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Provider 1184849200

NPI: 1184849200Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.5M

$18,452,331

Total Claims

433K

Beneficiaries

372K

1.2 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$3.1M
-71%
2019
$908K
+127%
2020
$2.1M
+0%
2021
$2.1M
+71%
2022
$3.5M
+2%
2023
$3.6M
-13%
2024
$3.2M

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 23% of total spending.

99213Top 25%

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

$4.3M

71K claims · 23.4%

Your Cost: $60.71/claim|Median: $37.81
1.6× median
99214Top 25%

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

$4.2M

55K claims · 23.0%

Your Cost: $77.01/claim|Median: $53.41
1.4× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$954K

20K claims · 5.2%

Your Cost: $48.54/claim|Median: $23.99
2.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$904K

11K claims · 4.9%

Your Cost: $79.60/claim|Median: $75.18
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$853K

12K claims · 4.6%

Your Cost: $72.33/claim|Median: $69.35
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$525K

6,616 claims · 2.8%

Your Cost: $79.32/claim|Median: $74.82
1.1× median
99283Normal range

Emergency dept visit, moderate complexity

$510K

11K claims · 2.8%

Your Cost: $45.59/claim|Median: $42.48
1.1× median
99285Normal range

Emergency dept visit, high/urgent complexity

$491K

4,907 claims · 2.7%

Your Cost: $100.16/claim|Median: $85.65
1.2× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$384K

5,156 claims · 2.1%

Your Cost: $74.56/claim|Median: $35.30
2.1× median
96110Normal range

Developmental screening, per standardized instrument

$383K

27K claims · 2.1%

Your Cost: $14.08/claim|Median: $9.10
1.5× median
87637Top 25%

Respiratory virus detection, 3-5 targets, nucleic acid

$380K

2,929 claims · 2.1%

Your Cost: $129.85/claim|Median: $100.62
1.3× median
90472Top 25%

Immunization administration, each additional vaccine

$331K

15K claims · 1.8%

Your Cost: $22.53/claim|Median: $11.79
1.9× median
90471Normal range

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

$322K

23K claims · 1.7%

Your Cost: $14.26/claim|Median: $9.80
1.5× median
99394Normal range

Preventive medicine, established patient, age 12-17

$298K

3,373 claims · 1.6%

Your Cost: $88.45/claim|Median: $80.15
1.1× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$276K

3,296 claims · 1.5%

Your Cost: $83.81/claim|Median: $51.25
1.6× median
99284Normal range

Emergency dept visit, high complexity

$273K

3,831 claims · 1.5%

Your Cost: $71.19/claim|Median: $69.51
1.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$218K

4,424 claims · 1.2%

Your Cost: $49.18/claim|Median: $37.22
1.3× median
99223Top 25%

Initial hospital care, per day, high complexity

$212K

1,813 claims · 1.1%

Your Cost: $116.85/claim|Median: $67.32
1.7× median
99203Normal range

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

$206K

3,040 claims · 1.1%

Your Cost: $67.73/claim|Median: $57.85
1.2× median
99204Normal range

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

$206K

2,067 claims · 1.1%

Your Cost: $99.58/claim|Median: $84.03
1.2× median
36415Top 10%

Collection of venous blood by venipuncture

$142K

20K claims · 0.8%

Your Cost: $7.22/claim|Median: $1.57
4.6× median
99215Top 25%

Office/outpatient visit, high complexity

$142K

1,222 claims · 0.8%

Your Cost: $115.81/claim|Median: $74.09
1.6× median
99395Normal range

Preventive medicine, established patient, age 18-39

$110K

1,364 claims · 0.6%

Your Cost: $80.31/claim|Median: $72.71
1.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$109K

1,225 claims · 0.6%

Your Cost: $89.36/claim|Median: $76.06
1.2× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$96K

1,406 claims · 0.5%

Your Cost: $68.36/claim|Median: $43.85
1.6× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$87K

7,541 claims · 0.5%

Your Cost: $11.51/claim|Median: $4.71
2.4× median
99212Normal range

Office/outpatient visit, low complexity

$84K

2,291 claims · 0.5%

Your Cost: $36.78/claim|Median: $25.06
1.5× median
92551Top 25%

Screening audiometry, pure tone, air only

$83K

7,249 claims · 0.5%

Your Cost: $11.52/claim|Median: $6.61
1.7× median
87880Top 10%

Streptococcus, Group A, rapid antigen detection

$83K

5,214 claims · 0.5%

Your Cost: $16.00/claim|Median: $11.48
1.4× median
93010Top 10%

Electrocardiogram, interpretation and report only

$73K

6,932 claims · 0.4%

Your Cost: $10.51/claim|Median: $5.60
1.9× median
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