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Provider 1326364100

NPI: 1326364100Share
Active Billing Period:2018-12→2024-12(73 months)

Total Paid

$16.4M

$16,445,758

Total Claims

480K

Beneficiaries

394K

1.2 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$8K
+5634%
2019
$439K
+49%
2020
$655K
+257%
2021
$2.3M
+72%
2022
$4.0M
+27%
2023
$5.1M
-24%
2024
$3.9M

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 35% of total spending.

99214Normal range

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

$5.7M

90K claims · 34.6%

Your Cost: $62.85/claim|Median: $53.41
1.2× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$3.0M

94K claims · 18.1%

Your Cost: $31.63/claim|Median: $30.53
1.0× median
99204Normal range

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

$2.4M

28K claims · 14.8%

Your Cost: $86.62/claim|Median: $84.03
1.0× median
99213Normal range

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

$1.7M

41K claims · 10.5%

Your Cost: $42.34/claim|Median: $37.81
1.1× median
87804Normal range

Influenza virus detection, rapid test

$1.2M

123K claims · 7.1%

Your Cost: $9.46/claim|Median: $12.59
0.8× median
99203Normal range

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

$1.0M

18K claims · 6.3%

Your Cost: $57.59/claim|Median: $57.85
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$489K

52K claims · 3.0%

Your Cost: $9.47/claim|Median: $11.48
0.8× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$376K

3,754 claims · 2.3%

Your Cost: $100.26/claim|Median: $97.61
1.0× median
87426Top 5%

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

$341K

7,200 claims · 2.1%

Your Cost: $47.40/claim|Median: $30.04
1.6× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$92K

2,148 claims · 0.6%

Your Cost: $42.82/claim|Median: $40.11
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$32K

1,238 claims · 0.2%

Your Cost: $25.49/claim|Median: $25.06
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$21K

255 claims · 0.1%

Your Cost: $82.16/claim|Median: $74.09
1.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$19K

159 claims · 0.1%

Your Cost: $119.56/claim|Median: $111.09
1.1× median
87428Normal range

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

$14K

313 claims · 0.1%

Your Cost: $43.92/claim|Median: $39.63
1.1× median
87807Normal range

$12K

1,491 claims · 0.1%

Your Cost: $8.00/claim|Median: $10.06
0.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$9K

761 claims · 0.1%

Your Cost: $11.79/claim|Median: $9.56
1.2× median
99211Normal range

Office/outpatient visit, minimal complexity

$5K

415 claims · 0.0%

Your Cost: $12.95/claim|Median: $12.93
1.0× median
81003Normal range

Urinalysis, automated without microscopy

$5K

3,429 claims · 0.0%

Your Cost: $1.34/claim|Median: $1.48
0.9× median
U0003Top 10%

Infectious disease detection (COVID-19)

$2K

20 claims · 0.0%

Your Cost: $95.00/claim|Median: $63.08
1.5× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$2K

47 claims · 0.0%

Your Cost: $37.45/claim|Median: $33.85
1.1× median
0011ATop 25%

COVID-19 vaccine admin, Moderna, 1st dose

$2K

43 claims · 0.0%

Your Cost: $39.07/claim|Median: $25.93
1.5× median
81002Normal range

Urinalysis, non-automated without microscopy

$1K

666 claims · 0.0%

Your Cost: $1.92/claim|Median: $2.00
1.0× median
81025Normal range

Urine pregnancy test

$706

142 claims · 0.0%

Your Cost: $4.97/claim|Median: $4.81
1.0× median
86308Normal range

$359

127 claims · 0.0%

Your Cost: $2.83/claim|Median: $3.84
0.7× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$351

13 claims · 0.0%

Your Cost: $27.00/claim|Median: $27.38
1.0× median
71046Normal range

Chest X-ray, 2 views

$222

17 claims · 0.0%

Your Cost: $13.08/claim|Median: $8.92
1.5× median
99051Normal range

$125

13 claims · 0.0%

Your Cost: $9.60/claim|Median: $7.89
1.2× median
J1100Normal range

$106

101 claims · 0.0%

Your Cost: $1.04/claim|Median: $0.52
2.0× median
J0696Normal range

$66

43 claims · 0.0%

Your Cost: $1.54/claim|Median: $1.34
1.1× median
J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

$19

21 claims · 0.0%

Your Cost: $0.93/claim|Median: $0.91
1.0× median
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