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Provider 1366574048

NPI: 1366574048Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$8.3M

$8,346,421

Total Claims

209K

Beneficiaries

195K

1.1 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$658K
+72%
2019
$1.1M
+1%
2020
$1.1M
+39%
2021
$1.6M
+14%
2022
$1.8M
-26%
2023
$1.3M
-48%
2024
$691K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (96156) accounts for 18% of total spending.

96156Top 10%

$1.5M

14K claims · 17.9%

Your Cost: $103.10/claim|Median: $22.36
4.6× median
96110Top 5%

Developmental screening, per standardized instrument

$1.4M

16K claims · 16.9%

Your Cost: $89.67/claim|Median: $9.10
9.9× median
99214Normal range

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

$696K

18K claims · 8.3%

Your Cost: $38.44/claim|Median: $53.41
0.7× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$691K

7,703 claims · 8.3%

Your Cost: $89.68/claim|Median: $75.18
1.2× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$581K

6,784 claims · 7.0%

Your Cost: $85.68/claim|Median: $69.35
1.2× median
99213Normal range

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

$554K

19K claims · 6.6%

Your Cost: $29.28/claim|Median: $37.81
0.8× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$473K

4,926 claims · 5.7%

Your Cost: $95.96/claim|Median: $74.82
1.3× median
99051Top 1%

$418K

5,668 claims · 5.0%

Your Cost: $73.76/claim|Median: $7.89
9.3× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$352K

3,211 claims · 4.2%

Your Cost: $109.73/claim|Median: $80.15
1.4× median
90671Top 5%

$257K

1,134 claims · 3.1%

Your Cost: $226.37/claim|Median: $8.59
26.4× median
92551Top 10%

Screening audiometry, pure tone, air only

$154K

11K claims · 1.8%

Your Cost: $13.63/claim|Median: $6.61
2.1× median
96150Normal range

Health behavior assessment, initial

$135K

6,075 claims · 1.6%

Your Cost: $22.15/claim|Median: $17.83
1.2× median
99381Top 25%

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

$109K

995 claims · 1.3%

Your Cost: $109.22/claim|Median: $73.46
1.5× median
H0049Top 25%

$83K

2,808 claims · 1.0%

Your Cost: $29.42/claim|Median: $9.27
3.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$78K

6,659 claims · 0.9%

Your Cost: $11.68/claim|Median: $7.18
1.6× median
87651Top 25%

Streptococcus Group A detection, nucleic acid, amplified probe

$76K

1,915 claims · 0.9%

Your Cost: $39.68/claim|Median: $28.46
1.4× median
D1206Normal range

Topical application of fluoride varnish

$72K

3,264 claims · 0.9%

Your Cost: $22.03/claim|Median: $18.12
1.2× median
87502Top 10%

Influenza virus detection, reverse transcription, amplified probe

$63K

629 claims · 0.7%

Your Cost: $99.43/claim|Median: $65.64
1.5× median
90670Normal range

$61K

4,919 claims · 0.7%

Your Cost: $12.33/claim|Median: $5.94
2.1× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$58K

1,559 claims · 0.7%

Your Cost: $37.12/claim|Median: $12.70
2.9× median
90723Normal range

DTaP-HepB-IPV vaccine

$56K

4,900 claims · 0.7%

Your Cost: $11.44/claim|Median: $5.78
2.0× median
90647Top 25%

$52K

4,713 claims · 0.6%

Your Cost: $11.11/claim|Median: $4.31
2.6× median
85018Top 25%

$47K

18K claims · 0.6%

Your Cost: $2.54/claim|Median: $1.71
1.5× median
G9920Normal range

$41K

3,121 claims · 0.5%

Your Cost: $13.02/claim|Median: $6.56
2.0× median
90633Top 25%

$32K

2,839 claims · 0.4%

Your Cost: $11.22/claim|Median: $3.56
3.2× median
90681Top 25%

$32K

2,692 claims · 0.4%

Your Cost: $11.75/claim|Median: $5.74
2.0× median
99173Normal range

$26K

7,537 claims · 0.3%

Your Cost: $3.49/claim|Median: $2.16
1.6× median
99212Normal range

Office/outpatient visit, low complexity

$25K

1,737 claims · 0.3%

Your Cost: $14.54/claim|Median: $25.06
0.6× median
99188Top 25%

$21K

973 claims · 0.3%

Your Cost: $22.06/claim|Median: $12.80
1.7× median
90651Normal range

HPV vaccine, 9-valent

$21K

1,475 claims · 0.3%

Your Cost: $14.22/claim|Median: $8.93
1.6× median
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