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Provider 1215229901

NPI: 1215229901Share
Active Billing Period:2018-11→2024-12(74 months)

Total Paid

$11.0M

$11,006,905

Total Claims

247K

Beneficiaries

221K

1.1 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$2K
+993%
2019
$21K
+3097%
2020
$682K
+227%
2021
$2.2M
+20%
2022
$2.7M
+4%
2023
$2.8M
-7%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (S9083 (Global fee, urgent care centers)) accounts for 70% of total spending.

S9083Top 10%

Global fee, urgent care centers

$7.7M

54K claims · 69.6%

Your Cost: $142.05/claim|Median: $103.99
1.4× median
S9088Top 5%

Services provided in an urgent care center

$1.2M

12K claims · 10.8%

Your Cost: $100.56/claim|Median: $28.22
3.6× median
99214Normal range

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

$672K

24K claims · 6.1%

Your Cost: $27.88/claim|Median: $53.41
0.5× median
99213Normal range

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

$668K

21K claims · 6.1%

Your Cost: $31.38/claim|Median: $37.81
0.8× median
99203Normal range

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

$227K

7,473 claims · 2.1%

Your Cost: $30.38/claim|Median: $57.85
0.5× median
99204Normal range

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

$190K

6,393 claims · 1.7%

Your Cost: $29.70/claim|Median: $84.03
0.4× median
87428Normal range

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

$110K

15K claims · 1.0%

Your Cost: $7.26/claim|Median: $39.63
0.2× median
87426Normal range

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

$100K

10K claims · 0.9%

Your Cost: $9.95/claim|Median: $30.04
0.3× median
99215Normal range

Office/outpatient visit, high complexity

$41K

1,267 claims · 0.4%

Your Cost: $32.37/claim|Median: $74.09
0.4× median
99212Normal range

Office/outpatient visit, low complexity

$39K

2,277 claims · 0.4%

Your Cost: $16.98/claim|Median: $25.06
0.7× median
86580Top 5%

Tuberculosis (TB) skin test

$13K

968 claims · 0.1%

Your Cost: $13.71/claim|Median: $4.46
3.1× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$13K

1,445 claims · 0.1%

Your Cost: $9.13/claim|Median: $40.11
0.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$11K

213 claims · 0.1%

Your Cost: $50.02/claim|Median: $111.09
0.5× median
A6449Normal range

$11K

1,035 claims · 0.1%

Your Cost: $10.25/claim|Median: $5.88
1.7× median
J0696Top 25%

$10K

888 claims · 0.1%

Your Cost: $11.10/claim|Median: $1.34
8.3× median
90471Normal range

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

$5K

556 claims · 0.0%

Your Cost: $9.86/claim|Median: $9.80
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$5K

20K claims · 0.0%

Your Cost: $0.27/claim|Median: $11.48
0.0× median
L3260Normal range

$4K

416 claims · 0.0%

Your Cost: $9.98/claim|Median: $16.57
0.6× median
L3908Normal range

$4K

328 claims · 0.0%

Your Cost: $12.37/claim|Median: $35.79
0.3× median
A4570Normal range

$3K

426 claims · 0.0%

Your Cost: $7.58/claim|Median: $6.68
1.1× median
A4565Top 10%

$3K

231 claims · 0.0%

Your Cost: $13.02/claim|Median: $5.77
2.3× median
E0114Normal range

$2K

354 claims · 0.0%

Your Cost: $6.68/claim|Median: $29.11
0.2× median
99058Normal range

$2K

253 claims · 0.0%

Your Cost: $9.17/claim|Median: $15.38
0.6× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$2K

179 claims · 0.0%

Your Cost: $12.92/claim|Median: $7.18
1.8× median
81002Normal range

Urinalysis, non-automated without microscopy

$2K

7,574 claims · 0.0%

Your Cost: $0.21/claim|Median: $2.00
0.1× median
71046Normal range

Chest X-ray, 2 views

$2K

3,583 claims · 0.0%

Your Cost: $0.43/claim|Median: $8.92
0.0× median
80047Normal range

$1K

5,609 claims · 0.0%

Your Cost: $0.24/claim|Median: $6.12
0.0× median
87804Normal range

Influenza virus detection, rapid test

$1K

3,459 claims · 0.0%

Your Cost: $0.37/claim|Median: $12.59
0.0× median
81000Normal range

Urinalysis with microscopy, non-automated

$1K

8,635 claims · 0.0%

Your Cost: $0.12/claim|Median: $2.51
0.0× median
90715Normal range

Tdap vaccine

$972

172 claims · 0.0%

Your Cost: $5.65/claim|Median: $10.32
0.5× median
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