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Provider 1326110909

NPI: 1326110909Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.6M

$16,627,562

Total Claims

811K

Beneficiaries

685K

1.2 claims/patient

Avg Cost/Claim

$21

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+3%
2019
$2.4M
-4%
2020
$2.3M
+12%
2021
$2.6M
-16%
2022
$2.2M
+18%
2023
$2.5M
-10%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99392 (Preventive medicine, established patient, age 1-4)) accounts for 24% of total spending.

99392Normal range

Preventive medicine, established patient, age 1-4

$4.1M

51K claims · 24.5%

Your Cost: $80.14/claim|Median: $75.18
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$3.8M

51K claims · 23.0%

Your Cost: $75.19/claim|Median: $69.35
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$2.2M

28K claims · 13.5%

Your Cost: $80.60/claim|Median: $74.82
1.1× median
90472Top 10%

Immunization administration, each additional vaccine

$1.8M

60K claims · 11.1%

Your Cost: $30.76/claim|Median: $11.79
2.6× median
90471Top 25%

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

$1.6M

90K claims · 9.4%

Your Cost: $17.22/claim|Median: $9.80
1.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$876K

10K claims · 5.3%

Your Cost: $84.16/claim|Median: $80.15
1.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$642K

27K claims · 3.9%

Your Cost: $24.18/claim|Median: $17.85
1.4× median
96110Normal range

Developmental screening, per standardized instrument

$473K

63K claims · 2.8%

Your Cost: $7.54/claim|Median: $9.10
0.8× median
90474Normal range

$213K

20K claims · 1.3%

Your Cost: $10.82/claim|Median: $8.42
1.3× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$209K

7,254 claims · 1.3%

Your Cost: $28.87/claim|Median: $57.30
0.5× median
99381Normal range

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

$125K

1,708 claims · 0.8%

Your Cost: $73.30/claim|Median: $73.46
1.0× median
96161Normal range

$102K

34K claims · 0.6%

Your Cost: $3.03/claim|Median: $2.49
1.2× median
83655Top 25%

$96K

7,549 claims · 0.6%

Your Cost: $12.71/claim|Median: $10.49
1.2× median
D1206Normal range

Topical application of fluoride varnish

$95K

7,520 claims · 0.6%

Your Cost: $12.68/claim|Median: $18.12
0.7× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$92K

26K claims · 0.6%

Your Cost: $3.48/claim|Median: $3.67
0.9× median
92551Normal range

Screening audiometry, pure tone, air only

$42K

46K claims · 0.3%

Your Cost: $0.92/claim|Median: $6.61
0.1× median
96160Normal range

Patient-focused health risk assessment

$20K

6,888 claims · 0.1%

Your Cost: $2.95/claim|Median: $2.10
1.4× median
85018Normal range

$18K

14K claims · 0.1%

Your Cost: $1.25/claim|Median: $1.71
0.7× median
99173Normal range

$14K

48K claims · 0.1%

Your Cost: $0.29/claim|Median: $2.16
0.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$13K

181 claims · 0.1%

Your Cost: $73.63/claim|Median: $72.71
1.0× median
99384Normal range

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

$8K

111 claims · 0.0%

Your Cost: $70.39/claim|Median: $83.63
0.8× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$6K

38K claims · 0.0%

Your Cost: $0.16/claim|Median: $7.18
0.0× median
90620Normal range

$5K

363 claims · 0.0%

Your Cost: $12.95/claim|Median: $6.49
2.0× median
93010Normal range

Electrocardiogram, interpretation and report only

$4K

1,608 claims · 0.0%

Your Cost: $2.67/claim|Median: $5.60
0.5× median
90651Normal range

HPV vaccine, 9-valent

$4K

1,268 claims · 0.0%

Your Cost: $3.17/claim|Median: $8.93
0.4× median
36415Normal range

Collection of venous blood by venipuncture

$3K

1,350 claims · 0.0%

Your Cost: $2.54/claim|Median: $1.57
1.6× median
90723Normal range

DTaP-HepB-IPV vaccine

$3K

32K claims · 0.0%

Your Cost: $0.10/claim|Median: $5.78
0.0× median
90734Normal range

$3K

1,129 claims · 0.0%

Your Cost: $2.34/claim|Median: $6.40
0.4× median
90633Normal range

$451

14K claims · 0.0%

Your Cost: $0.03/claim|Median: $3.56
0.0× median
90710Normal range

MMRV vaccine

$411

7,118 claims · 0.0%

Your Cost: $0.06/claim|Median: $7.00
0.0× median
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