 1.1%

Your Cost: $53.71/claim|Median: $22.38
2.4× median
86696Top 5%

$70K

2,543 claims · 0.9%

Your Cost: $27.69/claim|Median: $13.89
2.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$65K

825 claims · 0.8%

Your Cost: $78.68/claim|Median: $72.71
1.1× median
99401Top 25%

$64K

2,196 claims · 0.8%

Your Cost: $28.96/claim|Median: $16.53
1.8× median
87503Normal range

$62K

3,543 claims · 0.8%

Your Cost: $17.41/claim|Median: $9.26
1.9× median
96160Top 10%

Patient-focused health risk assessment

$58K

4,012 claims · 0.7%

Your Cost: $14.39/claim|Median: $2.10
6.9× median
U0003Normal range

Infectious disease detection (COVID-19)

$58K

769 claims · 0.7%

Your Cost: $75.00/claim|Median: $63.08
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$55K

2,195 claims · 0.7%

Your Cost: $25.12/claim|Median: $25.06
1.0× median
86695Top 10%

Herpes simplex virus antibody detection test

$55K

2,602 claims · 0.7%

Your Cost: $21.01/claim|Median: $9.66
2.2× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$46K

482 claims · 0.6%

Your Cost: $95.87/claim|Median: $76.22
1.3× median
0241UTop 25%

Proprietary lab analysis, genomic sequencing

$39K

274 claims · 0.5%

Your Cost: $141.07/claim|Median: $91.47
1.5× median
86803Top 25%

Hepatitis C antibody

$39K

2,301 claims · 0.5%

Your Cost: $16.74/claim|Median: $10.17
1.6× median
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