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Provider 1174994826

NPI: 1174994826Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.0M

$14,015,085

Total Claims

205K

Beneficiaries

188K

1.1 claims/patient

Avg Cost/Claim

$68

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+5%
2019
$1.6M
+25%
2020
$2.0M
+45%
2021
$3.0M
-1%
2022
$2.9M
-27%
2023
$2.1M
-67%
2024
$705K

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 37% of total spending.

99213Top 10%

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

$5.1M

60K claims · 36.5%

Your Cost: $84.63/claim|Median: $37.81
2.2× median
99214Top 10%

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

$4.3M

38K claims · 30.4%

Your Cost: $112.44/claim|Median: $53.41
2.1× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$881K

18K claims · 6.3%

Your Cost: $49.50/claim|Median: $38.83
1.3× median
88305Top 5%

Surgical pathology, gross and microscopic examination

$778K

3,862 claims · 5.6%

Your Cost: $201.54/claim|Median: $35.80
5.6× median
H0014Normal range

$497K

3,747 claims · 3.5%

Your Cost: $132.75/claim|Median: $137.81
1.0× median
88341Top 5%

$344K

2,080 claims · 2.5%

Your Cost: $165.22/claim|Median: $45.31
3.6× median
88313Top 5%

$245K

1,935 claims · 1.7%

Your Cost: $126.62/claim|Median: $18.95
6.7× median
88342Top 5%

$220K

2,496 claims · 1.6%

Your Cost: $87.98/claim|Median: $23.66
3.7× median
99204Top 5%

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

$197K

1,095 claims · 1.4%

Your Cost: $180.28/claim|Median: $84.03
2.1× median
88312Top 5%

$186K

1,272 claims · 1.3%

Your Cost: $146.23/claim|Median: $24.56
6.0× median
43239Normal range

Upper GI endoscopy with biopsy

$116K

1,008 claims · 0.8%

Your Cost: $114.69/claim|Median: $151.68
0.8× median
99211Top 25%

Office/outpatient visit, minimal complexity

$97K

3,883 claims · 0.7%

Your Cost: $24.86/claim|Median: $12.93
1.9× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$82K

3,286 claims · 0.6%

Your Cost: $24.96/claim|Median: $17.85
1.4× median
76700Top 25%

Ultrasound, abdominal, complete

$61K

516 claims · 0.4%

Your Cost: $119.17/claim|Median: $50.69
2.4× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$58K

477 claims · 0.4%

Your Cost: $121.99/claim|Median: $80.15
1.5× median
92552Top 10%

Pure tone audiometry, air only, each ear

$48K

1,548 claims · 0.3%

Your Cost: $30.89/claim|Median: $12.63
2.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$47K

7,778 claims · 0.3%

Your Cost: $6.08/claim|Median: $4.71
1.3× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$41K

375 claims · 0.3%

Your Cost: $109.86/claim|Median: $74.82
1.5× median
80053Normal range

Comprehensive metabolic panel

$38K

4,366 claims · 0.3%

Your Cost: $8.65/claim|Median: $7.24
1.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$37K

814 claims · 0.3%

Your Cost: $45.90/claim|Median: $39.70
1.2× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$34K

189 claims · 0.2%

Your Cost: $180.67/claim|Median: $54.68
3.3× median
99203Top 5%

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

$34K

289 claims · 0.2%

Your Cost: $117.65/claim|Median: $57.85
2.0× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$33K

2,374 claims · 0.2%

Your Cost: $14.10/claim|Median: $11.48
1.2× median
80305Top 10%

$33K

2,706 claims · 0.2%

Your Cost: $12.35/claim|Median: $7.44
1.7× median
99051Normal range

$32K

2,269 claims · 0.2%

Your Cost: $14.28/claim|Median: $7.89
1.8× median
87804Top 25%

Influenza virus detection, rapid test

$32K

1,711 claims · 0.2%

Your Cost: $18.42/claim|Median: $12.59
1.5× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$28K

177 claims · 0.2%

Your Cost: $160.20/claim|Median: $108.91
1.5× median
43237Normal range

$24K

109 claims · 0.2%

Your Cost: $219.11/claim|Median: $114.53
1.9× median
H0016Normal range

Alcohol or drug abuse services, prenatal

$22K

167 claims · 0.2%

Your Cost: $129.60/claim|Median: $182.66
0.7× median
99396Top 5%

Preventive medicine, established patient, age 40-64

$21K

155 claims · 0.1%

Your Cost: $134.63/claim|Median: $76.06
1.8× median
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