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Provider 1184709495

NPI: 1184709495Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.3M

$13,265,063

Total Claims

249K

Beneficiaries

238K

1.0 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+9%
2019
$2.0M
-15%
2020
$1.7M
+6%
2021
$1.8M
+6%
2022
$1.9M
+4%
2023
$2.0M
+11%
2024
$2.2M

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 46% of total spending.

99214Top 10%

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

$6.1M

60K claims · 46.0%

Your Cost: $101.24/claim|Median: $53.41
1.9× median
99213Top 10%

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

$2.5M

34K claims · 18.6%

Your Cost: $72.40/claim|Median: $37.81
1.9× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$696K

7,118 claims · 5.2%

Your Cost: $97.74/claim|Median: $74.82
1.3× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$653K

6,673 claims · 4.9%

Your Cost: $97.81/claim|Median: $75.18
1.3× median
90471Top 10%

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

$621K

30K claims · 4.7%

Your Cost: $21.03/claim|Median: $9.80
2.1× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$537K

5,749 claims · 4.0%

Your Cost: $93.42/claim|Median: $69.35
1.3× median
99215Top 25%

Office/outpatient visit, high complexity

$421K

3,279 claims · 3.2%

Your Cost: $128.25/claim|Median: $74.09
1.7× median
T1013Top 25%

Sign language or oral interpretive services, per 15 minutes

$349K

8,171 claims · 2.6%

Your Cost: $42.76/claim|Median: $17.67
2.4× median
90472Top 25%

Immunization administration, each additional vaccine

$318K

16K claims · 2.4%

Your Cost: $19.62/claim|Median: $11.79
1.7× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$247K

2,296 claims · 1.9%

Your Cost: $107.69/claim|Median: $80.15
1.3× median
99212Top 25%

Office/outpatient visit, low complexity

$169K

3,980 claims · 1.3%

Your Cost: $42.43/claim|Median: $25.06
1.7× median
93303Normal range

Echocardiography, transthoracic, limited

$86K

682 claims · 0.6%

Your Cost: $125.72/claim|Median: $112.83
1.1× median
92587Normal range

$78K

4,230 claims · 0.6%

Your Cost: $18.43/claim|Median: $19.24
1.0× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$59K

388 claims · 0.4%

Your Cost: $151.93/claim|Median: $54.68
2.8× median
87804Normal range

Influenza virus detection, rapid test

$55K

5,006 claims · 0.4%

Your Cost: $11.00/claim|Median: $12.59
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$49K

4,455 claims · 0.4%

Your Cost: $10.95/claim|Median: $11.48
1.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$40K

379 claims · 0.3%

Your Cost: $105.18/claim|Median: $111.09
0.9× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$38K

403 claims · 0.3%

Your Cost: $94.27/claim|Median: $100.62
0.9× median
36416Top 25%

$30K

9,901 claims · 0.2%

Your Cost: $3.07/claim|Median: $1.31
2.3× median
93320Normal range

$30K

672 claims · 0.2%

Your Cost: $44.57/claim|Median: $28.68
1.6× median
99238Top 10%

Hospital discharge day management, 30 minutes or less

$30K

430 claims · 0.2%

Your Cost: $69.01/claim|Median: $37.22
1.9× median
99174Top 25%

$24K

2,267 claims · 0.2%

Your Cost: $10.50/claim|Median: $5.27
2.0× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$20K

1,475 claims · 0.2%

Your Cost: $13.72/claim|Median: $9.70
1.4× median
99460Top 10%

Initial hospital or birthing center care, newborn, per day

$18K

200 claims · 0.1%

Your Cost: $91.42/claim|Median: $62.48
1.5× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$18K

9,846 claims · 0.1%

Your Cost: $1.80/claim|Median: $0.79
2.3× median
96110Normal range

Developmental screening, per standardized instrument

$16K

2,033 claims · 0.1%

Your Cost: $7.88/claim|Median: $9.10
0.9× median
93325Normal range

$14K

673 claims · 0.1%

Your Cost: $21.37/claim|Median: $14.61
1.5× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$11K

1,320 claims · 0.1%

Your Cost: $8.65/claim|Median: $10.88
0.8× median
87426Normal range

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

$11K

355 claims · 0.1%

Your Cost: $31.15/claim|Median: $30.04
1.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$8K

2,720 claims · 0.1%

Your Cost: $2.84/claim|Median: $3.67
0.8× median
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