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Provider 1255388021

NPI: 1255388021Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.4M

$12,391,506

Total Claims

262K

Beneficiaries

238K

1.1 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$971K
+59%
2019
$1.5M
-18%
2020
$1.3M
+26%
2021
$1.6M
+30%
2022
$2.1M
+25%
2023
$2.6M
-11%
2024
$2.3M

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 29% of total spending.

99213Top 25%

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

$3.6M

64K claims · 29.3%

Your Cost: $56.89/claim|Median: $37.81
1.5× median
99214Top 25%

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

$3.2M

42K claims · 25.6%

Your Cost: $76.21/claim|Median: $53.41
1.4× median
99203Normal range

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

$2.1M

29K claims · 17.0%

Your Cost: $71.78/claim|Median: $57.85
1.2× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$1.2M

10K claims · 9.3%

Your Cost: $112.90/claim|Median: $91.47
1.2× median
99204Normal range

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

$720K

6,634 claims · 5.8%

Your Cost: $108.46/claim|Median: $84.03
1.3× median
87428Normal range

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

$371K

11K claims · 3.0%

Your Cost: $34.94/claim|Median: $39.63
0.9× median
87426Normal range

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

$251K

9,057 claims · 2.0%

Your Cost: $27.67/claim|Median: $30.04
0.9× median
87804Normal range

Influenza virus detection, rapid test

$231K

18K claims · 1.9%

Your Cost: $12.56/claim|Median: $12.59
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$226K

18K claims · 1.8%

Your Cost: $12.92/claim|Median: $11.48
1.1× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$96K

1,914 claims · 0.8%

Your Cost: $50.22/claim|Median: $40.11
1.3× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$70K

2,151 claims · 0.6%

Your Cost: $32.54/claim|Median: $28.46
1.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$62K

1,460 claims · 0.5%

Your Cost: $42.79/claim|Median: $39.70
1.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$57K

4,923 claims · 0.5%

Your Cost: $11.59/claim|Median: $9.56
1.2× median
71046Top 25%

Chest X-ray, 2 views

$54K

2,198 claims · 0.4%

Your Cost: $24.68/claim|Median: $8.92
2.8× median
99212Normal range

Office/outpatient visit, low complexity

$52K

1,507 claims · 0.4%

Your Cost: $34.27/claim|Median: $25.06
1.4× median
87905Top 10%

$22K

1,917 claims · 0.2%

Your Cost: $11.59/claim|Median: $9.68
1.2× median
81025Top 25%

Urine pregnancy test

$22K

3,215 claims · 0.2%

Your Cost: $6.88/claim|Median: $4.81
1.4× median
99000Normal range

$21K

14K claims · 0.2%

Your Cost: $1.50/claim|Median: $2.30
0.7× median
81003Normal range

Urinalysis, automated without microscopy

$17K

11K claims · 0.1%

Your Cost: $1.53/claim|Median: $1.48
1.0× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$11K

1,485 claims · 0.1%

Your Cost: $7.10/claim|Median: $4.71
1.5× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$7K

469 claims · 0.1%

Your Cost: $13.89/claim|Median: $10.88
1.3× median
87808Normal range

$6K

994 claims · 0.1%

Your Cost: $6.44/claim|Median: $9.35
0.7× median
36415Normal range

Collection of venous blood by venipuncture

$6K

2,776 claims · 0.0%

Your Cost: $2.00/claim|Median: $1.57
1.3× median
E0114Top 25%

$5K

137 claims · 0.0%

Your Cost: $39.64/claim|Median: $29.11
1.4× median
73630Top 25%

X-ray, foot, complete, minimum 3 views

$5K

203 claims · 0.0%

Your Cost: $26.16/claim|Median: $12.06
2.2× median
73610Top 25%

X-ray of ankle, complete, minimum three views

$5K

176 claims · 0.0%

Your Cost: $27.67/claim|Median: $13.55
2.0× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$3K

272 claims · 0.0%

Your Cost: $9.34/claim|Median: $23.39
0.4× median
80048Normal range

Basic metabolic panel

$2K

1,027 claims · 0.0%

Your Cost: $2.34/claim|Median: $5.78
0.4× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$2K

280 claims · 0.0%

Your Cost: $8.43/claim|Median: $24.95
0.3× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$2K

183 claims · 0.0%

Your Cost: $11.55/claim|Median: $9.70
1.2× median
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