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Provider 1215174958

NPI: 1215174958Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.7M

$8,718,055

Total Claims

274K

Beneficiaries

212K

1.3 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$850K
+20%
2019
$1.0M
+3%
2020
$1.0M
+47%
2021
$1.5M
+8%
2022
$1.7M
-4%
2023
$1.6M
-34%
2024
$1.0M

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 18% of total spending.

99214Normal range

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

$1.6M

25K claims · 18.3%

Your Cost: $63.27/claim|Median: $53.41
1.2× median
99213Normal range

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

$1.3M

29K claims · 14.8%

Your Cost: $44.65/claim|Median: $37.81
1.2× median
0202UTop 25%

Proprietary lab analysis, human genomic sequencing

$1.0M

3,216 claims · 11.5%

Your Cost: $312.90/claim|Median: $144.30
2.2× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$490K

6,750 claims · 5.6%

Your Cost: $72.58/claim|Median: $65.64
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$437K

16K claims · 5.0%

Your Cost: $26.78/claim|Median: $25.06
1.1× median
87804Top 25%

Influenza virus detection, rapid test

$387K

19K claims · 4.4%

Your Cost: $20.46/claim|Median: $12.59
1.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$359K

5,736 claims · 4.1%

Your Cost: $62.67/claim|Median: $75.18
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$345K

5,551 claims · 4.0%

Your Cost: $62.07/claim|Median: $74.82
0.8× median
87426Normal range

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

$293K

8,678 claims · 3.4%

Your Cost: $33.80/claim|Median: $30.04
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$292K

4,879 claims · 3.3%

Your Cost: $59.76/claim|Median: $69.35
0.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$264K

3,930 claims · 3.0%

Your Cost: $67.23/claim|Median: $80.15
0.8× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$244K

23K claims · 2.8%

Your Cost: $10.55/claim|Median: $11.48
0.9× median
94667Normal range

$230K

17K claims · 2.6%

Your Cost: $13.34/claim|Median: $13.51
1.0× median
94010Normal range

$186K

8,827 claims · 2.1%

Your Cost: $21.09/claim|Median: $18.11
1.2× median
17110Normal range

Destruction of benign lesions, up to fourteen

$182K

2,721 claims · 2.1%

Your Cost: $66.98/claim|Median: $59.25
1.1× median
87634Normal range

$153K

2,856 claims · 1.8%

Your Cost: $53.50/claim|Median: $48.78
1.1× median
94664Normal range

$126K

14K claims · 1.4%

Your Cost: $9.18/claim|Median: $8.88
1.0× median
90471Normal range

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

$91K

6,951 claims · 1.0%

Your Cost: $13.02/claim|Median: $9.80
1.3× median
94016Normal range

$85K

5,120 claims · 1.0%

Your Cost: $16.55/claim|Median: $13.31
1.2× median
90472Normal range

Immunization administration, each additional vaccine

$83K

4,766 claims · 1.0%

Your Cost: $17.46/claim|Median: $11.79
1.5× median
87811Normal range

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

$80K

3,015 claims · 0.9%

Your Cost: $26.61/claim|Median: $30.53
0.9× median
92551Normal range

Screening audiometry, pure tone, air only

$75K

10K claims · 0.9%

Your Cost: $7.34/claim|Median: $6.61
1.1× median
87807Normal range

$62K

5,719 claims · 0.7%

Your Cost: $10.90/claim|Median: $10.06
1.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$60K

1,520 claims · 0.7%

Your Cost: $39.78/claim|Median: $39.70
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$47K

608 claims · 0.5%

Your Cost: $77.27/claim|Median: $74.09
1.0× median
80305Normal range

$43K

5,031 claims · 0.5%

Your Cost: $8.60/claim|Median: $7.44
1.2× median
99188Top 25%

$31K

1,576 claims · 0.4%

Your Cost: $19.60/claim|Median: $12.80
1.5× median
99223Top 10%

Initial hospital care, per day, high complexity

$28K

196 claims · 0.3%

Your Cost: $141.68/claim|Median: $67.32
2.1× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$21K

2,494 claims · 0.2%

Your Cost: $8.61/claim|Median: $10.88
0.8× median
92567Normal range

$20K

1,742 claims · 0.2%

Your Cost: $11.45/claim|Median: $11.50
1.0× median
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