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Provider 1184785842

NPI: 1184785842Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.1M

$8,089,463

Total Claims

252K

Beneficiaries

223K

1.1 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+1%
2019
$1.2M
-6%
2020
$1.1M
+6%
2021
$1.2M
+6%
2022
$1.2M
-1%
2023
$1.2M
-13%
2024
$1.1M

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 39% of total spending.

99213Top 25%

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

$3.1M

51K claims · 38.8%

Your Cost: $61.35/claim|Median: $37.81
1.6× median
99214Top 25%

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

$2.2M

27K claims · 27.6%

Your Cost: $83.95/claim|Median: $53.41
1.6× median
99203Top 25%

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

$705K

7,323 claims · 8.7%

Your Cost: $96.32/claim|Median: $57.85
1.7× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$319K

2,784 claims · 3.9%

Your Cost: $114.53/claim|Median: $76.06
1.5× median
99072Top 25%

$303K

38K claims · 3.7%

Your Cost: $8.03/claim|Median: $0.54
14.9× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$189K

5,256 claims · 2.3%

Your Cost: $35.96/claim|Median: $22.44
1.6× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$163K

1,467 claims · 2.0%

Your Cost: $110.77/claim|Median: $72.71
1.5× median
99408Top 25%

$160K

6,433 claims · 2.0%

Your Cost: $24.85/claim|Median: $9.32
2.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$108K

2,915 claims · 1.3%

Your Cost: $37.07/claim|Median: $39.70
0.9× median
90471Top 10%

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

$96K

4,844 claims · 1.2%

Your Cost: $19.78/claim|Median: $9.80
2.0× median
99204Top 10%

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

$87K

588 claims · 1.1%

Your Cost: $147.70/claim|Median: $84.03
1.8× median
99212Normal range

Office/outpatient visit, low complexity

$76K

2,317 claims · 0.9%

Your Cost: $32.81/claim|Median: $25.06
1.3× median
36415Normal range

Collection of venous blood by venipuncture

$66K

28K claims · 0.8%

Your Cost: $2.32/claim|Median: $1.57
1.5× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$56K

3,254 claims · 0.7%

Your Cost: $17.30/claim|Median: $7.18
2.4× median
99441Normal range

Telephone E/M by physician, 5-10 min

$55K

3,453 claims · 0.7%

Your Cost: $15.96/claim|Median: $13.30
1.2× median
80061Normal range

Lipid panel

$37K

4,878 claims · 0.5%

Your Cost: $7.49/claim|Median: $8.41
0.9× median
99211Normal range

Office/outpatient visit, minimal complexity

$29K

1,663 claims · 0.4%

Your Cost: $17.56/claim|Median: $12.93
1.4× median
90756Normal range

Influenza virus vaccine, quadrivalent

$22K

1,220 claims · 0.3%

Your Cost: $17.80/claim|Median: $14.34
1.2× median
0064ANormal range

$20K

926 claims · 0.3%

Your Cost: $21.93/claim|Median: $34.17
0.6× median
0004ANormal range

$19K

642 claims · 0.2%

Your Cost: $29.47/claim|Median: $35.62
0.8× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$18K

660 claims · 0.2%

Your Cost: $27.64/claim|Median: $33.85
0.8× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$16K

674 claims · 0.2%

Your Cost: $23.56/claim|Median: $25.93
0.9× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$13K

190 claims · 0.2%

Your Cost: $66.86/claim|Median: $40.11
1.7× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$12K

681 claims · 0.1%

Your Cost: $17.30/claim|Median: $9.56
1.8× median
90688Normal range

$11K

1,018 claims · 0.1%

Your Cost: $10.55/claim|Median: $9.00
1.2× median
81002Normal range

Urinalysis, non-automated without microscopy

$9K

5,690 claims · 0.1%

Your Cost: $1.62/claim|Median: $2.00
0.8× median
99397Normal range

$9K

623 claims · 0.1%

Your Cost: $14.63/claim|Median: $22.92
0.6× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$9K

229 claims · 0.1%

Your Cost: $37.38/claim|Median: $36.70
1.0× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$9K

236 claims · 0.1%

Your Cost: $36.27/claim|Median: $33.72
1.1× median
87804Normal range

Influenza virus detection, rapid test

$8K

792 claims · 0.1%

Your Cost: $10.49/claim|Median: $12.59
0.8× median
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