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Provider 1225374887

NPI: 1225374887Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.7M

$16,736,083

Total Claims

584K

Beneficiaries

468K

1.2 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+30%
2019
$1.3M
+19%
2020
$1.6M
+79%
2021
$2.8M
+45%
2022
$4.0M
-5%
2023
$3.8M
-43%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 26% of total spending.

99213Normal range

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

$4.3M

113K claims · 25.7%

Your Cost: $38.01/claim|Median: $37.81
1.0× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$3.2M

92K claims · 19.2%

Your Cost: $35.02/claim|Median: $34.62
1.0× median
99203Normal range

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

$2.5M

37K claims · 14.8%

Your Cost: $66.77/claim|Median: $57.85
1.2× median
99214Normal range

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

$2.2M

38K claims · 13.0%

Your Cost: $57.64/claim|Median: $53.41
1.1× median
87804Normal range

Influenza virus detection, rapid test

$1.7M

142K claims · 10.3%

Your Cost: $12.10/claim|Median: $12.59
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$667K

56K claims · 4.0%

Your Cost: $11.85/claim|Median: $11.48
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$465K

17K claims · 2.8%

Your Cost: $27.08/claim|Median: $25.06
1.1× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$438K

9,946 claims · 2.6%

Your Cost: $44.07/claim|Median: $40.11
1.1× median
87428Normal range

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

$336K

9,445 claims · 2.0%

Your Cost: $35.55/claim|Median: $39.63
0.9× median
87426Normal range

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

$247K

11K claims · 1.5%

Your Cost: $22.43/claim|Median: $30.04
0.7× median
99204Normal range

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

$234K

2,311 claims · 1.4%

Your Cost: $101.43/claim|Median: $84.03
1.2× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$195K

14K claims · 1.2%

Your Cost: $14.38/claim|Median: $9.56
1.5× median
87807Normal range

$79K

7,964 claims · 0.5%

Your Cost: $9.97/claim|Median: $10.06
1.0× median
J0696Top 10%

$59K

2,655 claims · 0.4%

Your Cost: $22.32/claim|Median: $1.34
16.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$19K

269 claims · 0.1%

Your Cost: $68.92/claim|Median: $80.15
0.9× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$13K

1,328 claims · 0.1%

Your Cost: $9.43/claim|Median: $10.88
0.9× median
81002Normal range

Urinalysis, non-automated without microscopy

$11K

13K claims · 0.1%

Your Cost: $0.85/claim|Median: $2.00
0.4× median
81025Normal range

Urine pregnancy test

$11K

1,887 claims · 0.1%

Your Cost: $5.57/claim|Median: $4.81
1.2× median
73600Normal range

$10K

577 claims · 0.1%

Your Cost: $17.22/claim|Median: $9.97
1.7× median
73620Normal range

$8K

506 claims · 0.1%

Your Cost: $16.76/claim|Median: $11.93
1.4× median
29540Top 25%

$7K

360 claims · 0.0%

Your Cost: $19.18/claim|Median: $13.93
1.4× median
J1885Top 25%

Injection, ketorolac tromethamine, fifteen milligrams

$6K

2,972 claims · 0.0%

Your Cost: $2.18/claim|Median: $0.91
2.4× median
69210Normal range

$6K

300 claims · 0.0%

Your Cost: $21.20/claim|Median: $21.74
1.0× median
J1100Normal range

$4K

5,087 claims · 0.0%

Your Cost: $0.83/claim|Median: $0.52
1.6× median
73120Normal range

$4K

242 claims · 0.0%

Your Cost: $16.90/claim|Median: $10.48
1.6× median
90471Normal range

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

$4K

287 claims · 0.0%

Your Cost: $13.72/claim|Median: $9.80
1.4× median
87449Top 25%

$4K

355 claims · 0.0%

Your Cost: $10.57/claim|Median: $6.98
1.5× median
36415Normal range

Collection of venous blood by venipuncture

$3K

1,294 claims · 0.0%

Your Cost: $2.40/claim|Median: $1.57
1.5× median
90658Normal range

$3K

227 claims · 0.0%

Your Cost: $13.09/claim|Median: $8.96
1.5× median
71046Normal range

Chest X-ray, 2 views

$3K

195 claims · 0.0%

Your Cost: $13.47/claim|Median: $8.92
1.5× median
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