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Provider 1275087553

NPI: 1275087553Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.0M

$11,032,392

Total Claims

301K

Beneficiaries

234K

1.3 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$153K
+142%
2019
$370K
-31%
2020
$255K
+490%
2021
$1.5M
+104%
2022
$3.1M
+13%
2023
$3.5M
-36%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 17% of total spending.

99214Top 25%

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

$1.9M

24K claims · 16.9%

Your Cost: $76.86/claim|Median: $53.41
1.4× median
87798Top 25%

Infectious agent detection, nucleic acid, not otherwise specified

$1.4M

24K claims · 12.9%

Your Cost: $58.52/claim|Median: $26.72
2.2× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$1.2M

17K claims · 10.7%

Your Cost: $69.77/claim|Median: $65.64
1.1× median
87634Normal range

$972K

17K claims · 8.8%

Your Cost: $57.61/claim|Median: $48.78
1.2× median
99213Top 25%

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

$846K

16K claims · 7.7%

Your Cost: $54.21/claim|Median: $37.81
1.4× median
99204Normal range

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

$703K

7,178 claims · 6.4%

Your Cost: $97.96/claim|Median: $84.03
1.2× median
U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$675K

13K claims · 6.1%

Your Cost: $51.99/claim|Median: $60.05
0.9× median
87426Normal range

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

$541K

21K claims · 4.9%

Your Cost: $25.20/claim|Median: $30.04
0.8× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$386K

14K claims · 3.5%

Your Cost: $28.28/claim|Median: $28.46
1.0× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$367K

1,409 claims · 3.3%

Your Cost: $260.29/claim|Median: $169.17
1.5× median
U0002Normal range

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

$342K

7,738 claims · 3.1%

Your Cost: $44.14/claim|Median: $34.62
1.3× median
99203Normal range

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

$307K

4,707 claims · 2.8%

Your Cost: $65.28/claim|Median: $57.85
1.1× median
87804Normal range

Influenza virus detection, rapid test

$231K

43K claims · 2.1%

Your Cost: $5.37/claim|Median: $12.59
0.4× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$213K

13K claims · 1.9%

Your Cost: $16.44/claim|Median: $15.76
1.0× median
87581Normal range

$187K

6,788 claims · 1.7%

Your Cost: $27.55/claim|Median: $17.13
1.6× median
87486Normal range

$187K

6,776 claims · 1.7%

Your Cost: $27.54/claim|Median: $19.16
1.4× median
G2023Normal range

Specimen collection for COVID-19 testing

$132K

14K claims · 1.2%

Your Cost: $9.68/claim|Median: $17.15
0.6× median
87481Top 5%

$124K

1,242 claims · 1.1%

Your Cost: $99.68/claim|Median: $22.38
4.5× median
87801Normal range

Infectious agent detection, amplified probe, multiple organisms

$62K

1,222 claims · 0.6%

Your Cost: $50.47/claim|Median: $38.79
1.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$50K

4,635 claims · 0.5%

Your Cost: $10.84/claim|Median: $11.48
0.9× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$36K

631 claims · 0.3%

Your Cost: $57.01/claim|Median: $65.45
0.9× median
87640Top 10%

$35K

1,318 claims · 0.3%

Your Cost: $26.83/claim|Median: $8.39
3.2× median
87653Normal range

$33K

1,229 claims · 0.3%

Your Cost: $26.92/claim|Median: $19.33
1.4× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$25K

2,195 claims · 0.2%

Your Cost: $11.49/claim|Median: $9.56
1.2× median
99050Normal range

$24K

8,463 claims · 0.2%

Your Cost: $2.84/claim|Median: $11.81
0.2× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$23K

2,697 claims · 0.2%

Your Cost: $8.51/claim|Median: $10.88
0.8× median
87500Top 10%

$21K

845 claims · 0.2%

Your Cost: $25.22/claim|Median: $8.53
3.0× median
99072Normal range

$8K

14K claims · 0.1%

Your Cost: $0.58/claim|Median: $0.54
1.1× median
87807Normal range

$6K

827 claims · 0.1%

Your Cost: $7.49/claim|Median: $10.06
0.7× median
81002Normal range

Urinalysis, non-automated without microscopy

$5K

2,272 claims · 0.0%

Your Cost: $2.40/claim|Median: $2.00
1.2× median
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