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Provider 1285970780

NPI: 1285970780Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$17.3M

$17,344,747

Total Claims

639K

Beneficiaries

495K

1.3 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$960K
+64%
2019
$1.6M
+46%
2020
$2.3M
+69%
2021
$3.9M
-19%
2022
$3.1M
+2%
2023
$3.2M
-30%
2024
$2.2M

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 21% of total spending.

99214Normal range

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

$3.6M

68K claims · 20.6%

Your Cost: $52.07/claim|Median: $53.41
1.0× median
99213Normal range

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

$3.2M

86K claims · 18.4%

Your Cost: $36.87/claim|Median: $37.81
1.0× median
99203Normal range

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

$2.6M

48K claims · 14.8%

Your Cost: $52.99/claim|Median: $57.85
0.9× median
99204Normal range

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

$1.9M

23K claims · 10.7%

Your Cost: $79.89/claim|Median: $84.03
1.0× median
87426Normal range

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

$1.5M

54K claims · 8.8%

Your Cost: $28.15/claim|Median: $30.04
0.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$1.3M

32K claims · 7.6%

Your Cost: $40.49/claim|Median: $39.70
1.0× median
87634Normal range

$806K

16K claims · 4.6%

Your Cost: $49.40/claim|Median: $48.78
1.0× median
87804Normal range

Influenza virus detection, rapid test

$768K

82K claims · 4.4%

Your Cost: $9.32/claim|Median: $12.59
0.7× median
87428Normal range

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

$509K

10K claims · 2.9%

Your Cost: $48.86/claim|Median: $39.63
1.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$355K

37K claims · 2.0%

Your Cost: $9.60/claim|Median: $11.48
0.8× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$204K

2,948 claims · 1.2%

Your Cost: $69.27/claim|Median: $65.64
1.1× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$186K

1,819 claims · 1.1%

Your Cost: $102.00/claim|Median: $91.47
1.1× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$124K

4,914 claims · 0.7%

Your Cost: $25.23/claim|Median: $30.53
0.8× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$75K

2,705 claims · 0.4%

Your Cost: $27.70/claim|Median: $28.46
1.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$73K

35K claims · 0.4%

Your Cost: $2.11/claim|Median: $9.56
0.2× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$49K

81K claims · 0.3%

Your Cost: $0.60/claim|Median: $3.67
0.2× median
99215Normal range

Office/outpatient visit, high complexity

$27K

339 claims · 0.2%

Your Cost: $81.04/claim|Median: $74.09
1.1× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$23K

672 claims · 0.1%

Your Cost: $33.49/claim|Median: $40.11
0.8× median
87807Normal range

$18K

2,164 claims · 0.1%

Your Cost: $8.49/claim|Median: $10.06
0.8× median
81025Normal range

Urine pregnancy test

$16K

3,666 claims · 0.1%

Your Cost: $4.47/claim|Median: $4.81
0.9× median
J1100Normal range

$16K

20K claims · 0.1%

Your Cost: $0.82/claim|Median: $0.52
1.6× median
81003Normal range

Urinalysis, automated without microscopy

$15K

9,036 claims · 0.1%

Your Cost: $1.66/claim|Median: $1.48
1.1× median
10060Normal range

Incision and drainage of abscess, simple

$11K

198 claims · 0.1%

Your Cost: $54.55/claim|Median: $75.72
0.7× median
73610Normal range

X-ray of ankle, complete, minimum three views

$9K

534 claims · 0.0%

Your Cost: $16.23/claim|Median: $13.55
1.2× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$7K

422 claims · 0.0%

Your Cost: $16.81/claim|Median: $12.06
1.4× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$6K

105 claims · 0.0%

Your Cost: $55.35/claim|Median: $97.61
0.6× median
71046Normal range

Chest X-ray, 2 views

$5K

272 claims · 0.0%

Your Cost: $16.90/claim|Median: $8.92
1.9× median
94664Normal range

$4K

696 claims · 0.0%

Your Cost: $5.54/claim|Median: $8.88
0.6× median
G2023Normal range

Specimen collection for COVID-19 testing

$4K

1,132 claims · 0.0%

Your Cost: $3.32/claim|Median: $17.15
0.2× median
73130Normal range

$4K

212 claims · 0.0%

Your Cost: $16.68/claim|Median: $10.69
1.6× median
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