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Provider 1194772293

NPI: 1194772293Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$12.0M

$11,963,647

Total Claims

300K

Beneficiaries

252K

1.2 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$663K
+106%
2019
$1.4M
-16%
2020
$1.1M
+58%
2021
$1.8M
+15%
2022
$2.1M
+15%
2023
$2.4M
+7%
2024
$2.5M

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 44% of total spending.

99214Normal range

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

$5.2M

84K claims · 43.7%

Your Cost: $62.20/claim|Median: $53.41
1.2× median
99213Normal range

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

$3.6M

76K claims · 30.2%

Your Cost: $47.58/claim|Median: $37.81
1.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$533K

7,284 claims · 4.5%

Your Cost: $73.15/claim|Median: $69.35
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$359K

4,645 claims · 3.0%

Your Cost: $77.27/claim|Median: $75.18
1.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$230K

6,125 claims · 1.9%

Your Cost: $37.51/claim|Median: $39.70
0.9× median
59425Normal range

Antepartum care only, 4-6 visits

$222K

4,241 claims · 1.9%

Your Cost: $52.35/claim|Median: $63.63
0.8× median
90472Top 25%

Immunization administration, each additional vaccine

$200K

9,883 claims · 1.7%

Your Cost: $20.26/claim|Median: $11.79
1.7× median
99204Normal range

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

$194K

2,327 claims · 1.6%

Your Cost: $83.42/claim|Median: $84.03
1.0× median
90471Normal range

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

$168K

16K claims · 1.4%

Your Cost: $10.65/claim|Median: $9.80
1.1× median
99203Normal range

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

$139K

2,746 claims · 1.2%

Your Cost: $50.73/claim|Median: $57.85
0.9× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$101K

4,493 claims · 0.8%

Your Cost: $22.46/claim|Median: $28.46
0.8× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$99K

1,651 claims · 0.8%

Your Cost: $59.82/claim|Median: $65.64
0.9× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$80K

2,504 claims · 0.7%

Your Cost: $31.86/claim|Median: $24.33
1.3× median
59426Normal range

Antepartum care only, high risk, additional visits

$70K

1,393 claims · 0.6%

Your Cost: $50.05/claim|Median: $122.30
0.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$69K

910 claims · 0.6%

Your Cost: $75.41/claim|Median: $74.82
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$67K

888 claims · 0.6%

Your Cost: $75.15/claim|Median: $74.09
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$58K

2,345 claims · 0.5%

Your Cost: $24.91/claim|Median: $25.06
1.0× median
87428Normal range

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

$47K

1,898 claims · 0.4%

Your Cost: $24.95/claim|Median: $39.63
0.6× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$41K

1,622 claims · 0.3%

Your Cost: $25.36/claim|Median: $54.68
0.5× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$32K

666 claims · 0.3%

Your Cost: $48.32/claim|Median: $62.48
0.8× median
81002Normal range

Urinalysis, non-automated without microscopy

$28K

11K claims · 0.2%

Your Cost: $2.48/claim|Median: $2.00
1.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$27K

380 claims · 0.2%

Your Cost: $71.26/claim|Median: $80.15
0.9× median
43239Normal range

Upper GI endoscopy with biopsy

$26K

414 claims · 0.2%

Your Cost: $61.89/claim|Median: $151.68
0.4× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$21K

603 claims · 0.2%

Your Cost: $35.58/claim|Median: $37.22
1.0× median
96110Normal range

Developmental screening, per standardized instrument

$20K

2,740 claims · 0.2%

Your Cost: $7.14/claim|Median: $9.10
0.8× median
99211Normal range

Office/outpatient visit, minimal complexity

$18K

1,269 claims · 0.1%

Your Cost: $14.12/claim|Median: $12.93
1.1× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$17K

563 claims · 0.1%

Your Cost: $30.38/claim|Median: $40.11
0.8× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$17K

278 claims · 0.1%

Your Cost: $59.76/claim|Median: $43.85
1.4× median
90473Normal range

Immunization admin, intranasal, first

$16K

1,303 claims · 0.1%

Your Cost: $12.29/claim|Median: $9.17
1.3× median
99308Normal range

Nursing facility care, subsequent, straightforward

$14K

2,836 claims · 0.1%

Your Cost: $5.00/claim|Median: $9.79
0.5× median
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