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Provider 1366560971

NPI: 1366560971Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.8M

$10,818,933

Total Claims

249K

Beneficiaries

244K

1.0 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+5%
2019
$1.7M
-14%
2020
$1.4M
+16%
2021
$1.7M
+6%
2022
$1.8M
-19%
2023
$1.4M
-10%
2024
$1.3M

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 41% of total spending.

99213Top 25%

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

$4.4M

67K claims · 41.0%

Your Cost: $66.08/claim|Median: $37.81
1.7× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$1.7M

17K claims · 15.4%

Your Cost: $95.60/claim|Median: $75.18
1.3× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$1.3M

15K claims · 12.4%

Your Cost: $90.94/claim|Median: $74.82
1.2× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$1.2M

14K claims · 11.0%

Your Cost: $86.70/claim|Median: $69.35
1.3× median
90471Top 25%

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

$655K

37K claims · 6.1%

Your Cost: $17.70/claim|Median: $9.80
1.8× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$600K

5,926 claims · 5.5%

Your Cost: $101.22/claim|Median: $80.15
1.3× median
87502Top 25%

Influenza virus detection, reverse transcription, amplified probe

$177K

2,003 claims · 1.6%

Your Cost: $88.36/claim|Median: $65.64
1.3× median
99214Top 10%

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

$158K

1,592 claims · 1.5%

Your Cost: $99.44/claim|Median: $53.41
1.9× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$141K

4,334 claims · 1.3%

Your Cost: $32.47/claim|Median: $28.46
1.1× median
90472Normal range

Immunization administration, each additional vaccine

$101K

9,077 claims · 0.9%

Your Cost: $11.11/claim|Median: $11.79
0.9× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$94K

1,162 claims · 0.9%

Your Cost: $81.04/claim|Median: $62.48
1.3× median
99462Top 25%

$58K

1,668 claims · 0.5%

Your Cost: $34.96/claim|Median: $27.49
1.3× median
90473Top 25%

Immunization admin, intranasal, first

$56K

3,397 claims · 0.5%

Your Cost: $16.60/claim|Median: $9.17
1.8× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$56K

1,247 claims · 0.5%

Your Cost: $45.03/claim|Median: $39.70
1.1× median
87430Top 25%

$21K

1,563 claims · 0.2%

Your Cost: $13.63/claim|Median: $9.41
1.4× median
99177Normal range

$18K

7,365 claims · 0.2%

Your Cost: $2.41/claim|Median: $3.74
0.6× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$14K

3,300 claims · 0.1%

Your Cost: $4.18/claim|Median: $3.67
1.1× median
90474Normal range

$13K

1,297 claims · 0.1%

Your Cost: $10.29/claim|Median: $8.42
1.2× median
82247Top 25%

$5K

932 claims · 0.0%

Your Cost: $4.93/claim|Median: $2.74
1.8× median
36415Top 25%

Collection of venous blood by venipuncture

$4K

964 claims · 0.0%

Your Cost: $4.33/claim|Median: $1.57
2.8× median
87804Normal range

Influenza virus detection, rapid test

$4K

268 claims · 0.0%

Your Cost: $13.91/claim|Median: $12.59
1.1× median
99382Top 10%

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

$2K

14 claims · 0.0%

Your Cost: $121.50/claim|Median: $79.89
1.5× median
81003Top 25%

Urinalysis, automated without microscopy

$1K

559 claims · 0.0%

Your Cost: $2.31/claim|Median: $1.48
1.6× median
99383Top 25%

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

$1K

12 claims · 0.0%

Your Cost: $102.61/claim|Median: $81.92
1.3× median
96110Normal range

Developmental screening, per standardized instrument

$728

86 claims · 0.0%

Your Cost: $8.46/claim|Median: $9.10
0.9× median
0071ANormal range

$560

14 claims · 0.0%

Your Cost: $40.00/claim|Median: $38.71
1.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$545

46 claims · 0.0%

Your Cost: $11.84/claim|Median: $9.56
1.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$208

13K claims · 0.0%

Your Cost: $0.02/claim|Median: $7.18
0.0× median
90670Normal range

$60

8,833 claims · 0.0%

Your Cost: $0.01/claim|Median: $5.94
0.0× median
90723Normal range

DTaP-HepB-IPV vaccine

$57

5,736 claims · 0.0%

Your Cost: $0.01/claim|Median: $5.78
0.0× median
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