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Provider 1326066796

NPI: 1326066796Share
Active Billing Period:2018-01→2024-12(80 months)

Total Paid

$8.8M

$8,777,313

Total Claims

52K

Beneficiaries

43K

1.2 claims/patient

Avg Cost/Claim

$168

Monthly Spending Trend

Yearly Spending

2018
$122K
-24%
2019
$92K
-83%
2020
$15K
+11892%
2021
$1.8M
+26%
2022
$2.3M
-2%
2023
$2.3M
-4%
2024
$2.2M

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 41% of total spending.

99213Top 1%

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

$3.6M

7,885 claims · 41.5%

Your Cost: $461.68/claim|Median: $37.81
12.2× median
99212Top 1%

Office/outpatient visit, low complexity

$1.7M

3,590 claims · 19.0%

Your Cost: $463.46/claim|Median: $25.06
18.5× median
99214Top 1%

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

$1.3M

2,621 claims · 15.2%

Your Cost: $508.78/claim|Median: $53.41
9.5× median
99211Top 1%

Office/outpatient visit, minimal complexity

$707K

2,039 claims · 8.1%

Your Cost: $346.60/claim|Median: $12.93
26.8× median
90832Top 1%

Psychotherapy, 30 minutes

$336K

547 claims · 3.8%

Your Cost: $613.51/claim|Median: $41.28
14.9× median
D1206Top 1%

Topical application of fluoride varnish

$129K

622 claims · 1.5%

Your Cost: $207.52/claim|Median: $18.12
11.5× median
S0215Top 10%

Non-invasive prenatal screening, fetal chromosomal abnormalities

$127K

1,086 claims · 1.4%

Your Cost: $116.78/claim|Median: $21.33
5.5× median
D0140Top 1%

Limited oral evaluation, problem focused

$109K

477 claims · 1.2%

Your Cost: $228.90/claim|Median: $27.07
8.5× median
81003Top 1%

Urinalysis, automated without microscopy

$101K

2,408 claims · 1.1%

Your Cost: $41.80/claim|Median: $1.48
28.2× median
90471Top 1%

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

$90K

182 claims · 1.0%

Your Cost: $493.44/claim|Median: $9.80
50.4× median
W0037Normal range

$55K

3,044 claims · 0.6%

Your Cost: $17.92/claim|Median: $3.00
6.0× median
D1120Top 1%

Prophylaxis, adult

$46K

229 claims · 0.5%

Your Cost: $202.21/claim|Median: $33.86
6.0× median
0054ATop 5%

$40K

66 claims · 0.5%

Your Cost: $601.21/claim|Median: $35.83
16.8× median
0011ATop 1%

COVID-19 vaccine admin, Moderna, 1st dose

$34K

75 claims · 0.4%

Your Cost: $449.80/claim|Median: $25.93
17.3× median
99394Top 1%

Preventive medicine, established patient, age 12-17

$27K

45 claims · 0.3%

Your Cost: $608.78/claim|Median: $80.15
7.6× median
0064ATop 1%

$26K

54 claims · 0.3%

Your Cost: $485.93/claim|Median: $34.17
14.2× median
0001ATop 1%

COVID-19 vaccine admin, Pfizer, 1st dose

$22K

56 claims · 0.3%

Your Cost: $398.52/claim|Median: $33.72
11.8× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$22K

43 claims · 0.3%

Your Cost: $511.58/claim|Median: $74.82
6.8× median
0071ATop 1%

$22K

52 claims · 0.2%

Your Cost: $421.83/claim|Median: $38.71
10.9× median
0002ATop 1%

COVID-19 vaccine admin, Pfizer, 2nd dose

$21K

53 claims · 0.2%

Your Cost: $401.49/claim|Median: $36.70
10.9× median
0072ATop 1%

$19K

32 claims · 0.2%

Your Cost: $600.00/claim|Median: $39.57
15.2× median
0012ATop 1%

COVID-19 vaccine admin, Moderna, 2nd dose

$19K

37 claims · 0.2%

Your Cost: $504.97/claim|Median: $33.85
14.9× median
99506Top 10%

$18K

48 claims · 0.2%

Your Cost: $370.50/claim|Median: $114.25
3.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$16K

4,975 claims · 0.2%

Your Cost: $3.30/claim|Median: $39.70
0.1× median
0052ATop 5%

$14K

28 claims · 0.2%

Your Cost: $502.86/claim|Median: $37.79
13.3× median
0074ATop 1%

$13K

20 claims · 0.1%

Your Cost: $640.00/claim|Median: $39.19
16.3× median
D0150Top 5%

Comprehensive oral evaluation, new or established patient

$13K

169 claims · 0.1%

Your Cost: $74.91/claim|Median: $32.07
2.3× median
A0120Normal range

Non-emergency mini-bus transport

$12K

1,631 claims · 0.1%

Your Cost: $7.21/claim|Median: $16.09
0.4× median
D7140Top 1%

Extraction, erupted tooth or exposed root

$11K

34 claims · 0.1%

Your Cost: $335.59/claim|Median: $57.39
5.8× median
96127Top 1%

Brief emotional/behavioral assessment, per standardized instrument

$10K

45 claims · 0.1%

Your Cost: $228.80/claim|Median: $3.67
62.3× median
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