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Provider 1295395911

NPI: 1295395911Share
Active Billing Period:2020-03→2024-12(58 months)

Total Paid

$8.1M

$8,136,820

Total Claims

351K

Beneficiaries

294K

1.2 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2020
$150K
+540%
2021
$960K
+85%
2022
$1.8M
+22%
2023
$2.2M
+41%
2024
$3.1M

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 27% of total spending.

99213Normal range

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

$2.2M

61K claims · 27.3%

Your Cost: $36.29/claim|Median: $37.81
1.0× median
99214Normal range

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

$959K

19K claims · 11.8%

Your Cost: $50.33/claim|Median: $53.41
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$540K

7,464 claims · 6.6%

Your Cost: $72.37/claim|Median: $69.35
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$524K

7,052 claims · 6.4%

Your Cost: $74.33/claim|Median: $75.18
1.0× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$508K

11K claims · 6.2%

Your Cost: $45.23/claim|Median: $23.99
1.9× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$475K

41K claims · 5.8%

Your Cost: $11.57/claim|Median: $17.85
0.6× median
87426Top 25%

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

$427K

11K claims · 5.2%

Your Cost: $40.62/claim|Median: $30.04
1.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$344K

26K claims · 4.2%

Your Cost: $13.09/claim|Median: $11.48
1.1× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$288K

10K claims · 3.5%

Your Cost: $28.18/claim|Median: $28.46
1.0× median
99203Normal range

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

$267K

4,450 claims · 3.3%

Your Cost: $59.97/claim|Median: $57.85
1.0× median
87804Normal range

Influenza virus detection, rapid test

$240K

18K claims · 2.9%

Your Cost: $13.27/claim|Median: $12.59
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$219K

2,855 claims · 2.7%

Your Cost: $76.80/claim|Median: $74.82
1.0× median
96112Normal range

Developmental test administration

$166K

1,658 claims · 2.0%

Your Cost: $100.08/claim|Median: $102.95
1.0× median
96110Normal range

Developmental screening, per standardized instrument

$148K

19K claims · 1.8%

Your Cost: $7.84/claim|Median: $9.10
0.9× median
99204Normal range

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

$106K

1,202 claims · 1.3%

Your Cost: $88.29/claim|Median: $84.03
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$96K

1,232 claims · 1.2%

Your Cost: $78.30/claim|Median: $80.15
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$79K

13K claims · 1.0%

Your Cost: $6.17/claim|Median: $4.71
1.3× median
87807Normal range

$69K

6,603 claims · 0.9%

Your Cost: $10.49/claim|Median: $10.06
1.0× median
87428Top 10%

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

$68K

1,003 claims · 0.8%

Your Cost: $68.29/claim|Median: $39.63
1.7× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$58K

734 claims · 0.7%

Your Cost: $79.04/claim|Median: $73.46
1.1× median
99383Normal range

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

$41K

465 claims · 0.5%

Your Cost: $87.24/claim|Median: $81.92
1.1× median
99000Top 25%

$35K

5,401 claims · 0.4%

Your Cost: $6.48/claim|Median: $2.30
2.8× median
83655Normal range

$32K

3,248 claims · 0.4%

Your Cost: $9.89/claim|Median: $10.49
0.9× median
92558Normal range

$31K

7,529 claims · 0.4%

Your Cost: $4.16/claim|Median: $6.67
0.6× median
90461Normal range

Immunization admin, additional vaccine, counseling

$23K

3,597 claims · 0.3%

Your Cost: $6.52/claim|Median: $6.93
0.9× median
80061Normal range

Lipid panel

$22K

2,181 claims · 0.3%

Your Cost: $9.99/claim|Median: $8.41
1.2× median
CP002Normal range

$21K

2,191 claims · 0.3%

Your Cost: $9.59/claim|Median: $9.76
1.0× median
99382Normal range

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

$19K

212 claims · 0.2%

Your Cost: $88.16/claim|Median: $79.89
1.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$19K

1,625 claims · 0.2%

Your Cost: $11.49/claim|Median: $9.56
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$16K

682 claims · 0.2%

Your Cost: $23.99/claim|Median: $25.06
1.0× median
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