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Provider 1356384143

NPI: 1356384143Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.5M

$9,489,676

Total Claims

215K

Beneficiaries

195K

1.1 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-3%
2019
$1.2M
-3%
2020
$1.2M
+9%
2021
$1.3M
+4%
2022
$1.3M
+27%
2023
$1.7M
-12%
2024
$1.5M

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 74% of total spending.

99214Normal range

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

$7.0M

135K claims · 73.8%

Your Cost: $51.88/claim|Median: $53.41
1.0× median
99213Normal range

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

$1.8M

49K claims · 18.7%

Your Cost: $36.19/claim|Median: $37.81
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$120K

2,006 claims · 1.3%

Your Cost: $59.96/claim|Median: $74.09
0.8× median
99204Normal range

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

$116K

1,527 claims · 1.2%

Your Cost: $76.03/claim|Median: $84.03
0.9× median
99203Normal range

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

$61K

1,136 claims · 0.6%

Your Cost: $53.39/claim|Median: $57.85
0.9× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$53K

3,915 claims · 0.6%

Your Cost: $13.47/claim|Median: $9.80
1.4× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$46K

3,130 claims · 0.5%

Your Cost: $14.82/claim|Median: $7.18
2.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$45K

2,553 claims · 0.5%

Your Cost: $17.50/claim|Median: $17.85
1.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$30K

483 claims · 0.3%

Your Cost: $62.14/claim|Median: $76.06
0.8× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$26K

1,213 claims · 0.3%

Your Cost: $21.68/claim|Median: $23.99
0.9× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$22K

1,769 claims · 0.2%

Your Cost: $12.33/claim|Median: $9.56
1.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$18K

446 claims · 0.2%

Your Cost: $41.43/claim|Median: $69.35
0.6× median
99395Normal range

Preventive medicine, established patient, age 18-39

$18K

307 claims · 0.2%

Your Cost: $58.00/claim|Median: $72.71
0.8× median
99233Normal range

Subsequent hospital care, per day, high complexity

$18K

531 claims · 0.2%

Your Cost: $33.49/claim|Median: $35.30
0.9× median
90677Top 5%

$15K

72 claims · 0.2%

Your Cost: $206.51/claim|Median: $12.96
15.9× median
90673Normal range

$14K

341 claims · 0.1%

Your Cost: $41.64/claim|Median: $32.84
1.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$11K

205 claims · 0.1%

Your Cost: $54.76/claim|Median: $75.18
0.7× median
99384Normal range

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

$9K

128 claims · 0.1%

Your Cost: $72.54/claim|Median: $83.63
0.9× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$9K

100 claims · 0.1%

Your Cost: $89.84/claim|Median: $111.09
0.8× median
90715Top 10%

Tdap vaccine

$9K

244 claims · 0.1%

Your Cost: $35.19/claim|Median: $10.32
3.4× median
36415Normal range

Collection of venous blood by venipuncture

$8K

3,345 claims · 0.1%

Your Cost: $2.53/claim|Median: $1.57
1.6× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$8K

177 claims · 0.1%

Your Cost: $42.80/claim|Median: $39.70
1.1× median
90662Top 25%

$6K

151 claims · 0.1%

Your Cost: $38.69/claim|Median: $6.55
5.9× median
97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$5K

83 claims · 0.1%

Your Cost: $64.75/claim|Median: $12.70
5.1× median
90682Top 25%

$5K

104 claims · 0.1%

Your Cost: $50.17/claim|Median: $34.72
1.4× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$5K

130 claims · 0.1%

Your Cost: $38.64/claim|Median: $33.85
1.1× median
0011ATop 25%

COVID-19 vaccine admin, Moderna, 1st dose

$5K

130 claims · 0.1%

Your Cost: $38.53/claim|Median: $25.93
1.5× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$3K

671 claims · 0.0%

Your Cost: $4.74/claim|Median: $5.50
0.9× median
90694Top 25%

$3K

77 claims · 0.0%

Your Cost: $41.31/claim|Median: $6.60
6.3× median
99254Normal range

$3K

48 claims · 0.0%

Your Cost: $65.14/claim|Median: $81.43
0.8× median
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