Total Paid
$62.9M
$62,873,810
Total Claims
1.7M
Beneficiaries
1.6M
1.1 claims/patient
Avg Cost/Claim
$36
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 35% of total spending.
$22.1M
365K claims
$60.62
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$22.1M
365K claims · 35.2%
$12.4M
145K claims
$85.34
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$12.4M
145K claims · 19.7%
$2.8M
34K claims
$81.97
$57.85
Office/outpatient visit, new patient, low-mod complexity
$2.8M
34K claims · 4.5%
$2.6M
26K claims
$101.43
$69.35
Preventive medicine, established patient, infant (under 1)
$2.6M
26K claims · 4.2%
$2.1M
20K claims
$107.27
$75.18
Preventive medicine, established patient, age 1-4
$2.1M
20K claims · 3.4%
$1.4M
11K claims
$132.26
$84.03
Office/outpatient visit, new patient, mod-high complexity
$1.4M
11K claims · 2.3%
$1.3M
11K claims
$122.24
$49.45
Fetal biophysical profile with non-stress test
$1.3M
11K claims · 2.1%
$1.3M
12K claims
$107.48
$74.82
Preventive medicine, established patient, age 5-11
$1.3M
12K claims · 2.1%
$1.1M
27K claims
$39.80
$17.85
Immunization administration, first vaccine/toxoid, with counseling
$1.1M
27K claims · 1.7%
$1.0M
10K claims · 1.7%
$977K
9,251 claims
$105.61
$58.55
Ultrasound, pregnant uterus, follow-up
$977K
9,251 claims · 1.6%
$929K
57K claims
$16.34
$11.48
Streptococcus, Group A, rapid antigen detection
$929K
57K claims · 1.5%
$901K
8,570 claims
$105.15
$72.71
Preventive medicine, established patient, age 18-39
$901K
8,570 claims · 1.4%
$784K
6,109 claims
$128.40
$58.16
Ultrasound, pregnant uterus, single fetus, first trimester
$784K
6,109 claims · 1.2%
$726K
13K claims
$54.09
$6.93
Immunization admin, additional vaccine, counseling
$726K
13K claims · 1.2%
$632K
29K claims
$22.00
$9.80
Immunization administration, 1 vaccine, percutaneous/ID/SC/IM
$632K
29K claims · 1.0%
$517K
270 claims
$1,913.08
$1,482.45
Routine obstetric care, vaginal delivery, including postpartum
$517K
270 claims · 0.8%
$480K
6,589 claims
$72.90
$39.63
SARS-CoV-2 COVID-19 antigen detection, immunoassay, each
$480K
6,589 claims · 0.8%
$426K
26K claims
$16.41
$12.59
Influenza virus detection, rapid test
$426K
26K claims · 0.7%
$422K
11K claims
$38.43
$11.79
Immunization administration, each additional vaccine
$422K
11K claims · 0.7%
$408K
3,832 claims
$106.52
$80.15
Preventive medicine, established patient, age 12-17
$408K
3,832 claims · 0.6%
$397K
54K claims · 0.6%
$390K
23K claims
$16.78
$9.10
Developmental screening, per standardized instrument
$390K
23K claims · 0.6%
$349K
9,567 claims
$36.52
$25.06
Office/outpatient visit, low complexity
$349K
9,567 claims · 0.6%
$319K
9,410 claims · 0.5%
$286K
3,688 claims
$77.51
$62.48
Initial hospital or birthing center care, newborn, per day
$286K
3,688 claims · 0.5%
Ultrasound, transvaginal
$284K
3,900 claims · 0.5%
$271K
4,152 claims
$65.18
$37.22
Hospital discharge day management, 30 minutes or less
$271K
4,152 claims · 0.4%
$270K
5,020 claims
$53.79
$23.99
Subsequent hospital care, per day, moderate complexity
$270K
5,020 claims · 0.4%
$250K
4,890 claims
$51.02
$39.70
COVID-19 SARS-CoV-2 amplified probe detection
$250K
4,890 claims · 0.4%
$196K
4,063 claims
$48.17
$54.68
Echocardiography, transthoracic, complete, with Doppler
$196K
4,063 claims · 0.3%
$183K
1,154 claims
$158.87
$74.09
Office/outpatient visit, high complexity
$183K
1,154 claims · 0.3%
$179K
1,042 claims
$171.46
$151.68
Upper GI endoscopy with biopsy
$179K
1,042 claims · 0.3%
$175K
15K claims
$11.86
$6.61
Screening audiometry, pure tone, air only
$175K
15K claims · 0.3%
$165K
4,430 claims
$37.19
$30.04
SARS-CoV-2 COVID-19 antigen detection, immunoassay
$165K
4,430 claims · 0.3%
$136K
1,281 claims · 0.2%
$132K
1,237 claims
$107.11
$76.06
Preventive medicine, established patient, age 40-64
$132K
1,237 claims · 0.2%
$122K
3,196 claims · 0.2%
$122K
1,474 claims
$82.64
$65.76
CT abdomen and pelvis with contrast
$122K
1,474 claims · 0.2%
$113K
2,020 claims
$55.75
$50.69
Ultrasound, abdominal, complete
$113K
2,020 claims · 0.2%
$106K
500 claims
$212.49
$111.09
Office/outpatient visit, new patient, high complexity
$106K
500 claims · 0.2%
$93K
15K claims
$6.42
$5.60
Electrocardiogram, interpretation and report only
$93K
15K claims · 0.1%
$93K
1,098 claims
$85.09
$22.44
Telephone E/M by physician, 11-20 minutes
$93K
1,098 claims · 0.1%
$93K
877 claims
$106.53
$255.03
Sleep study with CPAP titration, polysomnography
$93K
877 claims · 0.1%
$84K
767 claims
$109.85
$233.73
Polysomnography, sleep study, 6+ hours
$84K
767 claims · 0.1%
$84K
1,841 claims
$45.45
$29.03
Arthrocentesis, aspiration/injection, major joint
$84K
1,841 claims · 0.1%
$81K
502 claims
$160.61
$67.32
Initial hospital care, per day, high complexity
$81K
502 claims · 0.1%
Ultrasound, pelvic, complete
$80K
1,696 claims · 0.1%
$78K
1,398 claims
$55.52
$40.11
Office/outpatient visit, new patient, low complexity
$78K
1,398 claims · 0.1%
$75K
1,574 claims · 0.1%