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Provider 1235178591

NPI: 1235178591Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.6M

$8,570,367

Total Claims

235K

Beneficiaries

213K

1.1 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$624K
+77%
2019
$1.1M
-19%
2020
$891K
+33%
2021
$1.2M
+31%
2022
$1.6M
+6%
2023
$1.7M
-6%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 39% of total spending.

99214Top 25%

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

$3.3M

44K claims · 39.0%

Your Cost: $75.53/claim|Median: $53.41
1.4× median
99213Top 25%

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

$2.4M

41K claims · 27.9%

Your Cost: $58.35/claim|Median: $37.81
1.5× median
99203Normal range

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

$802K

11K claims · 9.4%

Your Cost: $72.28/claim|Median: $57.85
1.2× median
99204Normal range

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

$523K

4,936 claims · 6.1%

Your Cost: $106.01/claim|Median: $84.03
1.3× median
87428Normal range

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

$516K

15K claims · 6.0%

Your Cost: $33.45/claim|Median: $39.63
0.8× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$325K

26K claims · 3.8%

Your Cost: $12.51/claim|Median: $11.48
1.1× median
87804Normal range

Influenza virus detection, rapid test

$187K

15K claims · 2.2%

Your Cost: $12.17/claim|Median: $12.59
1.0× median
87426Normal range

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

$153K

5,615 claims · 1.8%

Your Cost: $27.24/claim|Median: $30.04
0.9× median
87430Normal range

$138K

11K claims · 1.6%

Your Cost: $12.54/claim|Median: $9.41
1.3× median
3074FTop 10%

$35K

14K claims · 0.4%

Your Cost: $2.50/claim|Median: $0.11
22.7× median
3078FTop 10%

$31K

13K claims · 0.4%

Your Cost: $2.40/claim|Median: $0.08
30.0× median
71046Top 25%

Chest X-ray, 2 views

$29K

1,254 claims · 0.3%

Your Cost: $23.34/claim|Median: $8.92
2.6× median
3079FTop 10%

$13K

5,147 claims · 0.1%

Your Cost: $2.49/claim|Median: $0.12
20.8× median
99215Top 25%

Office/outpatient visit, high complexity

$9K

81 claims · 0.1%

Your Cost: $109.63/claim|Median: $74.09
1.5× median
3077FTop 25%

$7K

3,226 claims · 0.1%

Your Cost: $2.16/claim|Median: $0.12
18.0× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$7K

521 claims · 0.1%

Your Cost: $12.78/claim|Median: $10.88
1.2× median
81003Normal range

Urinalysis, automated without microscopy

$6K

3,676 claims · 0.1%

Your Cost: $1.68/claim|Median: $1.48
1.1× median
3075FTop 25%

$6K

2,971 claims · 0.1%

Your Cost: $2.03/claim|Median: $0.15
13.5× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$5K

7,160 claims · 0.1%

Your Cost: $0.75/claim|Median: $0.79
1.0× median
3080FTop 25%

$5K

2,121 claims · 0.1%

Your Cost: $2.19/claim|Median: $0.16
13.7× median
87807Top 25%

$5K

373 claims · 0.1%

Your Cost: $12.30/claim|Median: $10.06
1.2× median
80047Normal range

$4K

518 claims · 0.1%

Your Cost: $8.30/claim|Median: $6.12
1.4× median
99000Normal range

$4K

3,303 claims · 0.0%

Your Cost: $1.17/claim|Median: $2.30
0.5× median
99212Top 25%

Office/outpatient visit, low complexity

$4K

99 claims · 0.0%

Your Cost: $38.28/claim|Median: $25.06
1.5× median
73610Top 25%

X-ray of ankle, complete, minimum three views

$4K

139 claims · 0.0%

Your Cost: $26.26/claim|Median: $13.55
1.9× median
85027Normal range

Complete blood count (CBC), automated

$3K

595 claims · 0.0%

Your Cost: $5.73/claim|Median: $3.72
1.5× median
73630Top 25%

X-ray, foot, complete, minimum 3 views

$3K

128 claims · 0.0%

Your Cost: $26.59/claim|Median: $12.06
2.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$3K

68 claims · 0.0%

Your Cost: $40.02/claim|Median: $39.70
1.0× median
U0003Normal range

Infectious disease detection (COVID-19)

$3K

56 claims · 0.0%

Your Cost: $46.38/claim|Median: $63.08
0.7× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$2K

193 claims · 0.0%

Your Cost: $11.75/claim|Median: $9.70
1.2× median
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