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Provider 1215054754

NPI: 1215054754Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.4M

$8,388,049

Total Claims

345K

Beneficiaries

273K

1.3 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+18%
2019
$1.2M
-23%
2020
$954K
+24%
2021
$1.2M
+11%
2022
$1.3M
+4%
2023
$1.4M
-7%
2024
$1.3M

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 31% of total spending.

99214Normal range

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

$2.6M

41K claims · 30.6%

Your Cost: $62.16/claim|Median: $53.41
1.2× median
99213Normal range

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

$1.3M

31K claims · 15.0%

Your Cost: $40.92/claim|Median: $37.81
1.1× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$875K

24K claims · 10.4%

Your Cost: $36.87/claim|Median: $17.85
2.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$661K

9,651 claims · 7.9%

Your Cost: $68.53/claim|Median: $75.18
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$654K

9,919 claims · 7.8%

Your Cost: $65.90/claim|Median: $74.82
0.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$447K

6,179 claims · 5.3%

Your Cost: $72.39/claim|Median: $80.15
0.9× median
96160Top 25%

Patient-focused health risk assessment

$357K

42K claims · 4.3%

Your Cost: $8.50/claim|Median: $2.10
4.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$353K

5,472 claims · 4.2%

Your Cost: $64.57/claim|Median: $69.35
0.9× median
96110Top 25%

Developmental screening, per standardized instrument

$279K

17K claims · 3.3%

Your Cost: $16.84/claim|Median: $9.10
1.9× median
87804Normal range

Influenza virus detection, rapid test

$169K

19K claims · 2.0%

Your Cost: $8.95/claim|Median: $12.59
0.7× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$123K

14K claims · 1.5%

Your Cost: $8.52/claim|Median: $11.48
0.7× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$74K

2,142 claims · 0.9%

Your Cost: $34.67/claim|Median: $30.53
1.1× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$64K

18K claims · 0.8%

Your Cost: $3.61/claim|Median: $3.67
1.0× median
90471Top 25%

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

$61K

4,074 claims · 0.7%

Your Cost: $14.96/claim|Median: $9.80
1.5× median
96161Top 10%

$49K

5,007 claims · 0.6%

Your Cost: $9.81/claim|Median: $2.49
3.9× median
95165Normal range

Professional services for allergen immunotherapy, per injection

$49K

359 claims · 0.6%

Your Cost: $135.50/claim|Median: $144.04
0.9× median
92558Normal range

$44K

14K claims · 0.5%

Your Cost: $3.20/claim|Median: $6.67
0.5× median
99381Normal range

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

$40K

614 claims · 0.5%

Your Cost: $65.71/claim|Median: $73.46
0.9× median
92587Normal range

$29K

2,042 claims · 0.3%

Your Cost: $14.22/claim|Median: $19.24
0.7× median
99173Normal range

$25K

6,771 claims · 0.3%

Your Cost: $3.66/claim|Median: $2.16
1.7× median
99174Normal range

$25K

4,236 claims · 0.3%

Your Cost: $5.83/claim|Median: $5.27
1.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$23K

3,902 claims · 0.3%

Your Cost: $5.85/claim|Median: $4.71
1.2× median
90651Normal range

HPV vaccine, 9-valent

$17K

1,990 claims · 0.2%

Your Cost: $8.61/claim|Median: $8.93
1.0× median
87807Normal range

$14K

1,677 claims · 0.2%

Your Cost: $8.13/claim|Median: $10.06
0.8× median
99382Normal range

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

$11K

135 claims · 0.1%

Your Cost: $77.95/claim|Median: $79.89
1.0× median
99383Normal range

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

$11K

132 claims · 0.1%

Your Cost: $79.62/claim|Median: $81.92
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$10K

404 claims · 0.1%

Your Cost: $25.80/claim|Median: $25.06
1.0× median
99384Normal range

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

$10K

114 claims · 0.1%

Your Cost: $87.49/claim|Median: $83.63
1.0× median
D1206Normal range

Topical application of fluoride varnish

$8K

483 claims · 0.1%

Your Cost: $15.65/claim|Median: $18.12
0.9× median
3008FNormal range

$7K

11K claims · 0.1%

Your Cost: $0.61/claim|Median: $0.06
10.2× median
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