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Provider 1245307693

NPI: 1245307693Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.0M

$8,970,273

Total Claims

244K

Beneficiaries

235K

1.0 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+3%
2019
$2.4M
-56%
2020
$1.0M
+8%
2021
$1.1M
-19%
2022
$914K
-23%
2023
$703K
-29%
2024
$500K

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 27% of total spending.

99213Normal range

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

$2.4M

82K claims · 27.3%

Your Cost: $29.77/claim|Median: $37.81
0.8× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$1.7M

15K claims · 19.1%

Your Cost: $112.29/claim|Median: $75.18
1.5× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$1.6M

16K claims · 18.0%

Your Cost: $101.74/claim|Median: $69.35
1.5× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$811K

7,123 claims · 9.0%

Your Cost: $113.80/claim|Median: $74.82
1.5× median
99214Normal range

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

$313K

7,995 claims · 3.5%

Your Cost: $39.19/claim|Median: $53.41
0.7× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$261K

2,104 claims · 2.9%

Your Cost: $124.24/claim|Median: $80.15
1.6× median
96110Normal range

Developmental screening, per standardized instrument

$219K

16K claims · 2.4%

Your Cost: $13.86/claim|Median: $9.10
1.5× median
90670Top 25%

$212K

9,741 claims · 2.4%

Your Cost: $21.78/claim|Median: $5.94
3.7× median
92552Normal range

Pure tone audiometry, air only, each ear

$183K

19K claims · 2.0%

Your Cost: $9.47/claim|Median: $12.63
0.7× median
90698Top 10%

$178K

8,200 claims · 2.0%

Your Cost: $21.68/claim|Median: $6.32
3.4× median
90686Top 10%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$163K

7,976 claims · 1.8%

Your Cost: $20.49/claim|Median: $7.18
2.9× median
U0002Top 25%

COVID-19 lab test, non-CDC, nucleic acid

$145K

2,869 claims · 1.6%

Your Cost: $50.46/claim|Median: $34.62
1.5× median
87426Top 25%

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

$108K

2,870 claims · 1.2%

Your Cost: $37.58/claim|Median: $30.04
1.3× median
90680Top 5%

$81K

3,685 claims · 0.9%

Your Cost: $22.00/claim|Median: $5.58
3.9× median
99212Normal range

Office/outpatient visit, low complexity

$64K

1,909 claims · 0.7%

Your Cost: $33.49/claim|Median: $25.06
1.3× median
90791Normal range

Psychiatric diagnostic evaluation

$56K

479 claims · 0.6%

Your Cost: $117.62/claim|Median: $99.21
1.2× median
90832Top 25%

Psychotherapy, 30 minutes

$51K

743 claims · 0.6%

Your Cost: $68.59/claim|Median: $41.28
1.7× median
90744Top 5%

$42K

1,895 claims · 0.5%

Your Cost: $22.07/claim|Median: $5.00
4.4× median
99173Normal range

$39K

13K claims · 0.4%

Your Cost: $2.93/claim|Median: $2.16
1.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$34K

3,093 claims · 0.4%

Your Cost: $11.04/claim|Median: $11.48
1.0× median
90633Top 5%

$33K

1,535 claims · 0.4%

Your Cost: $21.75/claim|Median: $3.56
6.1× median
90685Top 5%

$33K

1,401 claims · 0.4%

Your Cost: $23.46/claim|Median: $5.96
3.9× median
90688Top 5%

$28K

1,211 claims · 0.3%

Your Cost: $23.30/claim|Median: $9.00
2.6× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$27K

864 claims · 0.3%

Your Cost: $30.90/claim|Median: $28.46
1.1× median
99174Normal range

$15K

7,791 claims · 0.2%

Your Cost: $1.91/claim|Median: $5.27
0.4× median
90656Top 25%

$13K

731 claims · 0.1%

Your Cost: $18.39/claim|Median: $8.67
2.1× median
90710Top 25%

MMRV vaccine

$13K

590 claims · 0.1%

Your Cost: $21.80/claim|Median: $7.00
3.1× median
87804Normal range

Influenza virus detection, rapid test

$11K

923 claims · 0.1%

Your Cost: $12.19/claim|Median: $12.59
1.0× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$11K

576 claims · 0.1%

Your Cost: $18.82/claim|Median: $10.88
1.7× median
90651Top 25%

HPV vaccine, 9-valent

$8K

278 claims · 0.1%

Your Cost: $28.82/claim|Median: $8.93
3.2× median
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