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Provider 1346314564

NPI: 1346314564Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.5M

$9,477,033

Total Claims

224K

Beneficiaries

171K

1.3 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$655K
+36%
2019
$892K
+18%
2020
$1.0M
+31%
2021
$1.4M
+58%
2022
$2.2M
-29%
2023
$1.5M
+16%
2024
$1.8M

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 28% of total spending.

99214Top 25%

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

$2.6M

33K claims · 27.6%

Your Cost: $78.81/claim|Median: $53.41
1.5× median
99213Normal range

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

$2.4M

48K claims · 25.0%

Your Cost: $49.36/claim|Median: $37.81
1.3× median
U0002Top 10%

COVID-19 lab test, non-CDC, nucleic acid

$507K

9,732 claims · 5.3%

Your Cost: $52.05/claim|Median: $34.62
1.5× median
87633Top 25%

Respiratory virus detection, 12-25 targets, nucleic acid

$505K

1,450 claims · 5.3%

Your Cost: $348.11/claim|Median: $169.17
2.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$496K

5,930 claims · 5.2%

Your Cost: $83.59/claim|Median: $80.15
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$427K

5,666 claims · 4.5%

Your Cost: $75.42/claim|Median: $74.82
1.0× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$369K

7,095 claims · 3.9%

Your Cost: $51.97/claim|Median: $39.70
1.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$294K

3,851 claims · 3.1%

Your Cost: $76.24/claim|Median: $75.18
1.0× median
96110Top 25%

Developmental screening, per standardized instrument

$225K

14K claims · 2.4%

Your Cost: $16.04/claim|Median: $9.10
1.8× median
Q3014Top 25%

Telehealth originating site facility fee

$188K

7,621 claims · 2.0%

Your Cost: $24.61/claim|Median: $15.37
1.6× median
G2023Top 25%

Specimen collection for COVID-19 testing

$142K

5,955 claims · 1.5%

Your Cost: $23.77/claim|Median: $17.15
1.4× median
99395Normal range

Preventive medicine, established patient, age 18-39

$97K

1,146 claims · 1.0%

Your Cost: $84.42/claim|Median: $72.71
1.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$92K

9,077 claims · 1.0%

Your Cost: $10.10/claim|Median: $7.18
1.4× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$91K

1,308 claims · 1.0%

Your Cost: $69.52/claim|Median: $69.35
1.0× median
99000Top 5%

$85K

3,843 claims · 0.9%

Your Cost: $22.21/claim|Median: $2.30
9.7× median
96160Top 10%

Patient-focused health risk assessment

$82K

5,676 claims · 0.9%

Your Cost: $14.47/claim|Median: $2.10
6.9× median
96127Top 10%

Brief emotional/behavioral assessment, per standardized instrument

$71K

4,738 claims · 0.8%

Your Cost: $15.05/claim|Median: $3.67
4.1× median
87804Top 10%

Influenza virus detection, rapid test

$65K

2,414 claims · 0.7%

Your Cost: $26.91/claim|Median: $12.59
2.1× median
87486Top 10%

$60K

1,335 claims · 0.6%

Your Cost: $45.28/claim|Median: $19.16
2.4× median
99212Normal range

Office/outpatient visit, low complexity

$56K

2,183 claims · 0.6%

Your Cost: $25.55/claim|Median: $25.06
1.0× median
87798Top 25%

Infectious agent detection, nucleic acid, not otherwise specified

$50K

1,119 claims · 0.5%

Your Cost: $44.78/claim|Median: $26.72
1.7× median
90651Normal range

HPV vaccine, 9-valent

$50K

2,625 claims · 0.5%

Your Cost: $18.92/claim|Median: $8.93
2.1× median
87561Top 1%

$49K

1,055 claims · 0.5%

Your Cost: $46.56/claim|Median: $9.23
5.0× median
94664Top 25%

$38K

2,539 claims · 0.4%

Your Cost: $14.80/claim|Median: $8.88
1.7× median
90734Normal range

$35K

2,491 claims · 0.4%

Your Cost: $13.94/claim|Median: $6.40
2.2× median
90620Normal range

$34K

2,477 claims · 0.4%

Your Cost: $13.78/claim|Median: $6.49
2.1× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$31K

2,405 claims · 0.3%

Your Cost: $13.07/claim|Median: $10.88
1.2× median
83655Normal range

$25K

2,143 claims · 0.3%

Your Cost: $11.53/claim|Median: $10.49
1.1× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$21K

498 claims · 0.2%

Your Cost: $41.80/claim|Median: $33.72
1.2× median
90670Top 25%

$20K

1,339 claims · 0.2%

Your Cost: $15.14/claim|Median: $5.94
2.5× median
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