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Provider 1366403792

NPI: 1366403792Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.8M

$13,823,166

Total Claims

318K

Beneficiaries

300K

1.1 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-12%
2019
$1.4M
+8%
2020
$1.5M
+50%
2021
$2.2M
+18%
2022
$2.6M
-2%
2023
$2.5M
-11%
2024
$2.2M

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 51% of total spending.

99213Top 25%

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

$7.1M

103K claims · 51.4%

Your Cost: $68.77/claim|Median: $37.81
1.8× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$873K

8,630 claims · 6.3%

Your Cost: $101.15/claim|Median: $75.18
1.3× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$826K

26K claims · 6.0%

Your Cost: $31.60/claim|Median: $17.85
1.8× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$819K

7,385 claims · 5.9%

Your Cost: $110.91/claim|Median: $80.15
1.4× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$809K

7,980 claims · 5.9%

Your Cost: $101.35/claim|Median: $74.82
1.4× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$759K

8,020 claims · 5.5%

Your Cost: $94.62/claim|Median: $69.35
1.4× median
99214Top 10%

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

$637K

6,327 claims · 4.6%

Your Cost: $100.73/claim|Median: $53.41
1.9× median
G9153Normal range

$481K

9,533 claims · 3.5%

Your Cost: $50.43/claim|Median: $43.70
1.2× median
87804Top 25%

Influenza virus detection, rapid test

$248K

10K claims · 1.8%

Your Cost: $24.69/claim|Median: $12.59
2.0× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$244K

17K claims · 1.8%

Your Cost: $14.54/claim|Median: $11.48
1.3× median
87811Top 25%

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$235K

5,835 claims · 1.7%

Your Cost: $40.25/claim|Median: $30.53
1.3× median
90461Normal range

Immunization admin, additional vaccine, counseling

$150K

8,170 claims · 1.1%

Your Cost: $18.37/claim|Median: $6.93
2.7× median
96110Normal range

Developmental screening, per standardized instrument

$131K

18K claims · 0.9%

Your Cost: $7.28/claim|Median: $9.10
0.8× median
87428Normal range

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

$112K

2,332 claims · 0.8%

Your Cost: $48.01/claim|Median: $39.63
1.2× median
G2023Top 10%

Specimen collection for COVID-19 testing

$89K

3,513 claims · 0.6%

Your Cost: $25.21/claim|Median: $17.15
1.5× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$88K

12K claims · 0.6%

Your Cost: $7.13/claim|Median: $3.67
1.9× median
99381Top 25%

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

$58K

566 claims · 0.4%

Your Cost: $102.22/claim|Median: $73.46
1.4× median
99188Normal range

$29K

1,801 claims · 0.2%

Your Cost: $16.15/claim|Median: $12.80
1.3× median
83655Top 25%

$23K

1,815 claims · 0.2%

Your Cost: $12.92/claim|Median: $10.49
1.2× median
99050Normal range

$20K

1,733 claims · 0.1%

Your Cost: $11.69/claim|Median: $11.81
1.0× median
85018Top 25%

$18K

7,467 claims · 0.1%

Your Cost: $2.42/claim|Median: $1.71
1.4× median
99383Top 25%

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

$11K

104 claims · 0.1%

Your Cost: $109.46/claim|Median: $81.92
1.3× median
99212Top 25%

Office/outpatient visit, low complexity

$11K

305 claims · 0.1%

Your Cost: $37.29/claim|Median: $25.06
1.5× median
87807Top 25%

$7K

585 claims · 0.1%

Your Cost: $11.92/claim|Median: $10.06
1.2× median
99203Top 25%

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

$6K

70 claims · 0.0%

Your Cost: $92.41/claim|Median: $57.85
1.6× median
81003Top 25%

Urinalysis, automated without microscopy

$6K

2,637 claims · 0.0%

Your Cost: $2.31/claim|Median: $1.48
1.6× median
83718Normal range

HDL cholesterol, lipoprotein blood test

$6K

817 claims · 0.0%

Your Cost: $6.90/claim|Median: $6.11
1.1× median
82465Normal range

$5K

1,238 claims · 0.0%

Your Cost: $4.10/claim|Median: $3.41
1.2× median
99211Top 25%

Office/outpatient visit, minimal complexity

$5K

230 claims · 0.0%

Your Cost: $21.51/claim|Median: $12.93
1.7× median
81025Normal range

Urine pregnancy test

$3K

470 claims · 0.0%

Your Cost: $5.85/claim|Median: $4.81
1.2× median
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