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Provider 1316102445

NPI: 1316102445Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.4M

$10,369,016

Total Claims

253K

Beneficiaries

238K

1.1 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$711K
+47%
2019
$1.0M
+18%
2020
$1.2M
+37%
2021
$1.7M
+13%
2022
$1.9M
+12%
2023
$2.2M
-25%
2024
$1.6M

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 67% of total spending.

99213Top 10%

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

$6.9M

97K claims · 66.9%

Your Cost: $71.23/claim|Median: $37.81
1.9× median
99212Top 25%

Office/outpatient visit, low complexity

$645K

14K claims · 6.2%

Your Cost: $44.65/claim|Median: $25.06
1.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$584K

6,717 claims · 5.6%

Your Cost: $86.93/claim|Median: $74.82
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$548K

6,233 claims · 5.3%

Your Cost: $87.96/claim|Median: $75.18
1.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$399K

4,235 claims · 3.9%

Your Cost: $94.28/claim|Median: $80.15
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$366K

4,426 claims · 3.5%

Your Cost: $82.62/claim|Median: $69.35
1.2× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$313K

29K claims · 3.0%

Your Cost: $10.62/claim|Median: $17.85
0.6× median
99203Top 25%

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

$227K

2,461 claims · 2.2%

Your Cost: $92.14/claim|Median: $57.85
1.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$76K

24K claims · 0.7%

Your Cost: $3.16/claim|Median: $11.48
0.3× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$70K

716 claims · 0.7%

Your Cost: $97.62/claim|Median: $72.71
1.3× median
99383Top 25%

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

$35K

355 claims · 0.3%

Your Cost: $98.46/claim|Median: $81.92
1.2× median
G0447Normal range

$24K

2,234 claims · 0.2%

Your Cost: $10.93/claim|Median: $5.19
2.1× median
99214Top 25%

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

$22K

226 claims · 0.2%

Your Cost: $98.67/claim|Median: $53.41
1.8× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$21K

2,869 claims · 0.2%

Your Cost: $7.25/claim|Median: $10.88
0.7× median
90651Normal range

HPV vaccine, 9-valent

$15K

1,766 claims · 0.1%

Your Cost: $8.71/claim|Median: $8.93
1.0× median
99384Top 25%

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

$15K

134 claims · 0.1%

Your Cost: $111.05/claim|Median: $83.63
1.3× median
99382Normal range

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

$9K

97 claims · 0.1%

Your Cost: $94.01/claim|Median: $79.89
1.2× median
36400Normal range

$9K

826 claims · 0.1%

Your Cost: $10.66/claim|Median: $10.86
1.0× median
87804Normal range

Influenza virus detection, rapid test

$7K

687 claims · 0.1%

Your Cost: $10.42/claim|Median: $12.59
0.8× median
90670Normal range

$7K

3,711 claims · 0.1%

Your Cost: $1.86/claim|Median: $5.94
0.3× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$7K

5,830 claims · 0.1%

Your Cost: $1.15/claim|Median: $7.18
0.2× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$6K

10K claims · 0.1%

Your Cost: $0.58/claim|Median: $12.70
0.0× median
90716Normal range

$4K

3,106 claims · 0.0%

Your Cost: $1.41/claim|Median: $6.18
0.2× median
90471Normal range

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

$3K

517 claims · 0.0%

Your Cost: $5.66/claim|Median: $9.80
0.6× median
90734Normal range

$3K

1,377 claims · 0.0%

Your Cost: $1.93/claim|Median: $6.40
0.3× median
90707Normal range

MMR vaccine

$3K

2,216 claims · 0.0%

Your Cost: $1.14/claim|Median: $5.76
0.2× median
90633Normal range

$2K

3,768 claims · 0.0%

Your Cost: $0.66/claim|Median: $3.56
0.2× median
87426Normal range

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

$2K

59 claims · 0.0%

Your Cost: $30.29/claim|Median: $30.04
1.0× median
36410Normal range

$2K

420 claims · 0.0%

Your Cost: $4.24/claim|Median: $5.72
0.7× median
90672Normal range

$2K

2,848 claims · 0.0%

Your Cost: $0.59/claim|Median: $3.59
0.2× median
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