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Provider 1346206935

NPI: 1346206935Share
Active Billing Period:2019-01→2024-12(72 months)

Total Paid

$7.5M

$7,523,493

Total Claims

153K

Beneficiaries

143K

1.1 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2019
$968K
+6%
2020
$1.0M
+47%
2021
$1.5M
+10%
2022
$1.7M
-13%
2023
$1.4M
-35%
2024
$932K

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 38% of total spending.

99213Top 5%

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

$2.9M

33K claims · 38.4%

Your Cost: $86.76/claim|Median: $37.81
2.3× median
99214Top 5%

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

$1.5M

11K claims · 19.9%

Your Cost: $134.31/claim|Median: $53.41
2.5× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$542K

16K claims · 7.2%

Your Cost: $33.04/claim|Median: $17.85
1.9× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$538K

5,364 claims · 7.2%

Your Cost: $100.38/claim|Median: $74.82
1.3× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$462K

4,540 claims · 6.1%

Your Cost: $101.65/claim|Median: $75.18
1.4× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$459K

4,328 claims · 6.1%

Your Cost: $106.07/claim|Median: $80.15
1.3× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$317K

3,315 claims · 4.2%

Your Cost: $95.74/claim|Median: $69.35
1.4× median
99188Top 10%

$137K

5,442 claims · 1.8%

Your Cost: $25.17/claim|Median: $12.80
2.0× median
87804Normal range

Influenza virus detection, rapid test

$136K

12K claims · 1.8%

Your Cost: $11.71/claim|Median: $12.59
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$71K

12K claims · 0.9%

Your Cost: $5.96/claim|Median: $11.48
0.5× median
99215Top 5%

Office/outpatient visit, high complexity

$64K

371 claims · 0.8%

Your Cost: $171.63/claim|Median: $74.09
2.3× median
94060Normal range

$48K

3,495 claims · 0.6%

Your Cost: $13.87/claim|Median: $25.18
0.6× median
90680Top 5%

$36K

1,470 claims · 0.5%

Your Cost: $24.41/claim|Median: $5.58
4.4× median
99383Top 25%

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

$27K

234 claims · 0.4%

Your Cost: $113.26/claim|Median: $81.92
1.4× median
90744Top 5%

$22K

1,043 claims · 0.3%

Your Cost: $21.45/claim|Median: $5.00
4.3× median
90700Normal range

$22K

3,021 claims · 0.3%

Your Cost: $7.16/claim|Median: $4.56
1.6× median
99381Normal range

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

$22K

245 claims · 0.3%

Your Cost: $88.10/claim|Median: $73.46
1.2× median
92552Normal range

Pure tone audiometry, air only, each ear

$20K

1,405 claims · 0.3%

Your Cost: $14.45/claim|Median: $12.63
1.1× median
90677Top 25%

$20K

416 claims · 0.3%

Your Cost: $48.72/claim|Median: $12.96
3.8× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$18K

175 claims · 0.2%

Your Cost: $105.51/claim|Median: $72.71
1.5× median
99384Top 25%

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

$16K

132 claims · 0.2%

Your Cost: $122.01/claim|Median: $83.63
1.5× median
94010Normal range

$14K

1,611 claims · 0.2%

Your Cost: $8.44/claim|Median: $18.11
0.5× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$10K

2,958 claims · 0.1%

Your Cost: $3.29/claim|Median: $7.18
0.5× median
0072ANormal range

$9K

292 claims · 0.1%

Your Cost: $31.39/claim|Median: $39.57
0.8× median
H0049Top 25%

$9K

391 claims · 0.1%

Your Cost: $23.18/claim|Median: $9.27
2.5× median
92567Normal range

$8K

986 claims · 0.1%

Your Cost: $8.08/claim|Median: $11.50
0.7× median
90651Normal range

HPV vaccine, 9-valent

$8K

1,629 claims · 0.1%

Your Cost: $4.83/claim|Median: $8.93
0.5× median
90715Normal range

Tdap vaccine

$8K

422 claims · 0.1%

Your Cost: $18.13/claim|Median: $10.32
1.8× median
0071ANormal range

$8K

281 claims · 0.1%

Your Cost: $27.14/claim|Median: $38.71
0.7× median
91300Top 10%

COVID-19 vaccine (Pfizer), first dose

$6K

884 claims · 0.1%

Your Cost: $6.86/claim|Median: $0.01
685.8× median
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