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Provider 1235182221

NPI: 1235182221Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.4M

$11,357,657

Total Claims

545K

Beneficiaries

503K

1.1 claims/patient

Avg Cost/Claim

$21

Monthly Spending Trend

Yearly Spending

2018
$2.4M
-7%
2019
$2.2M
-15%
2020
$1.9M
-9%
2021
$1.7M
-9%
2022
$1.6M
-14%
2023
$1.3M
-88%
2024
$164K

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 28% of total spending.

99213Normal range

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

$3.2M

85K claims · 28.2%

Your Cost: $37.73/claim|Median: $37.81
1.0× median
99214Normal range

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

$1.2M

19K claims · 10.9%

Your Cost: $67.04/claim|Median: $53.41
1.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$987K

17K claims · 8.7%

Your Cost: $57.50/claim|Median: $75.18
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$938K

16K claims · 8.3%

Your Cost: $57.38/claim|Median: $74.82
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$748K

13K claims · 6.6%

Your Cost: $57.45/claim|Median: $69.35
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$572K

10K claims · 5.0%

Your Cost: $56.89/claim|Median: $80.15
0.7× median
99173Top 10%

$404K

27K claims · 3.6%

Your Cost: $14.93/claim|Median: $2.16
6.9× median
3008FTop 10%

$341K

41K claims · 3.0%

Your Cost: $8.39/claim|Median: $0.06
139.8× median
92551Top 25%

Screening audiometry, pure tone, air only

$277K

24K claims · 2.4%

Your Cost: $11.52/claim|Median: $6.61
1.7× median
96110Top 25%

Developmental screening, per standardized instrument

$272K

13K claims · 2.4%

Your Cost: $21.10/claim|Median: $9.10
2.3× median
83655Top 25%

$252K

19K claims · 2.2%

Your Cost: $13.39/claim|Median: $10.49
1.3× median
99188Normal range

$247K

20K claims · 2.2%

Your Cost: $12.19/claim|Median: $12.80
1.0× median
99203Top 25%

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

$202K

2,086 claims · 1.8%

Your Cost: $96.62/claim|Median: $57.85
1.7× median
87804Normal range

Influenza virus detection, rapid test

$168K

11K claims · 1.5%

Your Cost: $15.80/claim|Median: $12.59
1.3× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$146K

9,391 claims · 1.3%

Your Cost: $15.55/claim|Median: $11.48
1.4× median
D1208Normal range

Topical application of fluoride, excluding varnish

$124K

10K claims · 1.1%

Your Cost: $12.13/claim|Median: $14.36
0.8× median
92587Top 10%

$124K

2,295 claims · 1.1%

Your Cost: $53.90/claim|Median: $19.24
2.8× median
80061Top 25%

Lipid panel

$123K

9,181 claims · 1.1%

Your Cost: $13.40/claim|Median: $8.41
1.6× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$95K

20K claims · 0.8%

Your Cost: $4.76/claim|Median: $3.67
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$78K

2,901 claims · 0.7%

Your Cost: $26.99/claim|Median: $25.06
1.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$77K

17K claims · 0.7%

Your Cost: $4.64/claim|Median: $7.18
0.6× median
36416Normal range

$70K

29K claims · 0.6%

Your Cost: $2.45/claim|Median: $1.31
1.9× median
85018Top 25%

$62K

23K claims · 0.5%

Your Cost: $2.65/claim|Median: $1.71
1.5× median
88738Top 25%

$56K

10K claims · 0.5%

Your Cost: $5.47/claim|Median: $4.06
1.3× median
99000Normal range

$50K

14K claims · 0.4%

Your Cost: $3.57/claim|Median: $2.30
1.6× median
90670Normal range

$44K

9,530 claims · 0.4%

Your Cost: $4.62/claim|Median: $5.94
0.8× median
82947Top 25%

Blood glucose level test

$35K

9,231 claims · 0.3%

Your Cost: $3.81/claim|Median: $2.38
1.6× median
90651Normal range

HPV vaccine, 9-valent

$33K

4,613 claims · 0.3%

Your Cost: $7.06/claim|Median: $8.93
0.8× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$30K

1,535 claims · 0.3%

Your Cost: $19.27/claim|Median: $9.87
2.0× median
90647Normal range

$27K

5,361 claims · 0.2%

Your Cost: $5.05/claim|Median: $4.31
1.2× median
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