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Provider 1285667824

NPI: 1285667824Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.3M

$10,282,709

Total Claims

238K

Beneficiaries

228K

1.0 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$1.0M
-1%
2019
$1.0M
-4%
2020
$1.0M
+76%
2021
$1.8M
+4%
2022
$1.8M
+9%
2023
$2.0M
-19%
2024
$1.6M

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 45% of total spending.

99213Normal range

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

$4.6M

94K claims · 44.9%

Your Cost: $49.38/claim|Median: $37.81
1.3× median
99214Top 25%

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

$2.1M

24K claims · 20.1%

Your Cost: $85.55/claim|Median: $53.41
1.6× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$631K

6,840 claims · 6.1%

Your Cost: $92.23/claim|Median: $75.18
1.2× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$596K

19K claims · 5.8%

Your Cost: $31.97/claim|Median: $17.85
1.8× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$537K

6,300 claims · 5.2%

Your Cost: $85.18/claim|Median: $69.35
1.2× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$466K

5,068 claims · 4.5%

Your Cost: $92.01/claim|Median: $74.82
1.2× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$318K

3,181 claims · 3.1%

Your Cost: $100.01/claim|Median: $80.15
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$223K

8,977 claims · 2.2%

Your Cost: $24.79/claim|Median: $25.06
1.0× median
99215Top 25%

Office/outpatient visit, high complexity

$176K

1,418 claims · 1.7%

Your Cost: $124.20/claim|Median: $74.09
1.7× median
90461Normal range

Immunization admin, additional vaccine, counseling

$160K

7,310 claims · 1.6%

Your Cost: $21.93/claim|Median: $6.93
3.2× median
G9153Normal range

$143K

3,090 claims · 1.4%

Your Cost: $46.29/claim|Median: $43.70
1.1× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$123K

15K claims · 1.2%

Your Cost: $8.28/claim|Median: $3.67
2.3× median
96110Normal range

Developmental screening, per standardized instrument

$48K

6,417 claims · 0.5%

Your Cost: $7.52/claim|Median: $9.10
0.8× median
92551Normal range

Screening audiometry, pure tone, air only

$42K

8,437 claims · 0.4%

Your Cost: $4.96/claim|Median: $6.61
0.7× median
96161Top 25%

$41K

6,166 claims · 0.4%

Your Cost: $6.70/claim|Median: $2.49
2.7× median
99188Normal range

$34K

2,078 claims · 0.3%

Your Cost: $16.60/claim|Median: $12.80
1.3× median
87430Normal range

$14K

1,032 claims · 0.1%

Your Cost: $13.09/claim|Median: $9.41
1.4× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$10K

724 claims · 0.1%

Your Cost: $14.39/claim|Median: $11.48
1.3× median
87804Normal range

Influenza virus detection, rapid test

$9K

582 claims · 0.1%

Your Cost: $15.27/claim|Median: $12.59
1.2× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$5K

200 claims · 0.1%

Your Cost: $27.34/claim|Median: $22.44
1.2× median
93010Normal range

Electrocardiogram, interpretation and report only

$3K

408 claims · 0.0%

Your Cost: $7.65/claim|Median: $5.60
1.4× median
94664Normal range

$3K

269 claims · 0.0%

Your Cost: $11.32/claim|Median: $8.88
1.3× median
96160Top 25%

Patient-focused health risk assessment

$2K

239 claims · 0.0%

Your Cost: $7.74/claim|Median: $2.10
3.7× median
90471Normal range

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

$1K

204 claims · 0.0%

Your Cost: $7.24/claim|Median: $9.80
0.7× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$1K

38 claims · 0.0%

Your Cost: $38.11/claim|Median: $37.22
1.0× median
36415Top 25%

Collection of venous blood by venipuncture

$1K

422 claims · 0.0%

Your Cost: $2.65/claim|Median: $1.57
1.7× median
99203Normal range

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

$990

14 claims · 0.0%

Your Cost: $70.72/claim|Median: $57.85
1.2× median
87400Normal range

$972

112 claims · 0.0%

Your Cost: $8.68/claim|Median: $8.40
1.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$416

110 claims · 0.0%

Your Cost: $3.78/claim|Median: $9.56
0.4× median
99051Normal range

$329

26 claims · 0.0%

Your Cost: $12.65/claim|Median: $7.89
1.6× median
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