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Provider 1366739088

NPI: 1366739088Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.8M

$7,759,215

Total Claims

316K

Beneficiaries

279K

1.1 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+5%
2019
$1.3M
-36%
2020
$802K
+68%
2021
$1.3M
-1%
2022
$1.3M
-19%
2023
$1.1M
-29%
2024
$765K

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 49% of total spending.

99213Top 25%

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

$3.8M

59K claims · 49.3%

Your Cost: $65.03/claim|Median: $37.81
1.7× median
99214Top 25%

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

$722K

7,372 claims · 9.3%

Your Cost: $97.94/claim|Median: $53.41
1.8× median
99212Top 25%

Office/outpatient visit, low complexity

$325K

7,276 claims · 4.2%

Your Cost: $44.69/claim|Median: $25.06
1.8× median
G0439Top 10%

Annual wellness visit, subsequent visit

$316K

4,209 claims · 4.1%

Your Cost: $75.09/claim|Median: $5.42
13.9× median
U0003Normal range

Infectious disease detection (COVID-19)

$279K

3,812 claims · 3.6%

Your Cost: $73.30/claim|Median: $63.08
1.2× median
99203Top 25%

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

$243K

2,780 claims · 3.1%

Your Cost: $87.26/claim|Median: $57.85
1.5× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$212K

3,583 claims · 2.7%

Your Cost: $59.14/claim|Median: $40.11
1.5× median
87070Normal range

Bacterial culture, any source except blood or urine

$208K

26K claims · 2.7%

Your Cost: $8.04/claim|Median: $5.89
1.4× median
87184Top 25%

$164K

25K claims · 2.1%

Your Cost: $6.52/claim|Median: $4.02
1.6× median
87804Normal range

Influenza virus detection, rapid test

$138K

9,612 claims · 1.8%

Your Cost: $14.39/claim|Median: $12.59
1.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$125K

32K claims · 1.6%

Your Cost: $3.95/claim|Median: $11.48
0.3× median
87811Top 25%

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

$121K

3,024 claims · 1.6%

Your Cost: $40.17/claim|Median: $30.53
1.3× median
87426Top 10%

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

$118K

2,783 claims · 1.5%

Your Cost: $42.36/claim|Median: $30.04
1.4× median
99392Normal range

Preventive medicine, established patient, age 1-4

$107K

2,274 claims · 1.4%

Your Cost: $46.86/claim|Median: $75.18
0.6× median
U0005Top 25%

Infectious disease detection, COVID-19, antigen

$93K

3,812 claims · 1.2%

Your Cost: $24.39/claim|Median: $15.76
1.5× median
99443Top 10%

Telephone E/M by physician, 21-30 min

$85K

845 claims · 1.1%

Your Cost: $100.53/claim|Median: $32.55
3.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$82K

1,222 claims · 1.1%

Your Cost: $67.51/claim|Median: $72.71
0.9× median
99051Normal range

$75K

14K claims · 1.0%

Your Cost: $5.31/claim|Median: $7.89
0.7× median
69210Top 25%

$67K

1,709 claims · 0.9%

Your Cost: $38.98/claim|Median: $21.74
1.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$59K

1,536 claims · 0.8%

Your Cost: $38.26/claim|Median: $74.82
0.5× median
87635Top 25%

COVID-19 SARS-CoV-2 amplified probe detection

$48K

956 claims · 0.6%

Your Cost: $50.70/claim|Median: $39.70
1.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$41K

592 claims · 0.5%

Your Cost: $69.39/claim|Median: $80.15
0.9× median
G0438Top 10%

Annual wellness visit, first visit

$41K

307 claims · 0.5%

Your Cost: $131.92/claim|Median: $19.28
6.8× median
99211Normal range

Office/outpatient visit, minimal complexity

$40K

2,185 claims · 0.5%

Your Cost: $18.40/claim|Median: $12.93
1.4× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$40K

4,088 claims · 0.5%

Your Cost: $9.69/claim|Median: $17.85
0.5× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$38K

737 claims · 0.5%

Your Cost: $52.21/claim|Median: $65.64
0.8× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$29K

1,464 claims · 0.4%

Your Cost: $19.89/claim|Median: $28.46
0.7× median
81000Top 10%

Urinalysis with microscopy, non-automated

$22K

5,787 claims · 0.3%

Your Cost: $3.82/claim|Median: $2.51
1.5× median
99204Top 25%

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

$22K

164 claims · 0.3%

Your Cost: $132.14/claim|Median: $84.03
1.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$13K

299 claims · 0.2%

Your Cost: $43.94/claim|Median: $69.35
0.6× median
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