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Provider 1235413477

NPI: 1235413477Share
Active Billing Period:2018-01→2024-12(72 months)

Total Paid

$15.6M

$15,589,048

Total Claims

336K

Beneficiaries

296K

1.1 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$73K
-90%
2019
$7K
+35854%
2020
$2.6M
+221%
2021
$8.3M
-61%
2022
$3.2M
-71%
2023
$941K
-45%
2024
$522K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99203 (Office/outpatient visit, new patient, low-mod complexity)) accounts for 25% of total spending.

99203Normal range

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

$3.9M

67K claims · 24.8%

Your Cost: $57.48/claim|Median: $57.85
1.0× median
99213Normal range

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

$3.3M

73K claims · 21.2%

Your Cost: $45.17/claim|Median: $37.81
1.2× median
S9083Normal range

Global fee, urgent care centers

$1.9M

19K claims · 12.1%

Your Cost: $97.55/claim|Median: $103.99
0.9× median
87811Top 5%

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

$1.8M

44K claims · 11.8%

Your Cost: $42.40/claim|Median: $30.53
1.4× median
87426Top 10%

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

$1.7M

39K claims · 10.9%

Your Cost: $44.13/claim|Median: $30.04
1.5× median
99214Normal range

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

$658K

9,808 claims · 4.2%

Your Cost: $67.04/claim|Median: $53.41
1.3× median
99204Normal range

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

$488K

5,946 claims · 3.1%

Your Cost: $82.15/claim|Median: $84.03
1.0× median
S9088Normal range

Services provided in an urgent care center

$414K

14K claims · 2.7%

Your Cost: $29.00/claim|Median: $28.22
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$401K

14K claims · 2.6%

Your Cost: $28.64/claim|Median: $25.06
1.1× median
99211Top 25%

Office/outpatient visit, minimal complexity

$368K

11K claims · 2.4%

Your Cost: $32.33/claim|Median: $12.93
2.5× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$197K

5,932 claims · 1.3%

Your Cost: $33.16/claim|Median: $40.11
0.8× median
87804Top 25%

Influenza virus detection, rapid test

$103K

5,089 claims · 0.7%

Your Cost: $20.32/claim|Median: $12.59
1.6× median
36415Top 10%

Collection of venous blood by venipuncture

$88K

11K claims · 0.6%

Your Cost: $8.00/claim|Median: $1.57
5.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$51K

5,954 claims · 0.3%

Your Cost: $8.50/claim|Median: $11.48
0.7× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$43K

1,100 claims · 0.3%

Your Cost: $38.73/claim|Median: $33.72
1.1× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$24K

621 claims · 0.2%

Your Cost: $38.84/claim|Median: $36.70
1.1× median
0064ATop 10%

$18K

341 claims · 0.1%

Your Cost: $53.31/claim|Median: $34.17
1.6× median
0011ATop 25%

COVID-19 vaccine admin, Moderna, 1st dose

$14K

348 claims · 0.1%

Your Cost: $39.99/claim|Median: $25.93
1.5× median
81003Top 5%

Urinalysis, automated without microscopy

$13K

1,969 claims · 0.1%

Your Cost: $6.81/claim|Median: $1.48
4.6× median
90471Top 10%

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

$11K

541 claims · 0.1%

Your Cost: $21.06/claim|Median: $9.80
2.1× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$9K

235 claims · 0.1%

Your Cost: $39.03/claim|Median: $33.85
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$9K

101 claims · 0.1%

Your Cost: $89.79/claim|Median: $74.09
1.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$9K

190 claims · 0.1%

Your Cost: $47.15/claim|Median: $39.70
1.2× median
99000Top 25%

$7K

1,220 claims · 0.0%

Your Cost: $6.00/claim|Median: $2.30
2.6× median
0004ATop 25%

$7K

146 claims · 0.0%

Your Cost: $45.38/claim|Median: $35.62
1.3× median
81025Normal range

Urine pregnancy test

$6K

1,591 claims · 0.0%

Your Cost: $4.01/claim|Median: $4.81
0.8× median
71046Top 25%

Chest X-ray, 2 views

$5K

247 claims · 0.0%

Your Cost: $21.28/claim|Median: $8.92
2.4× median
G2023Normal range

Specimen collection for COVID-19 testing

$4K

181 claims · 0.0%

Your Cost: $22.68/claim|Median: $17.15
1.3× median
90686Top 5%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$4K

162 claims · 0.0%

Your Cost: $23.75/claim|Median: $7.18
3.3× median
0031ATop 10%

COVID-19 vaccine admin, J&J, single dose

$4K

77 claims · 0.0%

Your Cost: $48.53/claim|Median: $32.49
1.5× median
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