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Provider 1275993420

NPI: 1275993420Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.2M

$13,237,792

Total Claims

341K

Beneficiaries

318K

1.1 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$981K
+22%
2019
$1.2M
+34%
2020
$1.6M
+44%
2021
$2.3M
+10%
2022
$2.5M
-2%
2023
$2.5M
-13%
2024
$2.1M

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 34% of total spending.

99213Top 25%

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

$4.5M

67K claims · 33.8%

Your Cost: $66.96/claim|Median: $37.81
1.8× median
99214Top 25%

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

$2.4M

24K claims · 17.9%

Your Cost: $97.42/claim|Median: $53.41
1.8× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$876K

29K claims · 6.6%

Your Cost: $30.64/claim|Median: $17.85
1.7× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$876K

9,541 claims · 6.6%

Your Cost: $91.83/claim|Median: $69.35
1.3× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$868K

8,785 claims · 6.6%

Your Cost: $98.82/claim|Median: $75.18
1.3× median
87426Top 5%

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

$833K

17K claims · 6.3%

Your Cost: $48.29/claim|Median: $30.04
1.6× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$571K

5,860 claims · 4.3%

Your Cost: $97.49/claim|Median: $74.82
1.3× median
87804Top 25%

Influenza virus detection, rapid test

$381K

20K claims · 2.9%

Your Cost: $18.60/claim|Median: $12.59
1.5× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$372K

3,428 claims · 2.8%

Your Cost: $108.48/claim|Median: $80.15
1.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$222K

17K claims · 1.7%

Your Cost: $13.18/claim|Median: $11.48
1.1× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$199K

8,081 claims · 1.5%

Your Cost: $24.67/claim|Median: $6.93
3.6× median
G9153Normal range

$153K

3,006 claims · 1.2%

Your Cost: $51.01/claim|Median: $43.70
1.2× median
99203Top 25%

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

$152K

1,651 claims · 1.1%

Your Cost: $91.88/claim|Median: $57.85
1.6× median
99188Normal range

$132K

8,521 claims · 1.0%

Your Cost: $15.51/claim|Median: $12.80
1.2× median
92583Normal range

$126K

3,895 claims · 1.0%

Your Cost: $32.31/claim|Median: $27.53
1.2× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$119K

5,074 claims · 0.9%

Your Cost: $23.39/claim|Median: $12.70
1.8× median
96110Normal range

Developmental screening, per standardized instrument

$110K

13K claims · 0.8%

Your Cost: $8.21/claim|Median: $9.10
0.9× median
87807Normal range

$71K

6,197 claims · 0.5%

Your Cost: $11.40/claim|Median: $10.06
1.1× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$49K

5,895 claims · 0.4%

Your Cost: $8.27/claim|Median: $3.67
2.3× median
99204Top 10%

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

$44K

305 claims · 0.3%

Your Cost: $143.93/claim|Median: $84.03
1.7× median
96161Top 25%

$36K

4,716 claims · 0.3%

Your Cost: $7.62/claim|Median: $2.49
3.1× median
83655Normal range

$36K

3,038 claims · 0.3%

Your Cost: $11.74/claim|Median: $10.49
1.1× median
87449Top 5%

$28K

1,059 claims · 0.2%

Your Cost: $26.08/claim|Median: $6.98
3.7× median
99499Top 10%

Unlisted evaluation and management service

$25K

328 claims · 0.2%

Your Cost: $75.00/claim|Median: $30.88
2.4× median
99177Normal range

$24K

5,757 claims · 0.2%

Your Cost: $4.16/claim|Median: $3.74
1.1× median
92551Normal range

Screening audiometry, pure tone, air only

$22K

8,402 claims · 0.2%

Your Cost: $2.67/claim|Median: $6.61
0.4× median
81002Top 25%

Urinalysis, non-automated without microscopy

$18K

6,247 claims · 0.1%

Your Cost: $2.83/claim|Median: $2.00
1.4× median
85014Top 25%

$10K

4,274 claims · 0.1%

Your Cost: $2.28/claim|Median: $1.38
1.7× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$7K

669 claims · 0.1%

Your Cost: $9.98/claim|Median: $10.88
0.9× median
0071ANormal range

$6K

156 claims · 0.0%

Your Cost: $39.80/claim|Median: $38.71
1.0× median
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