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Provider 1275575888

NPI: 1275575888Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.9M

$13,939,708

Total Claims

428K

Beneficiaries

383K

1.1 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$2.3M
-9%
2019
$2.1M
-38%
2020
$1.3M
+52%
2021
$2.0M
+29%
2022
$2.5M
-12%
2023
$2.2M
-32%
2024
$1.5M

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 40% of total spending.

99213Top 25%

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

$5.5M

91K claims · 39.6%

Your Cost: $60.77/claim|Median: $37.81
1.6× median
99214Top 25%

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

$1.6M

18K claims · 11.7%

Your Cost: $89.20/claim|Median: $53.41
1.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.1M

13K claims · 7.8%

Your Cost: $81.38/claim|Median: $69.35
1.2× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$1.1M

28K claims · 7.5%

Your Cost: $38.00/claim|Median: $17.85
2.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.0M

12K claims · 7.5%

Your Cost: $86.66/claim|Median: $75.18
1.2× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$683K

7,676 claims · 4.9%

Your Cost: $88.99/claim|Median: $74.82
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$617K

17K claims · 4.4%

Your Cost: $35.74/claim|Median: $25.06
1.4× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$524K

5,361 claims · 3.8%

Your Cost: $97.68/claim|Median: $80.15
1.2× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$410K

29K claims · 2.9%

Your Cost: $14.00/claim|Median: $11.48
1.2× median
87804Top 25%

Influenza virus detection, rapid test

$250K

14K claims · 1.8%

Your Cost: $18.27/claim|Median: $12.59
1.5× median
87426Normal range

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

$203K

6,116 claims · 1.5%

Your Cost: $33.23/claim|Median: $30.04
1.1× median
99238Top 10%

Hospital discharge day management, 30 minutes or less

$139K

2,096 claims · 1.0%

Your Cost: $66.47/claim|Median: $37.22
1.8× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$120K

1,449 claims · 0.9%

Your Cost: $82.53/claim|Median: $62.48
1.3× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$110K

40K claims · 0.8%

Your Cost: $2.76/claim|Median: $12.70
0.2× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$92K

28K claims · 0.7%

Your Cost: $3.25/claim|Median: $3.67
0.9× median
99051Top 25%

$91K

4,826 claims · 0.7%

Your Cost: $18.95/claim|Median: $7.89
2.4× median
96110Normal range

Developmental screening, per standardized instrument

$42K

4,040 claims · 0.3%

Your Cost: $10.30/claim|Median: $9.10
1.1× median
71046Top 25%

Chest X-ray, 2 views

$39K

1,613 claims · 0.3%

Your Cost: $24.22/claim|Median: $8.92
2.7× median
99462Top 25%

$34K

877 claims · 0.2%

Your Cost: $38.59/claim|Median: $27.49
1.4× median
80305Normal range

$27K

3,688 claims · 0.2%

Your Cost: $7.21/claim|Median: $7.44
1.0× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$24K

1,643 claims · 0.2%

Your Cost: $14.32/claim|Median: $24.33
0.6× median
96160Normal range

Patient-focused health risk assessment

$23K

7,388 claims · 0.2%

Your Cost: $3.05/claim|Median: $2.10
1.5× median
99050Normal range

$18K

1,759 claims · 0.1%

Your Cost: $10.32/claim|Median: $11.81
0.9× median
87807Top 10%

$17K

1,204 claims · 0.1%

Your Cost: $14.24/claim|Median: $10.06
1.4× median
80061Top 25%

Lipid panel

$15K

1,196 claims · 0.1%

Your Cost: $12.58/claim|Median: $8.41
1.5× median
96161Normal range

$15K

5,362 claims · 0.1%

Your Cost: $2.81/claim|Median: $2.49
1.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$14K

1,284 claims · 0.1%

Your Cost: $11.21/claim|Median: $12.93
0.9× median
G0447Normal range

$13K

23K claims · 0.1%

Your Cost: $0.58/claim|Median: $5.19
0.1× median
87428Top 25%

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

$12K

193 claims · 0.1%

Your Cost: $63.54/claim|Median: $39.63
1.6× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$12K

1,313 claims · 0.1%

Your Cost: $8.99/claim|Median: $4.71
1.9× median
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