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Provider 1235176397

NPI: 1235176397Share
Active Billing Period:2018-05→2024-12(79 months)

Total Paid

$7.6M

$7,614,410

Total Claims

267K

Beneficiaries

255K

1.0 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$39K
+144%
2019
$95K
+351%
2020
$429K
+365%
2021
$2.0M
-15%
2022
$1.7M
+7%
2023
$1.8M
-15%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99392 (Preventive medicine, established patient, age 1-4)) accounts for 21% of total spending.

99392Top 25%

Preventive medicine, established patient, age 1-4

$1.6M

17K claims · 21.4%

Your Cost: $98.28/claim|Median: $75.18
1.3× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$1.2M

13K claims · 15.9%

Your Cost: $92.92/claim|Median: $69.35
1.3× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$1.1M

12K claims · 14.7%

Your Cost: $89.66/claim|Median: $74.82
1.2× median
99213Normal range

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

$977K

37K claims · 12.8%

Your Cost: $26.45/claim|Median: $37.81
0.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$646K

7,350 claims · 8.5%

Your Cost: $87.86/claim|Median: $80.15
1.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$625K

27K claims · 8.2%

Your Cost: $23.44/claim|Median: $17.85
1.3× median
99214Normal range

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

$326K

8,733 claims · 4.3%

Your Cost: $37.35/claim|Median: $53.41
0.7× median
92551Top 25%

Screening audiometry, pure tone, air only

$216K

18K claims · 2.8%

Your Cost: $12.10/claim|Median: $6.61
1.8× median
90461Normal range

Immunization admin, additional vaccine, counseling

$182K

12K claims · 2.4%

Your Cost: $14.86/claim|Median: $6.93
2.1× median
99499Normal range

Unlisted evaluation and management service

$148K

4,963 claims · 1.9%

Your Cost: $29.77/claim|Median: $30.88
1.0× median
90700Top 25%

$69K

6,288 claims · 0.9%

Your Cost: $11.02/claim|Median: $4.56
2.4× median
90471Normal range

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

$42K

4,359 claims · 0.6%

Your Cost: $9.64/claim|Median: $9.80
1.0× median
99173Normal range

$38K

19K claims · 0.5%

Your Cost: $1.99/claim|Median: $2.16
0.9× median
96110Normal range

Developmental screening, per standardized instrument

$30K

6,946 claims · 0.4%

Your Cost: $4.36/claim|Median: $9.10
0.5× median
90651Normal range

HPV vaccine, 9-valent

$27K

2,323 claims · 0.4%

Your Cost: $11.53/claim|Median: $8.93
1.3× median
90734Top 25%

$26K

1,639 claims · 0.3%

Your Cost: $15.94/claim|Median: $6.40
2.5× median
90688Normal range

$22K

1,830 claims · 0.3%

Your Cost: $12.27/claim|Median: $9.00
1.4× median
90670Normal range

$22K

5,838 claims · 0.3%

Your Cost: $3.77/claim|Median: $5.94
0.6× median
0072ANormal range

$20K

584 claims · 0.3%

Your Cost: $34.77/claim|Median: $39.57
0.9× median
99381Normal range

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

$19K

292 claims · 0.2%

Your Cost: $65.06/claim|Median: $73.46
0.9× median
90713Normal range

Poliovirus vaccine (IPV)

$18K

4,770 claims · 0.2%

Your Cost: $3.74/claim|Median: $5.41
0.7× median
90648Normal range

$17K

4,826 claims · 0.2%

Your Cost: $3.50/claim|Median: $4.08
0.9× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$16K

5,181 claims · 0.2%

Your Cost: $3.14/claim|Median: $7.18
0.4× median
90680Normal range

$16K

3,996 claims · 0.2%

Your Cost: $4.00/claim|Median: $5.58
0.7× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$15K

7,634 claims · 0.2%

Your Cost: $2.00/claim|Median: $3.67
0.5× median
99395Normal range

Preventive medicine, established patient, age 18-39

$15K

165 claims · 0.2%

Your Cost: $89.16/claim|Median: $72.71
1.2× median
90716Normal range

$12K

3,361 claims · 0.2%

Your Cost: $3.63/claim|Median: $6.18
0.6× median
90707Normal range

MMR vaccine

$12K

3,229 claims · 0.2%

Your Cost: $3.61/claim|Median: $5.76
0.6× median
90633Normal range

$11K

3,646 claims · 0.2%

Your Cost: $3.15/claim|Median: $3.56
0.9× median
99401Normal range

$9K

388 claims · 0.1%

Your Cost: $24.00/claim|Median: $16.53
1.5× median
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