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Provider 1306992136

NPI: 1306992136Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.4M

$8,380,475

Total Claims

240K

Beneficiaries

221K

1.1 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$898K
+81%
2019
$1.6M
-7%
2020
$1.5M
-14%
2021
$1.3M
-23%
2022
$1.0M
+12%
2023
$1.1M
-24%
2024
$860K

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 24% of total spending.

99213Top 25%

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

$2.0M

36K claims · 23.8%

Your Cost: $55.73/claim|Median: $37.81
1.5× median
99214Top 25%

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

$1.4M

17K claims · 16.6%

Your Cost: $81.61/claim|Median: $53.41
1.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.3M

17K claims · 15.2%

Your Cost: $76.23/claim|Median: $75.18
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.2M

18K claims · 14.7%

Your Cost: $68.00/claim|Median: $69.35
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$887K

12K claims · 10.6%

Your Cost: $73.78/claim|Median: $74.82
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$436K

5,382 claims · 5.2%

Your Cost: $80.94/claim|Median: $80.15
1.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$162K

13K claims · 1.9%

Your Cost: $12.06/claim|Median: $7.18
1.7× median
92551Top 25%

Screening audiometry, pure tone, air only

$111K

10K claims · 1.3%

Your Cost: $10.78/claim|Median: $6.61
1.6× median
90670Top 25%

$108K

6,297 claims · 1.3%

Your Cost: $17.17/claim|Median: $5.94
2.9× median
96110Normal range

Developmental screening, per standardized instrument

$89K

9,640 claims · 1.1%

Your Cost: $9.25/claim|Median: $9.10
1.0× median
90698Top 25%

$86K

6,140 claims · 1.0%

Your Cost: $14.00/claim|Median: $6.32
2.2× median
96161Normal range

$65K

29K claims · 0.8%

Your Cost: $2.26/claim|Median: $2.49
0.9× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$62K

12K claims · 0.7%

Your Cost: $5.30/claim|Median: $3.67
1.4× median
99212Normal range

Office/outpatient visit, low complexity

$61K

1,964 claims · 0.7%

Your Cost: $31.16/claim|Median: $25.06
1.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$52K

342 claims · 0.6%

Your Cost: $152.25/claim|Median: $111.09
1.4× median
99381Normal range

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

$51K

679 claims · 0.6%

Your Cost: $75.58/claim|Median: $73.46
1.0× median
90651Top 25%

HPV vaccine, 9-valent

$37K

1,600 claims · 0.4%

Your Cost: $22.98/claim|Median: $8.93
2.6× median
90680Top 25%

$35K

2,506 claims · 0.4%

Your Cost: $13.81/claim|Median: $5.58
2.5× median
99188Top 25%

$32K

1,379 claims · 0.4%

Your Cost: $22.88/claim|Median: $12.80
1.8× median
99215Top 25%

Office/outpatient visit, high complexity

$31K

266 claims · 0.4%

Your Cost: $115.97/claim|Median: $74.09
1.6× median
90633Top 25%

$28K

2,350 claims · 0.3%

Your Cost: $11.89/claim|Median: $3.56
3.3× median
96160Normal range

Patient-focused health risk assessment

$23K

9,715 claims · 0.3%

Your Cost: $2.41/claim|Median: $2.10
1.1× median
90744Top 25%

$22K

1,925 claims · 0.3%

Your Cost: $11.46/claim|Median: $5.00
2.3× median
99417Normal range

$19K

344 claims · 0.2%

Your Cost: $54.44/claim|Median: $34.90
1.6× median
99199Top 25%

Unlisted special service, procedure, or report

$15K

2,102 claims · 0.2%

Your Cost: $7.35/claim|Median: $5.39
1.4× median
99173Normal range

$11K

4,398 claims · 0.1%

Your Cost: $2.61/claim|Median: $2.16
1.2× median
90734Top 25%

$8K

412 claims · 0.1%

Your Cost: $20.06/claim|Median: $6.40
3.1× median
90672Top 25%

$6K

541 claims · 0.1%

Your Cost: $11.41/claim|Median: $3.59
3.2× median
99174Normal range

$5K

898 claims · 0.1%

Your Cost: $5.40/claim|Median: $5.27
1.0× median
U0003Normal range

Infectious disease detection (COVID-19)

$5K

66 claims · 0.1%

Your Cost: $69.41/claim|Median: $63.08
1.1× median
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