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Provider 1225158520

NPI: 1225158520Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.3M

$8,305,929

Total Claims

331K

Beneficiaries

315K

1.1 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$363K
+249%
2019
$1.3M
-9%
2020
$1.2M
+29%
2021
$1.5M
+1%
2022
$1.5M
-12%
2023
$1.3M
-8%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (S0302) accounts for 18% of total spending.

S0302Top 10%

$1.5M

32K claims · 18.4%

Your Cost: $47.12/claim|Median: $9.05
5.2× median
99213Normal range

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

$1.4M

28K claims · 17.4%

Your Cost: $50.87/claim|Median: $37.81
1.3× median
99214Top 25%

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

$1.1M

14K claims · 12.9%

Your Cost: $76.60/claim|Median: $53.41
1.4× median
X5622Normal range

$520K

11K claims · 6.3%

Your Cost: $45.94/claim|Median: $52.61
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$468K

7,610 claims · 5.6%

Your Cost: $61.55/claim|Median: $75.18
0.8× median
87502Top 25%

Influenza virus detection, reverse transcription, amplified probe

$464K

5,173 claims · 5.6%

Your Cost: $89.69/claim|Median: $65.64
1.4× median
87635Top 25%

COVID-19 SARS-CoV-2 amplified probe detection

$419K

8,510 claims · 5.0%

Your Cost: $49.28/claim|Median: $39.70
1.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$408K

6,921 claims · 4.9%

Your Cost: $59.01/claim|Median: $74.82
0.8× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$400K

12K claims · 4.8%

Your Cost: $33.20/claim|Median: $28.46
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$273K

5,628 claims · 3.3%

Your Cost: $48.45/claim|Median: $69.35
0.7× median
90471Normal range

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

$244K

22K claims · 2.9%

Your Cost: $11.07/claim|Median: $9.80
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$182K

2,657 claims · 2.2%

Your Cost: $68.32/claim|Median: $80.15
0.9× median
99188Normal range

$177K

21K claims · 2.1%

Your Cost: $8.33/claim|Median: $12.80
0.7× median
90472Normal range

Immunization administration, each additional vaccine

$133K

10K claims · 1.6%

Your Cost: $13.03/claim|Median: $11.79
1.1× median
92551Normal range

Screening audiometry, pure tone, air only

$93K

18K claims · 1.1%

Your Cost: $5.28/claim|Median: $6.61
0.8× median
96110Normal range

Developmental screening, per standardized instrument

$82K

16K claims · 1.0%

Your Cost: $5.03/claim|Median: $9.10
0.6× median
99215Normal range

Office/outpatient visit, high complexity

$77K

732 claims · 0.9%

Your Cost: $105.68/claim|Median: $74.09
1.4× median
81000Top 25%

Urinalysis with microscopy, non-automated

$42K

13K claims · 0.5%

Your Cost: $3.23/claim|Median: $2.51
1.3× median
99212Top 25%

Office/outpatient visit, low complexity

$39K

1,036 claims · 0.5%

Your Cost: $38.05/claim|Median: $25.06
1.5× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$27K

8,250 claims · 0.3%

Your Cost: $3.22/claim|Median: $3.67
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$23K

2,841 claims · 0.3%

Your Cost: $8.10/claim|Median: $11.48
0.7× median
99173Normal range

$21K

18K claims · 0.3%

Your Cost: $1.21/claim|Median: $2.16
0.6× median
36416Normal range

$16K

6,237 claims · 0.2%

Your Cost: $2.61/claim|Median: $1.31
2.0× median
87634Top 25%

$14K

212 claims · 0.2%

Your Cost: $68.33/claim|Median: $48.78
1.4× median
0071ANormal range

$13K

360 claims · 0.2%

Your Cost: $36.81/claim|Median: $38.71
1.0× median
0072ANormal range

$13K

327 claims · 0.2%

Your Cost: $38.73/claim|Median: $39.57
1.0× median
83655Normal range

$12K

1,193 claims · 0.1%

Your Cost: $10.21/claim|Median: $10.49
1.0× median
G2023Top 25%

Specimen collection for COVID-19 testing

$11K

453 claims · 0.1%

Your Cost: $23.98/claim|Median: $17.15
1.4× median
90474Normal range

$10K

1,466 claims · 0.1%

Your Cost: $6.94/claim|Median: $8.42
0.8× median
87070Normal range

Bacterial culture, any source except blood or urine

$10K

1,883 claims · 0.1%

Your Cost: $5.19/claim|Median: $5.89
0.9× median
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