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Provider 1366697476

NPI: 1366697476Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.1M

$10,071,103

Total Claims

310K

Beneficiaries

278K

1.1 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+12%
2019
$1.5M
-17%
2020
$1.3M
+17%
2021
$1.5M
+7%
2022
$1.6M
-7%
2023
$1.5M
-14%
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 53% of total spending.

99213Top 10%

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

$5.4M

74K claims · 53.5%

Your Cost: $72.75/claim|Median: $37.81
1.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$669K

7,593 claims · 6.6%

Your Cost: $88.14/claim|Median: $74.82
1.2× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$586K

6,090 claims · 5.8%

Your Cost: $96.14/claim|Median: $80.15
1.2× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$495K

18K claims · 4.9%

Your Cost: $28.02/claim|Median: $17.85
1.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$463K

5,447 claims · 4.6%

Your Cost: $84.95/claim|Median: $75.18
1.1× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$421K

15K claims · 4.2%

Your Cost: $28.46/claim|Median: $12.70
2.2× median
G0447Top 10%

$325K

15K claims · 3.2%

Your Cost: $21.94/claim|Median: $5.19
4.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$247K

3,363 claims · 2.4%

Your Cost: $73.36/claim|Median: $69.35
1.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$237K

23K claims · 2.4%

Your Cost: $10.35/claim|Median: $11.48
0.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$223K

42K claims · 2.2%

Your Cost: $5.30/claim|Median: $4.71
1.1× median
87804Normal range

Influenza virus detection, rapid test

$173K

11K claims · 1.7%

Your Cost: $15.02/claim|Median: $12.59
1.2× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$125K

2,951 claims · 1.2%

Your Cost: $42.34/claim|Median: $34.62
1.2× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$124K

3,404 claims · 1.2%

Your Cost: $36.37/claim|Median: $6.93
5.2× median
92570Top 25%

$108K

3,857 claims · 1.1%

Your Cost: $27.93/claim|Median: $19.67
1.4× median
87428Normal range

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

$94K

3,514 claims · 0.9%

Your Cost: $26.74/claim|Median: $39.63
0.7× median
87426Normal range

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

$71K

3,090 claims · 0.7%

Your Cost: $22.91/claim|Median: $30.04
0.8× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$53K

562 claims · 0.5%

Your Cost: $94.11/claim|Median: $72.71
1.3× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$35K

7,508 claims · 0.3%

Your Cost: $4.69/claim|Median: $3.67
1.3× median
99212Top 25%

Office/outpatient visit, low complexity

$33K

687 claims · 0.3%

Your Cost: $48.23/claim|Median: $25.06
1.9× median
90677Top 10%

$32K

182 claims · 0.3%

Your Cost: $176.81/claim|Median: $12.96
13.6× median
36416Normal range

$26K

28K claims · 0.3%

Your Cost: $0.92/claim|Median: $1.31
0.7× median
81000Normal range

Urinalysis with microscopy, non-automated

$23K

9,857 claims · 0.2%

Your Cost: $2.35/claim|Median: $2.51
0.9× median
92588Normal range

Vestibular evoked myogenic potential testing, each side

$20K

605 claims · 0.2%

Your Cost: $32.43/claim|Median: $31.08
1.0× median
99173Normal range

$18K

6,552 claims · 0.2%

Your Cost: $2.75/claim|Median: $2.16
1.3× median
90471Top 25%

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

$17K

980 claims · 0.2%

Your Cost: $17.80/claim|Median: $9.80
1.8× median
36415Normal range

Collection of venous blood by venipuncture

$10K

5,124 claims · 0.1%

Your Cost: $1.88/claim|Median: $1.57
1.2× median
81025Normal range

Urine pregnancy test

$8K

1,798 claims · 0.1%

Your Cost: $4.70/claim|Median: $4.81
1.0× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$8K

474 claims · 0.1%

Your Cost: $17.36/claim|Median: $10.88
1.6× median
90619Normal range

$6K

661 claims · 0.1%

Your Cost: $8.89/claim|Median: $8.36
1.1× median
99214Top 25%

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

$6K

64 claims · 0.1%

Your Cost: $90.19/claim|Median: $53.41
1.7× median
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