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Provider 1194051151

NPI: 1194051151Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.9M

$12,928,272

Total Claims

456K

Beneficiaries

432K

1.1 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$616K
+261%
2019
$2.2M
-8%
2020
$2.1M
+53%
2021
$3.1M
-27%
2022
$2.3M
-36%
2023
$1.5M
-21%
2024
$1.2M

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 22% of total spending.

99214Normal range

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

$2.9M

39K claims · 22.2%

Your Cost: $73.50/claim|Median: $53.41
1.4× median
99213Normal range

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

$2.7M

52K claims · 20.6%

Your Cost: $51.60/claim|Median: $37.81
1.4× median
S0302Top 25%

$806K

28K claims · 6.2%

Your Cost: $29.21/claim|Median: $9.05
3.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$548K

8,161 claims · 4.2%

Your Cost: $67.11/claim|Median: $75.18
0.9× median
X5622Normal range

$522K

11K claims · 4.0%

Your Cost: $46.14/claim|Median: $52.61
0.9× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$447K

16K claims · 3.5%

Your Cost: $27.12/claim|Median: $17.85
1.5× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$429K

12K claims · 3.3%

Your Cost: $34.67/claim|Median: $28.46
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$404K

6,926 claims · 3.1%

Your Cost: $58.39/claim|Median: $69.35
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$398K

6,228 claims · 3.1%

Your Cost: $63.91/claim|Median: $74.82
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$307K

3,157 claims · 2.4%

Your Cost: $97.31/claim|Median: $74.09
1.3× median
99203Normal range

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

$260K

3,741 claims · 2.0%

Your Cost: $69.53/claim|Median: $57.85
1.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$197K

2,896 claims · 1.5%

Your Cost: $68.09/claim|Median: $80.15
0.8× median
99204Normal range

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

$192K

1,738 claims · 1.5%

Your Cost: $110.59/claim|Median: $84.03
1.3× median
36415Top 25%

Collection of venous blood by venipuncture

$186K

49K claims · 1.4%

Your Cost: $3.81/claim|Median: $1.57
2.4× median
90471Normal range

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

$166K

12K claims · 1.3%

Your Cost: $13.62/claim|Median: $9.80
1.4× median
99395Normal range

Preventive medicine, established patient, age 18-39

$131K

1,867 claims · 1.0%

Your Cost: $70.16/claim|Median: $72.71
1.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$120K

1,494 claims · 0.9%

Your Cost: $80.05/claim|Median: $76.06
1.1× median
99188Normal range

$108K

13K claims · 0.8%

Your Cost: $8.47/claim|Median: $12.80
0.7× median
76830Normal range

Ultrasound, transvaginal

$108K

1,388 claims · 0.8%

Your Cost: $78.00/claim|Median: $57.47
1.4× median
92551Normal range

Screening audiometry, pure tone, air only

$103K

17K claims · 0.8%

Your Cost: $6.11/claim|Median: $6.61
0.9× median
76856Normal range

Ultrasound, pelvic, complete

$93K

1,282 claims · 0.7%

Your Cost: $72.93/claim|Median: $47.58
1.5× median
77067Top 25%

Screening mammography, bilateral, including CAD

$89K

1,056 claims · 0.7%

Your Cost: $84.09/claim|Median: $39.33
2.1× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$88K

1,261 claims · 0.7%

Your Cost: $69.85/claim|Median: $58.55
1.2× median
J1050Top 25%

Injection, medroxyprogesterone acetate, one milligram

$87K

1,178 claims · 0.7%

Your Cost: $73.63/claim|Median: $41.92
1.8× median
99212Normal range

Office/outpatient visit, low complexity

$74K

2,450 claims · 0.6%

Your Cost: $30.15/claim|Median: $25.06
1.2× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$72K

20K claims · 0.6%

Your Cost: $3.64/claim|Median: $3.67
1.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$71K

1,690 claims · 0.6%

Your Cost: $42.26/claim|Median: $40.11
1.1× median
96110Normal range

Developmental screening, per standardized instrument

$69K

11K claims · 0.5%

Your Cost: $6.25/claim|Median: $9.10
0.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$54K

3,265 claims · 0.4%

Your Cost: $16.60/claim|Median: $12.93
1.3× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$54K

11K claims · 0.4%

Your Cost: $5.11/claim|Median: $7.18
0.7× median
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