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Provider 1184788291

NPI: 1184788291Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.8M

$10,835,580

Total Claims

2.4M

Beneficiaries

2.3M

1.0 claims/patient

Avg Cost/Claim

$5

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+26%
2019
$1.8M
-11%
2020
$1.6M
+4%
2021
$1.6M
-20%
2022
$1.3M
+14%
2023
$1.5M
+6%
2024
$1.6M

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 33% of total spending.

99213Normal range

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

$3.6M

540K claims · 33.4%

Your Cost: $6.70/claim|Median: $37.81
0.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$2.3M

69K claims · 21.6%

Your Cost: $33.80/claim|Median: $69.35
0.5× median
99214Normal range

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

$932K

99K claims · 8.6%

Your Cost: $9.44/claim|Median: $53.41
0.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$904K

98K claims · 8.3%

Your Cost: $9.20/claim|Median: $75.18
0.1× median
92551Normal range

Screening audiometry, pure tone, air only

$576K

184K claims · 5.3%

Your Cost: $3.13/claim|Median: $6.61
0.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$532K

79K claims · 4.9%

Your Cost: $6.77/claim|Median: $74.82
0.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$309K

45K claims · 2.9%

Your Cost: $6.84/claim|Median: $80.15
0.1× median
96110Normal range

Developmental screening, per standardized instrument

$303K

57K claims · 2.8%

Your Cost: $5.29/claim|Median: $9.10
0.6× median
90670Normal range

$140K

48K claims · 1.3%

Your Cost: $2.88/claim|Median: $5.94
0.5× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$119K

120K claims · 1.1%

Your Cost: $0.99/claim|Median: $7.18
0.1× median
90698Normal range

$95K

31K claims · 0.9%

Your Cost: $3.02/claim|Median: $6.32
0.5× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$94K

1,877 claims · 0.9%

Your Cost: $50.32/claim|Median: $73.46
0.7× median
90680Normal range

$79K

22K claims · 0.7%

Your Cost: $3.55/claim|Median: $5.58
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$64K

16K claims · 0.6%

Your Cost: $4.12/claim|Median: $25.06
0.2× median
0072ANormal range

$61K

2,034 claims · 0.6%

Your Cost: $30.21/claim|Median: $39.57
0.8× median
90480Top 25%

$59K

1,481 claims · 0.5%

Your Cost: $39.96/claim|Median: $25.29
1.6× median
0071ANormal range

$57K

2,126 claims · 0.5%

Your Cost: $26.62/claim|Median: $38.71
0.7× median
90744Normal range

$51K

14K claims · 0.5%

Your Cost: $3.54/claim|Median: $5.00
0.7× median
90677Normal range

$46K

8,441 claims · 0.4%

Your Cost: $5.49/claim|Median: $12.96
0.4× median
G9920Normal range

$38K

14K claims · 0.4%

Your Cost: $2.65/claim|Median: $6.56
0.4× median
90697Normal range

$37K

11K claims · 0.3%

Your Cost: $3.44/claim|Median: $7.24
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$31K

2,412 claims · 0.3%

Your Cost: $12.86/claim|Median: $74.09
0.2× median
90633Normal range

$26K

20K claims · 0.2%

Your Cost: $1.30/claim|Median: $3.56
0.4× median
99000Normal range

$25K

72K claims · 0.2%

Your Cost: $0.35/claim|Median: $2.30
0.2× median
88720Normal range

$23K

6,162 claims · 0.2%

Your Cost: $3.74/claim|Median: $3.88
1.0× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$23K

467 claims · 0.2%

Your Cost: $49.06/claim|Median: $62.48
0.8× median
90651Normal range

HPV vaccine, 9-valent

$21K

18K claims · 0.2%

Your Cost: $1.18/claim|Median: $8.93
0.1× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$20K

93K claims · 0.2%

Your Cost: $0.21/claim|Median: $3.67
0.1× median
87804Normal range

Influenza virus detection, rapid test

$16K

14K claims · 0.1%

Your Cost: $1.11/claim|Median: $12.59
0.1× median
G8510Normal range

$15K

29K claims · 0.1%

Your Cost: $0.52/claim|Median: $1.96
0.3× median
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