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Provider 1306940580

NPI: 1306940580Share
Active Billing Period:2019-03→2024-12(66 months)

Total Paid

$8.7M

$8,705,217

Total Claims

180K

Beneficiaries

162K

1.1 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2019
$2K
+30818%
2020
$672K
+162%
2021
$1.8M
+15%
2022
$2.0M
+9%
2023
$2.2M
-8%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (S9083 (Global fee, urgent care centers)) accounts for 65% of total spending.

S9083Top 10%

Global fee, urgent care centers

$5.7M

40K claims · 64.9%

Your Cost: $140.20/claim|Median: $103.99
1.3× median
S9088Top 5%

Services provided in an urgent care center

$1.3M

12K claims · 14.5%

Your Cost: $108.57/claim|Median: $28.22
3.8× median
99213Normal range

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

$642K

18K claims · 7.4%

Your Cost: $34.95/claim|Median: $37.81
0.9× median
99214Normal range

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

$514K

17K claims · 5.9%

Your Cost: $30.98/claim|Median: $53.41
0.6× median
99203Normal range

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

$214K

5,834 claims · 2.5%

Your Cost: $36.71/claim|Median: $57.85
0.6× median
99204Normal range

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

$148K

3,766 claims · 1.7%

Your Cost: $39.25/claim|Median: $84.03
0.5× median
87428Normal range

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

$77K

10K claims · 0.9%

Your Cost: $7.64/claim|Median: $39.63
0.2× median
87426Normal range

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

$59K

6,167 claims · 0.7%

Your Cost: $9.50/claim|Median: $30.04
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$49K

2,442 claims · 0.6%

Your Cost: $20.04/claim|Median: $25.06
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$37K

852 claims · 0.4%

Your Cost: $43.27/claim|Median: $74.09
0.6× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$12K

1,173 claims · 0.1%

Your Cost: $10.33/claim|Median: $40.11
0.3× median
A6449Normal range

$9K

1,019 claims · 0.1%

Your Cost: $8.99/claim|Median: $5.88
1.5× median
86580Top 5%

Tuberculosis (TB) skin test

$8K

594 claims · 0.1%

Your Cost: $13.24/claim|Median: $4.46
3.0× median
71046Normal range

Chest X-ray, 2 views

$3K

3,937 claims · 0.0%

Your Cost: $0.89/claim|Median: $8.92
0.1× median
90471Normal range

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

$3K

330 claims · 0.0%

Your Cost: $10.42/claim|Median: $9.80
1.1× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$3K

199 claims · 0.0%

Your Cost: $14.66/claim|Median: $7.18
2.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$2K

44 claims · 0.0%

Your Cost: $50.25/claim|Median: $111.09
0.5× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$1K

11K claims · 0.0%

Your Cost: $0.12/claim|Median: $11.48
0.0× median
L3260Normal range

$1K

53 claims · 0.0%

Your Cost: $20.61/claim|Median: $16.57
1.2× median
L3908Normal range

$970

125 claims · 0.0%

Your Cost: $7.76/claim|Median: $35.79
0.2× median
J1885Top 10%

Injection, ketorolac tromethamine, fifteen milligrams

$900

132 claims · 0.0%

Your Cost: $6.82/claim|Median: $0.91
7.5× median
99058Normal range

$860

86 claims · 0.0%

Your Cost: $10.00/claim|Median: $15.38
0.7× median
J0696Normal range

$781

309 claims · 0.0%

Your Cost: $2.53/claim|Median: $1.34
1.9× median
81000Normal range

Urinalysis with microscopy, non-automated

$714

5,548 claims · 0.0%

Your Cost: $0.13/claim|Median: $2.51
0.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$626

1,043 claims · 0.0%

Your Cost: $0.60/claim|Median: $9.56
0.1× median
90715Normal range

Tdap vaccine

$588

53 claims · 0.0%

Your Cost: $11.10/claim|Median: $10.32
1.1× median
81002Normal range

Urinalysis, non-automated without microscopy

$478

5,169 claims · 0.0%

Your Cost: $0.09/claim|Median: $2.00
0.0× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$469

1,865 claims · 0.0%

Your Cost: $0.25/claim|Median: $9.70
0.0× median
73564Normal range

$442

792 claims · 0.0%

Your Cost: $0.56/claim|Median: $15.00
0.0× median
81025Normal range

Urine pregnancy test

$373

2,811 claims · 0.0%

Your Cost: $0.13/claim|Median: $4.81
0.0× median
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