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Provider 1194039560

NPI: 1194039560Share
Active Billing Period:2018-05→2024-12(78 months)

Total Paid

$14.6M

$14,639,268

Total Claims

144K

Beneficiaries

137K

1.1 claims/patient

Avg Cost/Claim

$102

Monthly Spending Trend

Yearly Spending

2018
$58K
+92%
2019
$110K
+1464%
2020
$1.7M
+284%
2021
$6.6M
-75%
2022
$1.6M
+36%
2023
$2.2M
+0%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (S9083 (Global fee, urgent care centers)) accounts for 100% of total spending.

S9083Top 25%

Global fee, urgent care centers

$14.6M

111K claims · 99.9%

Your Cost: $131.48/claim|Median: $103.99
1.3× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$6K

338 claims · 0.0%

Your Cost: $16.81/claim|Median: $7.18
2.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$3K

5,060 claims · 0.0%

Your Cost: $0.59/claim|Median: $11.48
0.1× median
99214Normal range

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

$3K

4,937 claims · 0.0%

Your Cost: $0.59/claim|Median: $53.41
0.0× median
99213Normal range

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

$3K

7,712 claims · 0.0%

Your Cost: $0.35/claim|Median: $37.81
0.0× median
99441Top 25%

Telephone E/M by physician, 5-10 min

$2K

46 claims · 0.0%

Your Cost: $38.26/claim|Median: $13.30
2.9× median
99203Normal range

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

$2K

2,142 claims · 0.0%

Your Cost: $0.71/claim|Median: $57.85
0.0× median
99204Normal range

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

$1K

929 claims · 0.0%

Your Cost: $1.51/claim|Median: $84.03
0.0× median
87428Normal range

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

$922

5,811 claims · 0.0%

Your Cost: $0.16/claim|Median: $39.63
0.0× median
87426Normal range

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

$415

2,637 claims · 0.0%

Your Cost: $0.16/claim|Median: $30.04
0.0× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$240

13 claims · 0.0%

Your Cost: $18.46/claim|Median: $27.38
0.7× median
71046Normal range

Chest X-ray, 2 views

$116

524 claims · 0.0%

Your Cost: $0.22/claim|Median: $8.92
0.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$24

162 claims · 0.0%

Your Cost: $0.15/claim|Median: $4.71
0.0× median
81000Normal range

Urinalysis with microscopy, non-automated

$1

279 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.51
0.0× median
87210Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.65
87220Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.74
81025Normal range

Urine pregnancy test

$0

82 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.81
99212Normal range

Office/outpatient visit, low complexity

$0

36 claims · 0.0%

Your Cost: $0.00/claim|Median: $25.06
T1019Normal range

Personal care services, per 15 min

$0

203 claims · 0.0%

Your Cost: $0.00/claim|Median: $82.47
99202Normal range

Office/outpatient visit, new patient, low complexity

$0

32 claims · 0.0%

Your Cost: $0.00/claim|Median: $40.11
36415Normal range

Collection of venous blood by venipuncture

$0

438 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.57
81002Normal range

Urinalysis, non-automated without microscopy

$0

77 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.00
80047Normal range

$0

50 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.12
87804Normal range

Influenza virus detection, rapid test

$0

940 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.59
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