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Provider 1194892612

NPI: 1194892612Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$7.7M

$7,725,158

Total Claims

181K

Beneficiaries

175K

1.0 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$799K
+20%
2019
$962K
-22%
2020
$748K
+42%
2021
$1.1M
+32%
2022
$1.4M
+12%
2023
$1.6M
-25%
2024
$1.2M

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 42% of total spending.

99213Top 25%

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

$3.3M

47K claims · 42.4%

Your Cost: $69.36/claim|Median: $37.81
1.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$757K

9,246 claims · 9.8%

Your Cost: $81.87/claim|Median: $75.18
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$726K

10K claims · 9.4%

Your Cost: $72.25/claim|Median: $69.35
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$716K

8,903 claims · 9.3%

Your Cost: $80.47/claim|Median: $74.82
1.1× median
99214Top 25%

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

$659K

7,143 claims · 8.5%

Your Cost: $92.32/claim|Median: $53.41
1.7× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$565K

23K claims · 7.3%

Your Cost: $24.53/claim|Median: $17.85
1.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$408K

4,570 claims · 5.3%

Your Cost: $89.18/claim|Median: $80.15
1.1× median
99381Top 25%

Preventive visit, new patient, infant (<1 yr)

$147K

1,612 claims · 1.9%

Your Cost: $91.05/claim|Median: $73.46
1.2× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$100K

1,040 claims · 1.3%

Your Cost: $96.04/claim|Median: $81.92
1.2× median
99212Top 25%

Office/outpatient visit, low complexity

$98K

2,368 claims · 1.3%

Your Cost: $41.29/claim|Median: $25.06
1.6× median
99382Top 25%

Preventive visit, new patient, early childhood (1-4 yr)

$71K

734 claims · 0.9%

Your Cost: $96.52/claim|Median: $79.89
1.2× median
99463Normal range

$65K

1,039 claims · 0.8%

Your Cost: $62.41/claim|Median: $78.46
0.8× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$50K

3,681 claims · 0.6%

Your Cost: $13.62/claim|Median: $11.48
1.2× median
90474Normal range

$32K

5,018 claims · 0.4%

Your Cost: $6.45/claim|Median: $8.42
0.8× median
99203Top 25%

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

$21K

251 claims · 0.3%

Your Cost: $81.96/claim|Median: $57.85
1.4× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$19K

186 claims · 0.2%

Your Cost: $102.75/claim|Median: $83.63
1.2× median
96110Normal range

Developmental screening, per standardized instrument

$10K

1,014 claims · 0.1%

Your Cost: $9.56/claim|Median: $9.10
1.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$4K

420 claims · 0.1%

Your Cost: $9.41/claim|Median: $9.56
1.0× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$1K

12 claims · 0.0%

Your Cost: $104.27/claim|Median: $72.71
1.4× median
90651Normal range

HPV vaccine, 9-valent

$419

2,989 claims · 0.0%

Your Cost: $0.14/claim|Median: $8.93
0.0× median
36416Normal range

$158

89 claims · 0.0%

Your Cost: $1.78/claim|Median: $1.31
1.4× median
90621Normal range

$141

707 claims · 0.0%

Your Cost: $0.20/claim|Median: $7.66
0.0× median
90715Normal range

Tdap vaccine

$95

1,698 claims · 0.0%

Your Cost: $0.06/claim|Median: $10.32
0.0× median
90658Normal range

$58

2,330 claims · 0.0%

Your Cost: $0.03/claim|Median: $8.96
0.0× median
90688Normal range

$54

603 claims · 0.0%

Your Cost: $0.09/claim|Median: $9.00
0.0× median
90661Normal range

$23

426 claims · 0.0%

Your Cost: $0.05/claim|Median: $14.37
0.0× median
J1094Normal range

$3

84 claims · 0.0%

Your Cost: $0.03/claim|Median: $0.24
0.1× median
90681Normal range

$0

410 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.74
90670Normal range

$0

6,710 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.94
90700Normal range

$0

3,462 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.56
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