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Provider 1336167196

NPI: 1336167196Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.2M

$12,238,667

Total Claims

191K

Beneficiaries

170K

1.1 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+28%
2019
$1.5M
+67%
2020
$2.5M
-12%
2021
$2.2M
-36%
2022
$1.4M
+48%
2023
$2.1M
-36%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 27% of total spending.

99213Top 5%

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

$3.3M

28K claims · 27.2%

Your Cost: $116.83/claim|Median: $37.81
3.1× median
99391Top 1%

Preventive medicine, established patient, infant (under 1)

$2.2M

9,959 claims · 18.4%

Your Cost: $225.71/claim|Median: $69.35
3.3× median
99392Top 1%

Preventive medicine, established patient, age 1-4

$1.9M

8,052 claims · 15.3%

Your Cost: $233.22/claim|Median: $75.18
3.1× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$1.4M

5,964 claims · 11.4%

Your Cost: $234.93/claim|Median: $74.82
3.1× median
99394Top 1%

Preventive medicine, established patient, age 12-17

$972K

4,093 claims · 7.9%

Your Cost: $237.48/claim|Median: $80.15
3.0× median
99214Top 1%

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

$895K

4,398 claims · 7.3%

Your Cost: $203.43/claim|Median: $53.41
3.8× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$352K

6,711 claims · 2.9%

Your Cost: $52.50/claim|Median: $41.92
1.3× median
G9008Normal range

Coordination of long-term care services, per month

$146K

3,349 claims · 1.2%

Your Cost: $43.59/claim|Median: $66.78
0.7× median
99205Top 10%

Office/outpatient visit, new patient, high complexity

$135K

614 claims · 1.1%

Your Cost: $219.60/claim|Median: $111.09
2.0× median
99203Top 25%

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

$69K

862 claims · 0.6%

Your Cost: $80.09/claim|Median: $57.85
1.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$67K

9,347 claims · 0.5%

Your Cost: $7.14/claim|Median: $7.18
1.0× median
90670Normal range

$59K

8,008 claims · 0.5%

Your Cost: $7.34/claim|Median: $5.94
1.2× median
99401Normal range

$55K

4,779 claims · 0.4%

Your Cost: $11.49/claim|Median: $16.53
0.7× median
96110Normal range

Developmental screening, per standardized instrument

$51K

4,886 claims · 0.4%

Your Cost: $10.34/claim|Median: $9.10
1.1× median
92551Normal range

Screening audiometry, pure tone, air only

$49K

11K claims · 0.4%

Your Cost: $4.48/claim|Median: $6.61
0.7× median
S4993Normal range

$49K

3,474 claims · 0.4%

Your Cost: $14.03/claim|Median: $46.61
0.3× median
99173Normal range

$45K

13K claims · 0.4%

Your Cost: $3.54/claim|Median: $2.16
1.6× median
90698Normal range

$41K

5,743 claims · 0.3%

Your Cost: $7.07/claim|Median: $6.32
1.1× median
G9004Normal range

$36K

724 claims · 0.3%

Your Cost: $49.77/claim|Median: $55.49
0.9× median
90680Normal range

$32K

4,362 claims · 0.3%

Your Cost: $7.23/claim|Median: $5.58
1.3× median
90744Normal range

$25K

3,625 claims · 0.2%

Your Cost: $6.91/claim|Median: $5.00
1.4× median
90633Normal range

$24K

3,326 claims · 0.2%

Your Cost: $7.27/claim|Median: $3.56
2.0× median
90651Normal range

HPV vaccine, 9-valent

$22K

2,797 claims · 0.2%

Your Cost: $7.90/claim|Median: $8.93
0.9× median
99381Top 1%

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

$21K

95 claims · 0.2%

Your Cost: $221.45/claim|Median: $73.46
3.0× median
T1017Normal range

Targeted case management, per 15 min

$19K

532 claims · 0.2%

Your Cost: $35.76/claim|Median: $69.56
0.5× median
36416Normal range

$18K

8,408 claims · 0.2%

Your Cost: $2.19/claim|Median: $1.31
1.7× median
81025Normal range

Urine pregnancy test

$18K

7,297 claims · 0.1%

Your Cost: $2.42/claim|Median: $4.81
0.5× median
99212Normal range

Office/outpatient visit, low complexity

$16K

471 claims · 0.1%

Your Cost: $33.90/claim|Median: $25.06
1.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$15K

1,301 claims · 0.1%

Your Cost: $11.71/claim|Median: $11.48
1.0× median
90734Normal range

$14K

1,759 claims · 0.1%

Your Cost: $8.07/claim|Median: $6.40
1.3× median
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