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Provider 1194855155

NPI: 1194855155Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.2M

$8,236,407

Total Claims

364K

Beneficiaries

354K

1.0 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+6%
2019
$1.2M
-38%
2020
$710K
+13%
2021
$804K
+28%
2022
$1.0M
+46%
2023
$1.5M
+28%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99402) accounts for 37% of total spending.

99402Top 5%

$3.1M

35K claims · 37.1%

Your Cost: $86.52/claim|Median: $31.79
2.7× median
90716Top 5%

$536K

8,478 claims · 6.5%

Your Cost: $63.24/claim|Median: $6.18
10.2× median
90472Top 10%

Immunization administration, each additional vaccine

$512K

18K claims · 6.2%

Your Cost: $29.00/claim|Median: $11.79
2.5× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$488K

4,610 claims · 5.9%

Your Cost: $105.88/claim|Median: $114.71
0.9× median
90651Top 5%

HPV vaccine, 9-valent

$478K

4,749 claims · 5.8%

Your Cost: $100.58/claim|Median: $8.93
11.3× median
V5008Normal range

$403K

43K claims · 4.9%

Your Cost: $9.31/claim|Median: $8.98
1.0× median
99172Top 25%

$349K

37K claims · 4.2%

Your Cost: $9.32/claim|Median: $7.43
1.3× median
90471Normal range

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

$262K

25K claims · 3.2%

Your Cost: $10.41/claim|Median: $9.80
1.1× median
83655Normal range

$197K

19K claims · 2.4%

Your Cost: $10.63/claim|Median: $10.49
1.0× median
D1206Top 25%

Topical application of fluoride varnish

$185K

7,409 claims · 2.2%

Your Cost: $24.93/claim|Median: $18.12
1.4× median
90632Top 25%

$172K

2,985 claims · 2.1%

Your Cost: $57.49/claim|Median: $40.43
1.4× median
90620Top 5%

$139K

2,138 claims · 1.7%

Your Cost: $65.10/claim|Median: $6.49
10.0× median
91320Normal range

$138K

1,641 claims · 1.7%

Your Cost: $83.79/claim|Median: $72.65
1.2× median
85018Normal range

$137K

66K claims · 1.7%

Your Cost: $2.08/claim|Median: $1.71
1.2× median
90715Normal range

Tdap vaccine

$136K

6,809 claims · 1.6%

Your Cost: $19.94/claim|Median: $10.32
1.9× median
90707Top 5%

MMR vaccine

$129K

4,557 claims · 1.6%

Your Cost: $28.27/claim|Median: $5.76
4.9× median
D0190Normal range

$109K

7,360 claims · 1.3%

Your Cost: $14.83/claim|Median: $12.78
1.2× median
90739Normal range

$108K

1,103 claims · 1.3%

Your Cost: $98.06/claim|Median: $74.43
1.3× median
90636Top 25%

$99K

980 claims · 1.2%

Your Cost: $101.25/claim|Median: $72.28
1.4× median
90480Normal range

$64K

2,796 claims · 0.8%

Your Cost: $22.97/claim|Median: $25.29
0.9× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$54K

9,257 claims · 0.7%

Your Cost: $5.83/claim|Median: $7.18
0.8× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$53K

607 claims · 0.6%

Your Cost: $86.49/claim|Median: $106.70
0.8× median
H1000Top 25%

Prenatal care, at-risk assessment

$37K

418 claims · 0.4%

Your Cost: $87.38/claim|Median: $50.36
1.7× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$31K

1,037 claims · 0.4%

Your Cost: $30.05/claim|Median: $23.39
1.3× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$31K

1,036 claims · 0.4%

Your Cost: $30.06/claim|Median: $24.95
1.2× median
90746Normal range

Hepatitis B vaccine, adult

$31K

704 claims · 0.4%

Your Cost: $44.18/claim|Median: $48.85
0.9× median
90713Normal range

Poliovirus vaccine (IPV)

$25K

5,661 claims · 0.3%

Your Cost: $4.48/claim|Median: $5.41
0.8× median
90734Normal range

$25K

3,137 claims · 0.3%

Your Cost: $7.94/claim|Median: $6.40
1.2× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$22K

1,068 claims · 0.3%

Your Cost: $20.61/claim|Median: $33.72
0.6× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$22K

956 claims · 0.3%

Your Cost: $22.77/claim|Median: $36.70
0.6× median
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