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Provider 1326381039

NPI: 1326381039Share
Active Billing Period:2018-01→2022-08(25 months)
Billing appears to have stoppedLast active: 2022-08

Total Paid

$7.9M

$7,920,166

Total Claims

104K

Beneficiaries

100K

1.0 claims/patient

Avg Cost/Claim

$76

Monthly Spending Trend

Yearly Spending

2018
$4.1M
-5%
2019
$3.9M
-100%
2022
$0

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 46% of total spending.

99214Top 10%

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

$3.7M

34K claims · 46.1%

Your Cost: $106.62/claim|Median: $53.41
2.0× median
99204Top 10%

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

$2.5M

15K claims · 31.1%

Your Cost: $161.74/claim|Median: $84.03
1.9× median
99213Top 10%

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

$1.1M

15K claims · 13.4%

Your Cost: $71.39/claim|Median: $37.81
1.9× median
99203Top 10%

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

$224K

2,154 claims · 2.8%

Your Cost: $104.19/claim|Median: $57.85
1.8× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$73K

617 claims · 0.9%

Your Cost: $117.68/claim|Median: $72.71
1.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$59K

5,383 claims · 0.7%

Your Cost: $11.01/claim|Median: $11.48
1.0× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$46K

3,203 claims · 0.6%

Your Cost: $14.24/claim|Median: $9.56
1.5× median
99385Top 10%

Preventive visit, new patient, 18-39 yr

$45K

350 claims · 0.6%

Your Cost: $128.93/claim|Median: $76.22
1.7× median
99384Top 25%

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

$43K

312 claims · 0.5%

Your Cost: $136.73/claim|Median: $83.63
1.6× median
87804Normal range

Influenza virus detection, rapid test

$39K

3,528 claims · 0.5%

Your Cost: $11.13/claim|Median: $12.59
0.9× median
99383Top 25%

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

$36K

308 claims · 0.5%

Your Cost: $117.88/claim|Median: $81.92
1.4× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$35K

303 claims · 0.4%

Your Cost: $115.38/claim|Median: $80.15
1.4× median
99051Normal range

$32K

4,758 claims · 0.4%

Your Cost: $6.76/claim|Median: $7.89
0.9× median
99173Top 25%

$31K

4,269 claims · 0.4%

Your Cost: $7.25/claim|Median: $2.16
3.4× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$16K

150 claims · 0.2%

Your Cost: $105.60/claim|Median: $74.82
1.4× median
86580Normal range

Tuberculosis (TB) skin test

$11K

1,834 claims · 0.1%

Your Cost: $5.96/claim|Median: $4.46
1.3× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$8K

504 claims · 0.1%

Your Cost: $15.09/claim|Median: $9.70
1.6× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$7K

834 claims · 0.1%

Your Cost: $8.24/claim|Median: $10.88
0.8× median
69210Normal range

$6K

234 claims · 0.1%

Your Cost: $27.58/claim|Median: $21.74
1.3× median
81025Normal range

Urine pregnancy test

$6K

1,133 claims · 0.1%

Your Cost: $5.67/claim|Median: $4.81
1.2× median
99382Top 25%

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

$6K

49 claims · 0.1%

Your Cost: $113.98/claim|Median: $79.89
1.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$5K

832 claims · 0.1%

Your Cost: $6.38/claim|Median: $7.18
0.9× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$5K

215 claims · 0.1%

Your Cost: $21.62/claim|Median: $17.85
1.2× median
71046Top 25%

Chest X-ray, 2 views

$3K

159 claims · 0.0%

Your Cost: $18.12/claim|Median: $8.92
2.0× median
90715Normal range

Tdap vaccine

$3K

179 claims · 0.0%

Your Cost: $15.20/claim|Median: $10.32
1.5× median
36415Top 25%

Collection of venous blood by venipuncture

$2K

811 claims · 0.0%

Your Cost: $3.00/claim|Median: $1.57
1.9× median
85014Normal range

$2K

730 claims · 0.0%

Your Cost: $2.20/claim|Median: $1.38
1.6× median
S0630Top 1%

$500

13 claims · 0.0%

Your Cost: $38.46/claim|Median: $1.04
37.0× median
J3301Top 25%

Injection, triamcinolone acetonide, per ten milligrams

$372

63 claims · 0.0%

Your Cost: $5.90/claim|Median: $2.91
2.0× median
J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

$350

276 claims · 0.0%

Your Cost: $1.27/claim|Median: $0.91
1.4× median
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