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Provider 1326278490

NPI: 1326278490Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.7M

$7,710,215

Total Claims

827K

Beneficiaries

790K

1.0 claims/patient

Avg Cost/Claim

$9

Monthly Spending Trend

Yearly Spending

2018
$516K
+22%
2019
$630K
+39%
2020
$873K
+38%
2021
$1.2M
+8%
2022
$1.3M
+41%
2023
$1.8M
-26%
2024
$1.4M

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 12% of total spending.

99214Normal range

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

$945K

44K claims · 12.3%

Your Cost: $21.58/claim|Median: $53.41
0.4× median
96156Normal range

$802K

67K claims · 10.4%

Your Cost: $11.94/claim|Median: $22.36
0.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$674K

32K claims · 8.7%

Your Cost: $21.20/claim|Median: $74.82
0.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$575K

27K claims · 7.5%

Your Cost: $21.12/claim|Median: $75.18
0.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$572K

23K claims · 7.4%

Your Cost: $24.94/claim|Median: $80.15
0.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$537K

15K claims · 7.0%

Your Cost: $36.07/claim|Median: $69.35
0.5× median
G9920Normal range

$477K

52K claims · 6.2%

Your Cost: $9.16/claim|Median: $6.56
1.4× median
96110Top 10%

Developmental screening, per standardized instrument

$416K

16K claims · 5.4%

Your Cost: $26.53/claim|Median: $9.10
2.9× median
92552Normal range

Pure tone audiometry, air only, each ear

$398K

67K claims · 5.2%

Your Cost: $5.95/claim|Median: $12.63
0.5× median
99213Normal range

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

$368K

33K claims · 4.8%

Your Cost: $11.00/claim|Median: $37.81
0.3× median
99381Top 25%

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

$269K

2,923 claims · 3.5%

Your Cost: $92.00/claim|Median: $73.46
1.3× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$173K

26K claims · 2.2%

Your Cost: $6.79/claim|Median: $12.70
0.5× median
90697Top 25%

$132K

5,152 claims · 1.7%

Your Cost: $25.57/claim|Median: $7.24
3.5× median
99383Normal range

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

$121K

3,194 claims · 1.6%

Your Cost: $38.04/claim|Median: $81.92
0.5× median
90651Normal range

HPV vaccine, 9-valent

$111K

13K claims · 1.4%

Your Cost: $8.23/claim|Median: $8.93
0.9× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$107K

23K claims · 1.4%

Your Cost: $4.70/claim|Median: $7.18
0.7× median
99384Normal range

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

$105K

2,054 claims · 1.4%

Your Cost: $51.26/claim|Median: $83.63
0.6× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$81K

45K claims · 1.0%

Your Cost: $1.78/claim|Median: $24.33
0.1× median
99382Normal range

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

$73K

1,834 claims · 1.0%

Your Cost: $39.94/claim|Median: $79.89
0.5× median
99395Normal range

Preventive medicine, established patient, age 18-39

$73K

3,845 claims · 0.9%

Your Cost: $18.87/claim|Median: $72.71
0.3× median
90670Normal range

$70K

14K claims · 0.9%

Your Cost: $4.97/claim|Median: $5.94
0.8× median
90633Normal range

$52K

13K claims · 0.7%

Your Cost: $4.17/claim|Median: $3.56
1.2× median
92551Normal range

Screening audiometry, pure tone, air only

$41K

9,973 claims · 0.5%

Your Cost: $4.06/claim|Median: $6.61
0.6× median
90744Normal range

$35K

6,612 claims · 0.5%

Your Cost: $5.33/claim|Median: $5.00
1.1× median
90698Normal range

$35K

6,135 claims · 0.5%

Your Cost: $5.66/claim|Median: $6.32
0.9× median
90700Normal range

$33K

8,339 claims · 0.4%

Your Cost: $3.95/claim|Median: $4.56
0.9× median
90681Normal range

$32K

5,308 claims · 0.4%

Your Cost: $5.97/claim|Median: $5.74
1.0× median
90715Normal range

Tdap vaccine

$31K

8,109 claims · 0.4%

Your Cost: $3.86/claim|Median: $10.32
0.4× median
90734Normal range

$30K

6,278 claims · 0.4%

Your Cost: $4.77/claim|Median: $6.40
0.7× median
90716Normal range

$30K

6,672 claims · 0.4%

Your Cost: $4.47/claim|Median: $6.18
0.7× median
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