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Provider 1235131632

NPI: 1235131632Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.0M

$15,009,708

Total Claims

243K

Beneficiaries

232K

1.0 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+9%
2019
$1.9M
-10%
2020
$1.7M
+6%
2021
$1.8M
+23%
2022
$2.2M
+31%
2023
$2.8M
+5%
2024
$3.0M

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 33% of total spending.

99213Top 25%

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

$4.9M

74K claims · 32.6%

Your Cost: $66.25/claim|Median: $37.81
1.8× median
99214Top 25%

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

$3.2M

33K claims · 21.2%

Your Cost: $95.87/claim|Median: $53.41
1.8× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$2.3M

19K claims · 15.6%

Your Cost: $124.77/claim|Median: $69.35
1.8× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$1.9M

14K claims · 12.7%

Your Cost: $139.38/claim|Median: $75.18
1.9× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$769K

5,729 claims · 5.1%

Your Cost: $134.25/claim|Median: $74.82
1.8× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$407K

22K claims · 2.7%

Your Cost: $18.76/claim|Median: $7.18
2.6× median
96127Top 10%

Brief emotional/behavioral assessment, per standardized instrument

$209K

13K claims · 1.4%

Your Cost: $16.19/claim|Median: $3.67
4.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$199K

4,453 claims · 1.3%

Your Cost: $44.80/claim|Median: $39.70
1.1× median
99215Top 25%

Office/outpatient visit, high complexity

$140K

1,115 claims · 0.9%

Your Cost: $125.56/claim|Median: $74.09
1.7× median
90670Top 25%

$115K

5,651 claims · 0.8%

Your Cost: $20.29/claim|Median: $5.94
3.4× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$103K

717 claims · 0.7%

Your Cost: $143.49/claim|Median: $80.15
1.8× median
90698Top 25%

$71K

3,453 claims · 0.5%

Your Cost: $20.50/claim|Median: $6.32
3.2× median
96110Normal range

Developmental screening, per standardized instrument

$53K

3,763 claims · 0.4%

Your Cost: $14.07/claim|Median: $9.10
1.5× median
90680Top 10%

$48K

2,353 claims · 0.3%

Your Cost: $20.56/claim|Median: $5.58
3.7× median
90656Top 10%

$46K

2,265 claims · 0.3%

Your Cost: $20.39/claim|Median: $8.67
2.4× median
99188Normal range

$42K

2,683 claims · 0.3%

Your Cost: $15.62/claim|Median: $12.80
1.2× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$40K

725 claims · 0.3%

Your Cost: $55.36/claim|Median: $65.64
0.8× median
99177Top 25%

$36K

5,140 claims · 0.2%

Your Cost: $6.92/claim|Median: $3.74
1.9× median
90685Top 5%

$35K

1,631 claims · 0.2%

Your Cost: $21.70/claim|Median: $5.96
3.6× median
0072ANormal range

$28K

781 claims · 0.2%

Your Cost: $35.80/claim|Median: $39.57
0.9× median
90744Top 5%

$23K

1,132 claims · 0.2%

Your Cost: $20.56/claim|Median: $5.00
4.1× median
90677Normal range

$22K

1,056 claims · 0.1%

Your Cost: $20.82/claim|Median: $12.96
1.6× median
36416Top 25%

$22K

7,342 claims · 0.1%

Your Cost: $2.95/claim|Median: $1.31
2.3× median
91322Normal range

$21K

272 claims · 0.1%

Your Cost: $77.07/claim|Median: $76.28
1.0× median
96160Top 25%

Patient-focused health risk assessment

$21K

2,768 claims · 0.1%

Your Cost: $7.43/claim|Median: $2.10
3.5× median
0071ANormal range

$21K

569 claims · 0.1%

Your Cost: $36.12/claim|Median: $38.71
0.9× median
99173Top 25%

$20K

3,295 claims · 0.1%

Your Cost: $6.21/claim|Median: $2.16
2.9× median
90471Top 25%

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

$19K

1,105 claims · 0.1%

Your Cost: $17.50/claim|Median: $9.80
1.8× median
92551Top 25%

Screening audiometry, pure tone, air only

$17K

1,572 claims · 0.1%

Your Cost: $10.57/claim|Median: $6.61
1.6× median
90791Normal range

Psychiatric diagnostic evaluation

$15K

134 claims · 0.1%

Your Cost: $109.36/claim|Median: $99.21
1.1× median
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