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Provider 1356941306

NPI: 1356941306Share
Active Billing Period:2021-01→2024-12(48 months)

Total Paid

$11.4M

$11,396,264

Total Claims

91K

Beneficiaries

86K

1.1 claims/patient

Avg Cost/Claim

$126

Monthly Spending Trend

Yearly Spending

2021
$2.2M
+45%
2022
$3.2M
+1%
2023
$3.2M
-15%
2024
$2.8M

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 48% of total spending.

99213Top 1%

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

$5.5M

19K claims · 48.5%

Your Cost: $291.65/claim|Median: $37.81
7.7× median
99391Top 1%

Preventive medicine, established patient, infant (under 1)

$1.4M

4,778 claims · 11.9%

Your Cost: $283.12/claim|Median: $69.35
4.1× median
99392Top 1%

Preventive medicine, established patient, age 1-4

$1.3M

4,433 claims · 11.1%

Your Cost: $285.11/claim|Median: $75.18
3.8× median
99214Top 1%

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

$1.2M

4,072 claims · 10.1%

Your Cost: $283.76/claim|Median: $53.41
5.3× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$912K

3,123 claims · 8.0%

Your Cost: $292.07/claim|Median: $74.82
3.9× median
99394Top 1%

Preventive medicine, established patient, age 12-17

$611K

2,122 claims · 5.4%

Your Cost: $287.93/claim|Median: $80.15
3.6× median
90837Top 5%

Psychotherapy, 60 minutes

$194K

657 claims · 1.7%

Your Cost: $294.98/claim|Median: $85.66
3.4× median
99381Top 1%

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

$114K

422 claims · 1.0%

Your Cost: $270.70/claim|Median: $73.46
3.7× median
90834Top 1%

Psychotherapy, 45 minutes

$91K

306 claims · 0.8%

Your Cost: $297.58/claim|Median: $63.65
4.7× median
96110Normal range

Developmental screening, per standardized instrument

$91K

11K claims · 0.8%

Your Cost: $8.50/claim|Median: $9.10
0.9× median
90847Top 5%

Family psychotherapy with patient, 50 min

$28K

99 claims · 0.2%

Your Cost: $279.24/claim|Median: $77.33
3.6× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$19K

2,303 claims · 0.2%

Your Cost: $8.41/claim|Median: $3.67
2.3× median
99212Top 1%

Office/outpatient visit, low complexity

$17K

59 claims · 0.1%

Your Cost: $283.76/claim|Median: $25.06
11.3× median
99382Top 1%

Preventive visit, new patient, early childhood (1-4 yr)

$4K

16 claims · 0.0%

Your Cost: $269.90/claim|Median: $79.89
3.4× median
99215Top 5%

Office/outpatient visit, high complexity

$4K

13 claims · 0.0%

Your Cost: $320.02/claim|Median: $74.09
4.3× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$4K

71 claims · 0.0%

Your Cost: $57.67/claim|Median: $9.56
6.0× median
99395Top 1%

Preventive medicine, established patient, age 18-39

$4K

15 claims · 0.0%

Your Cost: $270.83/claim|Median: $72.71
3.7× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$2K

929 claims · 0.0%

Your Cost: $2.05/claim|Median: $11.48
0.2× median
91308Top 10%

$541

177 claims · 0.0%

Your Cost: $3.06/claim|Median: $0.01
305.8× median
83655Normal range

$530

79 claims · 0.0%

Your Cost: $6.71/claim|Median: $10.49
0.6× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$427

2,815 claims · 0.0%

Your Cost: $0.15/claim|Median: $17.85
0.0× median
90471Normal range

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

$317

5,387 claims · 0.0%

Your Cost: $0.06/claim|Median: $9.80
0.0× median
92551Normal range

Screening audiometry, pure tone, air only

$267

160 claims · 0.0%

Your Cost: $1.67/claim|Median: $6.61
0.3× median
90670Normal range

$243

1,843 claims · 0.0%

Your Cost: $0.13/claim|Median: $5.94
0.0× median
90716Normal range

$145

693 claims · 0.0%

Your Cost: $0.21/claim|Median: $6.18
0.0× median
0081ANormal range

$120

97 claims · 0.0%

Your Cost: $1.24/claim|Median: $38.21
0.0× median
0074ANormal range

$120

35 claims · 0.0%

Your Cost: $3.43/claim|Median: $39.19
0.1× median
90480Normal range

$101

180 claims · 0.0%

Your Cost: $0.56/claim|Median: $25.29
0.0× median
85018Normal range

$97

86 claims · 0.0%

Your Cost: $1.12/claim|Median: $1.71
0.7× median
90707Normal range

MMR vaccine

$84

686 claims · 0.0%

Your Cost: $0.12/claim|Median: $5.76
0.0× median
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