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Provider 1285795773

NPI: 1285795773Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$7.9M

$7,864,319

Total Claims

169K

Beneficiaries

156K

1.1 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$677K
-15%
2019
$579K
+98%
2020
$1.1M
+13%
2021
$1.3M
-13%
2022
$1.1M
+26%
2023
$1.4M
+16%
2024
$1.6M

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 46% of total spending.

99214Normal range

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

$3.6M

48K claims · 46.0%

Your Cost: $74.55/claim|Median: $53.41
1.4× median
G2012Top 1%

Brief communication technology-based service

$670K

15K claims · 8.5%

Your Cost: $45.74/claim|Median: $8.79
5.2× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$518K

4,342 claims · 6.6%

Your Cost: $119.38/claim|Median: $76.06
1.6× median
96156Top 25%

$518K

7,208 claims · 6.6%

Your Cost: $71.88/claim|Median: $22.36
3.2× median
99204Top 5%

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

$370K

1,821 claims · 4.7%

Your Cost: $203.11/claim|Median: $84.03
2.4× median
99215Top 25%

Office/outpatient visit, high complexity

$247K

2,239 claims · 3.1%

Your Cost: $110.36/claim|Median: $74.09
1.5× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$227K

2,100 claims · 2.9%

Your Cost: $108.30/claim|Median: $72.71
1.5× median
99212Normal range

Office/outpatient visit, low complexity

$226K

6,241 claims · 2.9%

Your Cost: $36.16/claim|Median: $25.06
1.4× median
G9920Top 25%

$172K

6,043 claims · 2.2%

Your Cost: $28.49/claim|Median: $6.56
4.3× median
G8510Top 5%

$142K

9,306 claims · 1.8%

Your Cost: $15.24/claim|Median: $1.96
7.8× median
99213Top 25%

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

$138K

2,501 claims · 1.8%

Your Cost: $55.16/claim|Median: $37.81
1.5× median
99394Normal range

Preventive medicine, established patient, age 12-17

$136K

2,239 claims · 1.7%

Your Cost: $60.52/claim|Median: $80.15
0.8× median
92551Top 25%

Screening audiometry, pure tone, air only

$78K

6,742 claims · 1.0%

Your Cost: $11.60/claim|Median: $6.61
1.8× median
99384Top 25%

Preventive visit, new patient, adolescent (12-17 yr)

$72K

539 claims · 0.9%

Your Cost: $133.97/claim|Median: $83.63
1.6× median
99393Normal range

Preventive medicine, established patient, age 5-11

$72K

1,448 claims · 0.9%

Your Cost: $49.78/claim|Median: $74.82
0.7× median
99386Top 10%

Preventive visit, new patient, 40-64 yr

$63K

417 claims · 0.8%

Your Cost: $150.57/claim|Median: $87.82
1.7× median
99385Top 10%

Preventive visit, new patient, 18-39 yr

$58K

430 claims · 0.7%

Your Cost: $135.49/claim|Median: $76.22
1.8× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$54K

4,447 claims · 0.7%

Your Cost: $12.06/claim|Median: $3.67
3.3× median
99383Top 10%

Preventive visit, new patient, late childhood (5-11 yr)

$51K

414 claims · 0.6%

Your Cost: $122.61/claim|Median: $81.92
1.5× median
G0442Normal range

$51K

4,760 claims · 0.6%

Your Cost: $10.64/claim|Median: $4.91
2.2× median
96151Top 25%

Health behavior reassessment

$45K

1,547 claims · 0.6%

Your Cost: $28.77/claim|Median: $15.43
1.9× median
99397Top 5%

$38K

286 claims · 0.5%

Your Cost: $131.20/claim|Median: $22.92
5.7× median
G2023Top 5%

Specimen collection for COVID-19 testing

$30K

872 claims · 0.4%

Your Cost: $34.27/claim|Median: $17.15
2.0× median
93000Top 1%

Electrocardiogram, complete, with interpretation and report

$27K

624 claims · 0.3%

Your Cost: $43.91/claim|Median: $9.70
4.5× median
99000Normal range

$22K

4,865 claims · 0.3%

Your Cost: $4.46/claim|Median: $2.30
1.9× median
81000Normal range

Urinalysis with microscopy, non-automated

$14K

5,324 claims · 0.2%

Your Cost: $2.70/claim|Median: $2.51
1.1× median
92081Normal range

$14K

782 claims · 0.2%

Your Cost: $17.36/claim|Median: $11.63
1.5× median
90716Normal range

$12K

1,345 claims · 0.2%

Your Cost: $8.92/claim|Median: $6.18
1.4× median
99382Top 10%

Preventive visit, new patient, early childhood (1-4 yr)

$11K

93 claims · 0.1%

Your Cost: $120.05/claim|Median: $79.89
1.5× median
99406Top 5%

$11K

436 claims · 0.1%

Your Cost: $25.55/claim|Median: $6.53
3.9× median
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