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Provider 1366872244

NPI: 1366872244Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.5M

$16,488,527

Total Claims

339K

Beneficiaries

332K

1.0 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+61%
2019
$2.6M
-18%
2020
$2.1M
+42%
2021
$3.0M
+4%
2022
$3.1M
-15%
2023
$2.6M
-43%
2024
$1.5M

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 42% of total spending.

99213Top 25%

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

$6.9M

102K claims · 42.1%

Your Cost: $68.15/claim|Median: $37.81
1.8× median
99214Top 25%

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

$5.0M

56K claims · 30.3%

Your Cost: $89.17/claim|Median: $53.41
1.7× median
99203Top 25%

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

$2.9M

35K claims · 17.3%

Your Cost: $82.34/claim|Median: $57.85
1.4× median
99051Normal range

$576K

77K claims · 3.5%

Your Cost: $7.45/claim|Median: $7.89
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$298K

28K claims · 1.8%

Your Cost: $10.71/claim|Median: $11.48
0.9× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$275K

2,649 claims · 1.7%

Your Cost: $103.90/claim|Median: $97.61
1.1× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$190K

3,639 claims · 1.2%

Your Cost: $52.21/claim|Median: $40.11
1.3× median
99212Top 25%

Office/outpatient visit, low complexity

$126K

3,366 claims · 0.8%

Your Cost: $37.29/claim|Median: $25.06
1.5× median
81025Normal range

Urine pregnancy test

$37K

6,935 claims · 0.2%

Your Cost: $5.30/claim|Median: $4.81
1.1× median
12001Normal range

$35K

533 claims · 0.2%

Your Cost: $64.74/claim|Median: $64.99
1.0× median
E0114Normal range

$22K

662 claims · 0.1%

Your Cost: $32.60/claim|Median: $29.11
1.1× median
71046Top 25%

Chest X-ray, 2 views

$20K

872 claims · 0.1%

Your Cost: $22.42/claim|Median: $8.92
2.5× median
73610Top 25%

X-ray of ankle, complete, minimum three views

$17K

762 claims · 0.1%

Your Cost: $22.46/claim|Median: $13.55
1.7× median
81003Normal range

Urinalysis, automated without microscopy

$16K

9,021 claims · 0.1%

Your Cost: $1.74/claim|Median: $1.48
1.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$15K

1,402 claims · 0.1%

Your Cost: $10.45/claim|Median: $9.56
1.1× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$12K

1,116 claims · 0.1%

Your Cost: $10.32/claim|Median: $10.88
0.9× median
73140Normal range

$11K

497 claims · 0.1%

Your Cost: $22.40/claim|Median: $11.18
2.0× median
73630Top 25%

X-ray, foot, complete, minimum 3 views

$10K

459 claims · 0.1%

Your Cost: $21.10/claim|Median: $12.06
1.7× median
90715Top 25%

Tdap vaccine

$8K

243 claims · 0.0%

Your Cost: $31.54/claim|Median: $10.32
3.1× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$6K

615 claims · 0.0%

Your Cost: $10.28/claim|Median: $9.70
1.1× median
L3908Top 25%

$5K

105 claims · 0.0%

Your Cost: $51.53/claim|Median: $35.79
1.4× median
90471Top 5%

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

$5K

230 claims · 0.0%

Your Cost: $23.48/claim|Median: $9.80
2.4× median
73130Top 25%

$5K

221 claims · 0.0%

Your Cost: $22.17/claim|Median: $10.69
2.1× median
73110Top 25%

X-ray of wrist, complete, minimum three views

$4K

150 claims · 0.0%

Your Cost: $25.21/claim|Median: $12.64
2.0× median
29515Normal range

$4K

78 claims · 0.0%

Your Cost: $45.85/claim|Median: $33.24
1.4× median
10060Normal range

Incision and drainage of abscess, simple

$3K

36 claims · 0.0%

Your Cost: $82.74/claim|Median: $75.72
1.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$2K

121 claims · 0.0%

Your Cost: $15.23/claim|Median: $12.93
1.2× median
69210Normal range

$1K

49 claims · 0.0%

Your Cost: $29.75/claim|Median: $21.74
1.4× median
99284Top 25%

Emergency dept visit, high complexity

$1K

13 claims · 0.0%

Your Cost: $111.79/claim|Median: $69.51
1.6× median
L3260Normal range

$1K

63 claims · 0.0%

Your Cost: $22.50/claim|Median: $16.57
1.4× median
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