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Provider 1285077123

NPI: 1285077123Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.1M

$13,131,086

Total Claims

313K

Beneficiaries

279K

1.1 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$787K
+72%
2019
$1.4M
+38%
2020
$1.9M
+47%
2021
$2.7M
-1%
2022
$2.7M
-28%
2023
$1.9M
-12%
2024
$1.7M

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 59% of total spending.

99213Top 5%

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

$7.8M

84K claims · 59.0%

Your Cost: $92.35/claim|Median: $37.81
2.4× median
99396Top 10%

Preventive medicine, established patient, age 40-64

$1.1M

8,387 claims · 8.2%

Your Cost: $127.66/claim|Median: $76.06
1.7× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$1.0M

8,519 claims · 7.8%

Your Cost: $120.21/claim|Median: $72.71
1.7× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$424K

4,682 claims · 3.2%

Your Cost: $90.54/claim|Median: $22.44
4.0× median
99212Top 10%

Office/outpatient visit, low complexity

$328K

5,387 claims · 2.5%

Your Cost: $60.88/claim|Median: $25.06
2.4× median
90651Top 1%

HPV vaccine, 9-valent

$324K

1,214 claims · 2.5%

Your Cost: $266.91/claim|Median: $8.93
29.9× median
99203Top 5%

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

$293K

2,425 claims · 2.2%

Your Cost: $120.76/claim|Median: $57.85
2.1× median
90471Top 25%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$244K

14K claims · 1.9%

Your Cost: $17.74/claim|Median: $9.80
1.8× median
83013Top 25%

$206K

3,254 claims · 1.6%

Your Cost: $63.44/claim|Median: $46.17
1.4× median
90674Top 10%

$170K

5,707 claims · 1.3%

Your Cost: $29.78/claim|Median: $15.16
2.0× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$166K

11K claims · 1.3%

Your Cost: $15.05/claim|Median: $9.70
1.6× median
90750Top 10%

$163K

917 claims · 1.2%

Your Cost: $177.29/claim|Median: $96.16
1.8× median
99401Top 25%

$144K

5,623 claims · 1.1%

Your Cost: $25.54/claim|Median: $16.53
1.5× median
90746Top 10%

Hepatitis B vaccine, adult

$97K

1,421 claims · 0.7%

Your Cost: $68.35/claim|Median: $48.85
1.4× median
94010Top 10%

$92K

2,659 claims · 0.7%

Your Cost: $34.67/claim|Median: $18.11
1.9× median
99441Top 10%

Telephone E/M by physician, 5-10 min

$77K

1,341 claims · 0.6%

Your Cost: $57.28/claim|Median: $13.30
4.3× median
3074FTop 10%

$52K

22K claims · 0.4%

Your Cost: $2.38/claim|Median: $0.11
21.6× median
3078FTop 10%

$50K

21K claims · 0.4%

Your Cost: $2.38/claim|Median: $0.08
29.7× median
95004Top 5%

Percutaneous allergy skin tests, each

$43K

122 claims · 0.3%

Your Cost: $353.84/claim|Median: $134.97
2.6× median
36415Normal range

Collection of venous blood by venipuncture

$39K

29K claims · 0.3%

Your Cost: $1.35/claim|Median: $1.57
0.9× median
99406Top 25%

$33K

2,539 claims · 0.3%

Your Cost: $13.01/claim|Median: $6.53
2.0× median
90632Top 10%

$33K

472 claims · 0.2%

Your Cost: $68.89/claim|Median: $40.43
1.7× median
90715Top 5%

Tdap vaccine

$32K

769 claims · 0.2%

Your Cost: $41.72/claim|Median: $10.32
4.0× median
90707Top 1%

MMR vaccine

$31K

386 claims · 0.2%

Your Cost: $79.53/claim|Median: $5.76
13.8× median
90756Top 10%

Influenza virus vaccine, quadrivalent

$30K

1,103 claims · 0.2%

Your Cost: $26.96/claim|Median: $14.34
1.9× median
83014Normal range

$26K

3,995 claims · 0.2%

Your Cost: $6.39/claim|Median: $5.23
1.2× median
90472Normal range

Immunization administration, each additional vaccine

$22K

1,452 claims · 0.2%

Your Cost: $15.32/claim|Median: $11.79
1.3× median
90661Top 10%

$15K

448 claims · 0.1%

Your Cost: $34.13/claim|Median: $14.37
2.4× median
99402Normal range

$15K

500 claims · 0.1%

Your Cost: $30.50/claim|Median: $31.79
1.0× median
3079FTop 10%

$10K

4,008 claims · 0.1%

Your Cost: $2.40/claim|Median: $0.12
20.0× median
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