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Provider 1346486594

NPI: 1346486594Share
Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$9.4M

$9,369,790

Total Claims

192K

Beneficiaries

174K

1.1 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+15%
2019
$1.6M
-31%
2020
$1.1M
+39%
2021
$1.5M
+3%
2022
$1.6M
-13%
2023
$1.4M
-33%
2024
$908K

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 59% of total spending.

99213Top 5%

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

$5.5M

59K claims · 58.9%

Your Cost: $93.71/claim|Median: $37.81
2.5× median
99212Top 10%

Office/outpatient visit, low complexity

$981K

16K claims · 10.5%

Your Cost: $60.16/claim|Median: $25.06
2.4× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$714K

6,664 claims · 7.6%

Your Cost: $107.16/claim|Median: $74.82
1.4× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$509K

20K claims · 5.4%

Your Cost: $25.90/claim|Median: $17.85
1.5× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$462K

4,472 claims · 4.9%

Your Cost: $103.34/claim|Median: $75.18
1.4× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$289K

2,440 claims · 3.1%

Your Cost: $118.33/claim|Median: $80.15
1.5× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$192K

2,000 claims · 2.1%

Your Cost: $96.25/claim|Median: $69.35
1.4× median
99214Top 5%

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

$189K

1,440 claims · 2.0%

Your Cost: $131.04/claim|Median: $53.41
2.5× median
92551Top 25%

Screening audiometry, pure tone, air only

$104K

10K claims · 1.1%

Your Cost: $9.96/claim|Median: $6.61
1.5× median
G0447Top 5%

$67K

2,652 claims · 0.7%

Your Cost: $25.31/claim|Median: $5.19
4.9× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$64K

1,965 claims · 0.7%

Your Cost: $32.46/claim|Median: $6.93
4.7× median
99203Top 10%

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

$60K

532 claims · 0.6%

Your Cost: $113.24/claim|Median: $57.85
2.0× median
96160Top 5%

Patient-focused health risk assessment

$47K

1,613 claims · 0.5%

Your Cost: $29.28/claim|Median: $2.10
13.9× median
0072ANormal range

$24K

593 claims · 0.3%

Your Cost: $40.29/claim|Median: $39.57
1.0× median
G0444Normal range

Annual depression screening, fifteen minutes

$19K

2,593 claims · 0.2%

Your Cost: $7.28/claim|Median: $4.23
1.7× median
0071ANormal range

$15K

362 claims · 0.2%

Your Cost: $40.34/claim|Median: $38.71
1.0× median
90670Normal range

$13K

1,327 claims · 0.1%

Your Cost: $9.94/claim|Median: $5.94
1.7× median
G0136Top 5%

$11K

559 claims · 0.1%

Your Cost: $19.68/claim|Median: $6.33
3.1× median
83655Top 25%

$9K

692 claims · 0.1%

Your Cost: $13.37/claim|Median: $10.49
1.3× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$9K

217 claims · 0.1%

Your Cost: $41.67/claim|Median: $33.72
1.2× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$9K

208 claims · 0.1%

Your Cost: $41.72/claim|Median: $36.70
1.1× median
87426Normal range

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

$8K

247 claims · 0.1%

Your Cost: $31.50/claim|Median: $30.04
1.0× median
36415Normal range

Collection of venous blood by venipuncture

$7K

11K claims · 0.1%

Your Cost: $0.65/claim|Median: $1.57
0.4× median
99173Normal range

$5K

7,701 claims · 0.1%

Your Cost: $0.68/claim|Median: $2.16
0.3× median
0154ANormal range

$4K

104 claims · 0.0%

Your Cost: $40.00/claim|Median: $39.23
1.0× median
H0049Normal range

$4K

337 claims · 0.0%

Your Cost: $11.49/claim|Median: $9.27
1.2× median
86580Top 25%

Tuberculosis (TB) skin test

$4K

435 claims · 0.0%

Your Cost: $8.50/claim|Median: $4.46
1.9× median
0003ATop 25%

COVID-19 vaccine admin, Pfizer, 3rd dose

$4K

89 claims · 0.0%

Your Cost: $40.91/claim|Median: $36.49
1.1× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$3K

24 claims · 0.0%

Your Cost: $117.84/claim|Median: $72.71
1.6× median
0074ANormal range

$3K

67 claims · 0.0%

Your Cost: $40.08/claim|Median: $39.19
1.0× median
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