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Provider 1336135821

NPI: 1336135821Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.6M

$8,589,551

Total Claims

343K

Beneficiaries

304K

1.1 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$138K
-20%
2019
$111K
+1287%
2020
$1.5M
+21%
2021
$1.9M
-7%
2022
$1.7M
+4%
2023
$1.8M
-20%
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 52% of total spending.

99214Top 25%

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

$4.5M

46K claims · 52.2%

Your Cost: $98.17/claim|Median: $53.41
1.8× median
99213Top 10%

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

$1.1M

14K claims · 12.8%

Your Cost: $81.09/claim|Median: $37.81
2.1× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$354K

3,037 claims · 4.1%

Your Cost: $116.60/claim|Median: $72.71
1.6× median
99396Top 10%

Preventive medicine, established patient, age 40-64

$332K

2,622 claims · 3.9%

Your Cost: $126.78/claim|Median: $76.06
1.7× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$216K

1,882 claims · 2.5%

Your Cost: $114.62/claim|Median: $80.15
1.4× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$207K

1,992 claims · 2.4%

Your Cost: $104.09/claim|Median: $74.82
1.4× median
99212Top 25%

Office/outpatient visit, low complexity

$144K

2,698 claims · 1.7%

Your Cost: $53.39/claim|Median: $25.06
2.1× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$141K

1,344 claims · 1.6%

Your Cost: $104.56/claim|Median: $75.18
1.4× median
82306Normal range

Vitamin D, 25 hydroxy

$110K

4,932 claims · 1.3%

Your Cost: $22.24/claim|Median: $18.18
1.2× median
92551Normal range

Screening audiometry, pure tone, air only

$106K

11K claims · 1.2%

Your Cost: $9.22/claim|Median: $6.61
1.4× median
80061Normal range

Lipid panel

$94K

7,856 claims · 1.1%

Your Cost: $11.98/claim|Median: $8.41
1.4× median
3008FTop 25%

$93K

44K claims · 1.1%

Your Cost: $2.11/claim|Median: $0.06
35.1× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$88K

6,172 claims · 1.0%

Your Cost: $14.28/claim|Median: $9.70
1.5× median
36415Top 25%

Collection of venous blood by venipuncture

$79K

27K claims · 0.9%

Your Cost: $2.96/claim|Median: $1.57
1.9× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$76K

797 claims · 0.9%

Your Cost: $95.02/claim|Median: $69.35
1.4× median
80053Normal range

Comprehensive metabolic panel

$70K

7,727 claims · 0.8%

Your Cost: $9.09/claim|Median: $7.24
1.3× median
90686Top 10%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$57K

2,902 claims · 0.7%

Your Cost: $19.60/claim|Median: $7.18
2.7× median
84443Normal range

Thyroid stimulating hormone (TSH)

$56K

4,416 claims · 0.6%

Your Cost: $12.59/claim|Median: $9.87
1.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$50K

7,546 claims · 0.6%

Your Cost: $6.68/claim|Median: $4.71
1.4× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$50K

6,148 claims · 0.6%

Your Cost: $8.06/claim|Median: $5.50
1.5× median
99051Normal range

$45K

7,612 claims · 0.5%

Your Cost: $5.93/claim|Median: $7.89
0.8× median
3044FTop 10%

$38K

6,715 claims · 0.4%

Your Cost: $5.70/claim|Median: $0.16
35.6× median
86703Normal range

$38K

3,013 claims · 0.4%

Your Cost: $12.63/claim|Median: $10.37
1.2× median
87899Top 25%

$37K

3,047 claims · 0.4%

Your Cost: $12.07/claim|Median: $7.65
1.6× median
3074FTop 10%

$37K

14K claims · 0.4%

Your Cost: $2.53/claim|Median: $0.11
23.0× median
87426Top 25%

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

$35K

894 claims · 0.4%

Your Cost: $39.30/claim|Median: $30.04
1.3× median
82570Normal range

$27K

5,650 claims · 0.3%

Your Cost: $4.76/claim|Median: $3.18
1.5× median
D1206Top 25%

Topical application of fluoride varnish

$23K

918 claims · 0.3%

Your Cost: $25.02/claim|Median: $18.12
1.4× median
G8427Top 10%

$23K

2,709 claims · 0.3%

Your Cost: $8.38/claim|Median: $0.02
418.9× median
96110Normal range

Developmental screening, per standardized instrument

$22K

2,685 claims · 0.3%

Your Cost: $8.26/claim|Median: $9.10
0.9× median
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