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Provider 1235147497

NPI: 1235147497Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$14.7M

$14,703,003

Total Claims

430K

Beneficiaries

348K

1.2 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$259K
+331%
2019
$1.1M
+245%
2020
$3.9M
+4%
2021
$4.0M
-52%
2022
$1.9M
+2%
2023
$2.0M
-20%
2024
$1.6M

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 17% of total spending.

99213Top 10%

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

$2.5M

30K claims · 17.3%

Your Cost: $83.77/claim|Median: $37.81
2.2× median
U0003Normal range

Infectious disease detection (COVID-19)

$1.5M

20K claims · 10.3%

Your Cost: $74.81/claim|Median: $63.08
1.2× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$993K

12K claims · 6.8%

Your Cost: $83.84/claim|Median: $22.44
3.7× median
99214Top 10%

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

$991K

9,100 claims · 6.7%

Your Cost: $108.86/claim|Median: $53.41
2.0× median
99212Top 10%

Office/outpatient visit, low complexity

$864K

12K claims · 5.9%

Your Cost: $71.57/claim|Median: $25.06
2.9× median
36415Top 5%

Collection of venous blood by venipuncture

$697K

73K claims · 4.7%

Your Cost: $9.60/claim|Median: $1.57
6.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$542K

12K claims · 3.7%

Your Cost: $45.49/claim|Median: $39.70
1.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$318K

20K claims · 2.2%

Your Cost: $15.79/claim|Median: $12.93
1.2× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$302K

3,955 claims · 2.1%

Your Cost: $76.29/claim|Median: $27.38
2.8× median
99441Top 10%

Telephone E/M by physician, 5-10 min

$296K

4,696 claims · 2.0%

Your Cost: $62.93/claim|Median: $13.30
4.7× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$264K

2,686 claims · 1.8%

Your Cost: $98.21/claim|Median: $80.15
1.2× median
99443Top 10%

Telephone E/M by physician, 21-30 min

$258K

2,493 claims · 1.8%

Your Cost: $103.58/claim|Median: $32.55
3.2× median
U0001Top 10%

$240K

5,328 claims · 1.6%

Your Cost: $45.06/claim|Median: $24.79
1.8× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$238K

2,536 claims · 1.6%

Your Cost: $93.82/claim|Median: $74.82
1.3× median
D0999Normal range

Unspecified diagnostic procedure, by report

$215K

1,344 claims · 1.5%

Your Cost: $159.61/claim|Median: $101.33
1.6× median
99215Top 25%

Office/outpatient visit, high complexity

$213K

1,770 claims · 1.4%

Your Cost: $120.13/claim|Median: $74.09
1.6× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$204K

6,447 claims · 1.4%

Your Cost: $31.61/claim|Median: $24.95
1.3× median
90471Top 25%

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

$189K

11K claims · 1.3%

Your Cost: $17.65/claim|Median: $9.80
1.8× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$186K

6,278 claims · 1.3%

Your Cost: $29.64/claim|Median: $23.39
1.3× median
86769Normal range

Antibody, SARS-CoV-2 (COVID-19)

$178K

6,779 claims · 1.2%

Your Cost: $26.22/claim|Median: $26.94
1.0× median
90750Top 25%

$177K

1,056 claims · 1.2%

Your Cost: $167.25/claim|Median: $96.16
1.7× median
D9999Top 25%

Unspecified adjunctive procedure, by report

$171K

1,204 claims · 1.2%

Your Cost: $142.12/claim|Median: $37.60
3.8× median
99203Top 10%

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

$167K

1,452 claims · 1.1%

Your Cost: $114.93/claim|Median: $57.85
2.0× median
86480Top 25%

Tuberculosis test, cell-mediated immunity

$138K

2,255 claims · 0.9%

Your Cost: $61.29/claim|Median: $38.35
1.6× median
77067Top 10%

Screening mammography, bilateral, including CAD

$138K

1,136 claims · 0.9%

Your Cost: $121.30/claim|Median: $39.33
3.1× median
99204Top 5%

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

$120K

723 claims · 0.8%

Your Cost: $165.39/claim|Median: $84.03
2.0× median
80061Normal range

Lipid panel

$114K

10K claims · 0.8%

Your Cost: $10.99/claim|Median: $8.41
1.3× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$113K

1,053 claims · 0.8%

Your Cost: $107.03/claim|Median: $75.18
1.4× median
90677Top 10%

$105K

545 claims · 0.7%

Your Cost: $193.31/claim|Median: $12.96
14.9× median
90651Top 5%

HPV vaccine, 9-valent

$98K

1,058 claims · 0.7%

Your Cost: $92.16/claim|Median: $8.93
10.3× median
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