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Provider 1316018781

NPI: 1316018781Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.2M

$9,193,732

Total Claims

250K

Beneficiaries

212K

1.2 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$489K
+119%
2019
$1.1M
+4%
2020
$1.1M
+24%
2021
$1.4M
+23%
2022
$1.7M
+10%
2023
$1.9M
-21%
2024
$1.5M

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 36% of total spending.

99214Top 25%

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

$3.3M

43K claims · 35.5%

Your Cost: $75.74/claim|Median: $53.41
1.4× median
99213Normal range

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

$2.2M

42K claims · 23.4%

Your Cost: $51.73/claim|Median: $37.81
1.4× median
99203Normal range

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

$1.0M

14K claims · 11.2%

Your Cost: $72.90/claim|Median: $57.85
1.3× median
87426Normal range

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

$643K

23K claims · 7.0%

Your Cost: $28.37/claim|Median: $30.04
0.9× median
99204Normal range

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

$639K

5,885 claims · 6.9%

Your Cost: $108.50/claim|Median: $84.03
1.3× median
87804Normal range

Influenza virus detection, rapid test

$541K

34K claims · 5.9%

Your Cost: $15.82/claim|Median: $12.59
1.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$227K

18K claims · 2.5%

Your Cost: $12.30/claim|Median: $11.48
1.1× median
87428Normal range

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

$109K

2,376 claims · 1.2%

Your Cost: $45.85/claim|Median: $39.63
1.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$93K

7,996 claims · 1.0%

Your Cost: $11.67/claim|Median: $9.56
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$71K

732 claims · 0.8%

Your Cost: $97.28/claim|Median: $74.09
1.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$63K

9,797 claims · 0.7%

Your Cost: $6.40/claim|Median: $4.71
1.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$44K

530 claims · 0.5%

Your Cost: $83.51/claim|Median: $80.15
1.0× median
80053Normal range

Comprehensive metabolic panel

$36K

5,241 claims · 0.4%

Your Cost: $6.78/claim|Median: $7.24
0.9× median
80061Normal range

Lipid panel

$27K

2,987 claims · 0.3%

Your Cost: $8.99/claim|Median: $8.41
1.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$26K

318 claims · 0.3%

Your Cost: $81.21/claim|Median: $72.71
1.1× median
99384Normal range

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

$22K

230 claims · 0.2%

Your Cost: $96.11/claim|Median: $83.63
1.1× median
80048Normal range

Basic metabolic panel

$19K

2,436 claims · 0.2%

Your Cost: $7.86/claim|Median: $5.78
1.4× median
81003Normal range

Urinalysis, automated without microscopy

$16K

12K claims · 0.2%

Your Cost: $1.37/claim|Median: $1.48
0.9× median
99308Normal range

Nursing facility care, subsequent, straightforward

$15K

4,501 claims · 0.2%

Your Cost: $3.39/claim|Median: $9.79
0.3× median
99383Normal range

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

$15K

176 claims · 0.2%

Your Cost: $83.26/claim|Median: $81.92
1.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$14K

280 claims · 0.2%

Your Cost: $50.12/claim|Median: $40.11
1.2× median
36415Normal range

Collection of venous blood by venipuncture

$13K

8,019 claims · 0.1%

Your Cost: $1.58/claim|Median: $1.57
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$12K

354 claims · 0.1%

Your Cost: $33.25/claim|Median: $25.06
1.3× median
87807Top 25%

$11K

897 claims · 0.1%

Your Cost: $12.23/claim|Median: $10.06
1.2× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$10K

1,660 claims · 0.1%

Your Cost: $6.32/claim|Median: $5.50
1.1× median
71046Top 25%

Chest X-ray, 2 views

$9K

452 claims · 0.1%

Your Cost: $19.04/claim|Median: $8.92
2.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$7K

108 claims · 0.1%

Your Cost: $68.69/claim|Median: $74.82
0.9× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$6K

187 claims · 0.1%

Your Cost: $33.56/claim|Median: $25.93
1.3× median
81025Normal range

Urine pregnancy test

$6K

957 claims · 0.1%

Your Cost: $6.50/claim|Median: $4.81
1.4× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$6K

175 claims · 0.1%

Your Cost: $34.56/claim|Median: $33.85
1.0× median
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