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Provider 1235284233

NPI: 1235284233Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.9M

$7,942,603

Total Claims

314K

Beneficiaries

306K

1.0 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$1.2M
-8%
2019
$1.1M
-18%
2020
$883K
+25%
2021
$1.1M
+19%
2022
$1.3M
+1%
2023
$1.3M
-17%
2024
$1.1M

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 31% of total spending.

99213Top 25%

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

$2.4M

37K claims · 30.7%

Your Cost: $65.50/claim|Median: $37.81
1.7× median
99214Top 25%

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

$1.6M

17K claims · 20.7%

Your Cost: $97.33/claim|Median: $53.41
1.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$711K

9,046 claims · 9.0%

Your Cost: $78.63/claim|Median: $75.18
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$602K

7,773 claims · 7.6%

Your Cost: $77.46/claim|Median: $74.82
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$596K

8,720 claims · 7.5%

Your Cost: $68.39/claim|Median: $69.35
1.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$425K

22K claims · 5.3%

Your Cost: $18.91/claim|Median: $17.85
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$423K

4,980 claims · 5.3%

Your Cost: $85.04/claim|Median: $80.15
1.1× median
96110Normal range

Developmental screening, per standardized instrument

$164K

17K claims · 2.1%

Your Cost: $9.53/claim|Median: $9.10
1.0× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$120K

3,546 claims · 1.5%

Your Cost: $33.70/claim|Median: $30.53
1.1× median
87804Top 25%

Influenza virus detection, rapid test

$94K

3,613 claims · 1.2%

Your Cost: $26.10/claim|Median: $12.59
2.1× median
95930Normal range

Visual evoked potential testing

$89K

2,245 claims · 1.1%

Your Cost: $39.68/claim|Median: $35.54
1.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$77K

5,766 claims · 1.0%

Your Cost: $13.35/claim|Median: $11.48
1.2× median
D0190Normal range

$72K

4,528 claims · 0.9%

Your Cost: $15.88/claim|Median: $12.78
1.2× median
99381Normal range

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

$61K

685 claims · 0.8%

Your Cost: $89.20/claim|Median: $73.46
1.2× median
83655Normal range

$53K

4,917 claims · 0.7%

Your Cost: $10.74/claim|Median: $10.49
1.0× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$42K

786 claims · 0.5%

Your Cost: $53.71/claim|Median: $62.48
0.9× median
99188Normal range

$33K

4,503 claims · 0.4%

Your Cost: $7.41/claim|Median: $12.80
0.6× median
90677Top 25%

$31K

481 claims · 0.4%

Your Cost: $64.12/claim|Median: $12.96
4.9× median
81003Normal range

Urinalysis, automated without microscopy

$27K

14K claims · 0.3%

Your Cost: $1.88/claim|Median: $1.48
1.3× median
99462Normal range

$24K

1,032 claims · 0.3%

Your Cost: $23.41/claim|Median: $27.49
0.9× median
99177Normal range

$23K

10K claims · 0.3%

Your Cost: $2.26/claim|Median: $3.74
0.6× median
87426Normal range

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

$23K

650 claims · 0.3%

Your Cost: $35.24/claim|Median: $30.04
1.2× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$22K

7,023 claims · 0.3%

Your Cost: $3.17/claim|Median: $3.67
0.9× median
99215Top 25%

Office/outpatient visit, high complexity

$20K

182 claims · 0.3%

Your Cost: $111.66/claim|Median: $74.09
1.5× median
69210Normal range

$18K

650 claims · 0.2%

Your Cost: $27.07/claim|Median: $21.74
1.2× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$16K

167 claims · 0.2%

Your Cost: $94.09/claim|Median: $81.92
1.1× median
90473Normal range

Immunization admin, intranasal, first

$14K

3,615 claims · 0.2%

Your Cost: $3.93/claim|Median: $9.17
0.4× median
99463Normal range

$12K

192 claims · 0.2%

Your Cost: $62.72/claim|Median: $78.46
0.8× median
85018Normal range

$11K

5,455 claims · 0.1%

Your Cost: $2.09/claim|Median: $1.71
1.2× median
92587Normal range

$10K

732 claims · 0.1%

Your Cost: $14.08/claim|Median: $19.24
0.7× median
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