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Provider 1225498231

NPI: 1225498231Share
Active Billing Period:2018-01→2024-12(67 months)

Total Paid

$9.5M

$9,451,275

Total Claims

394K

Beneficiaries

290K

1.4 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$5K
-4%
2019
$4K
+3845%
2020
$176K
+746%
2021
$1.5M
+57%
2022
$2.3M
+13%
2023
$2.6M
+7%
2024
$2.8M

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 27% of total spending.

99213Normal range

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

$2.6M

71K claims · 27.1%

Your Cost: $36.24/claim|Median: $37.81
1.0× median
87811Top 25%

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

$1.2M

31K claims · 12.5%

Your Cost: $37.84/claim|Median: $30.53
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$856K

11K claims · 9.1%

Your Cost: $75.14/claim|Median: $75.18
1.0× median
87804Normal range

Influenza virus detection, rapid test

$655K

50K claims · 6.9%

Your Cost: $12.99/claim|Median: $12.59
1.0× median
S8301Top 25%

$551K

36K claims · 5.8%

Your Cost: $15.38/claim|Median: $8.32
1.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$490K

6,613 claims · 5.2%

Your Cost: $74.06/claim|Median: $69.35
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$414K

5,176 claims · 4.4%

Your Cost: $79.93/claim|Median: $74.82
1.1× median
G0315Normal range

$389K

14K claims · 4.1%

Your Cost: $28.09/claim|Median: $29.35
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$371K

28K claims · 3.9%

Your Cost: $13.17/claim|Median: $11.48
1.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$315K

29K claims · 3.3%

Your Cost: $10.68/claim|Median: $17.85
0.6× median
99214Normal range

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

$270K

5,417 claims · 2.9%

Your Cost: $49.92/claim|Median: $53.41
0.9× median
99429Normal range

$260K

8,543 claims · 2.7%

Your Cost: $30.38/claim|Median: $28.58
1.1× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$197K

2,490 claims · 2.1%

Your Cost: $79.16/claim|Median: $65.64
1.2× median
99203Normal range

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

$157K

2,720 claims · 1.7%

Your Cost: $57.70/claim|Median: $57.85
1.0× median
96110Normal range

Developmental screening, per standardized instrument

$103K

14K claims · 1.1%

Your Cost: $7.25/claim|Median: $9.10
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$93K

1,158 claims · 1.0%

Your Cost: $80.19/claim|Median: $80.15
1.0× median
87634Normal range

$88K

1,559 claims · 0.9%

Your Cost: $56.57/claim|Median: $48.78
1.2× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$75K

940 claims · 0.8%

Your Cost: $79.80/claim|Median: $73.46
1.1× median
99382Normal range

Preventive visit, new patient, early childhood (1-4 yr)

$65K

711 claims · 0.7%

Your Cost: $90.77/claim|Median: $79.89
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$49K

1,884 claims · 0.5%

Your Cost: $26.01/claim|Median: $25.06
1.0× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$49K

539 claims · 0.5%

Your Cost: $90.81/claim|Median: $81.92
1.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$47K

4,368 claims · 0.5%

Your Cost: $10.80/claim|Median: $9.56
1.1× median
87807Normal range

$35K

3,410 claims · 0.4%

Your Cost: $10.40/claim|Median: $10.06
1.0× median
90461Normal range

Immunization admin, additional vaccine, counseling

$27K

8,084 claims · 0.3%

Your Cost: $3.34/claim|Median: $6.93
0.5× median
92567Normal range

$24K

1,934 claims · 0.3%

Your Cost: $12.25/claim|Median: $11.50
1.1× median
83655Normal range

$20K

2,097 claims · 0.2%

Your Cost: $9.71/claim|Median: $10.49
0.9× median
99050Normal range

$17K

1,669 claims · 0.2%

Your Cost: $9.98/claim|Median: $11.81
0.8× median
G8510Top 25%

$16K

1,252 claims · 0.2%

Your Cost: $12.48/claim|Median: $1.96
6.4× median
99051Normal range

$12K

11K claims · 0.1%

Your Cost: $1.10/claim|Median: $7.89
0.1× median
99000Top 25%

$10K

1,230 claims · 0.1%

Your Cost: $8.29/claim|Median: $2.30
3.6× median
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