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Provider 1376053843

NPI: 1376053843Share
Active Billing Period:2018-04→2024-12(81 months)

Total Paid

$8.0M

$8,008,506

Total Claims

191K

Beneficiaries

175K

1.1 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$155K
+235%
2019
$519K
+59%
2020
$824K
+51%
2021
$1.2M
+25%
2022
$1.5M
+19%
2023
$1.8M
+1%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 52% of total spending.

99214Top 10%

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

$4.2M

41K claims · 52.3%

Your Cost: $102.80/claim|Median: $53.41
1.9× median
99204Normal range

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

$1.4M

15K claims · 17.7%

Your Cost: $95.86/claim|Median: $84.03
1.1× median
99213Top 5%

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

$1.0M

11K claims · 12.9%

Your Cost: $91.83/claim|Median: $37.81
2.4× median
99203Top 25%

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

$473K

5,558 claims · 5.9%

Your Cost: $85.16/claim|Median: $57.85
1.5× median
99215Normal range

Office/outpatient visit, high complexity

$246K

2,621 claims · 3.1%

Your Cost: $93.72/claim|Median: $74.09
1.3× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$233K

2,769 claims · 2.9%

Your Cost: $84.15/claim|Median: $111.09
0.8× median
87426Normal range

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

$98K

13K claims · 1.2%

Your Cost: $7.28/claim|Median: $30.04
0.2× median
S9088Top 5%

Services provided in an urgent care center

$84K

1,098 claims · 1.0%

Your Cost: $76.52/claim|Median: $28.22
2.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$58K

10K claims · 0.7%

Your Cost: $5.63/claim|Median: $39.70
0.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$28K

12K claims · 0.4%

Your Cost: $2.42/claim|Median: $9.56
0.3× median
87804Normal range

Influenza virus detection, rapid test

$20K

5,355 claims · 0.2%

Your Cost: $3.72/claim|Median: $12.59
0.3× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$17K

12K claims · 0.2%

Your Cost: $1.36/claim|Median: $0.79
1.7× median
86328Normal range

$12K

3,374 claims · 0.1%

Your Cost: $3.48/claim|Median: $20.52
0.2× median
J1100Top 25%

$12K

7,529 claims · 0.1%

Your Cost: $1.54/claim|Median: $0.52
3.0× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$10K

2,984 claims · 0.1%

Your Cost: $3.37/claim|Median: $28.46
0.1× median
99072Normal range

$9K

11K claims · 0.1%

Your Cost: $0.80/claim|Median: $0.54
1.5× median
U0001Normal range

$7K

1,064 claims · 0.1%

Your Cost: $6.94/claim|Median: $24.79
0.3× median
81001Normal range

Urinalysis, automated, with microscopy

$7K

3,581 claims · 0.1%

Your Cost: $1.83/claim|Median: $2.03
0.9× median
87811Normal range

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

$6K

958 claims · 0.1%

Your Cost: $6.72/claim|Median: $30.53
0.2× median
71046Normal range

Chest X-ray, 2 views

$5K

2,021 claims · 0.1%

Your Cost: $2.64/claim|Median: $8.92
0.3× median
U0002Normal range

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

$5K

1,166 claims · 0.1%

Your Cost: $4.19/claim|Median: $34.62
0.1× median
J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

$4K

7,744 claims · 0.1%

Your Cost: $0.55/claim|Median: $0.91
0.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$4K

448 claims · 0.1%

Your Cost: $9.23/claim|Median: $11.48
0.8× median
99195Normal range

$4K

625 claims · 0.0%

Your Cost: $5.91/claim|Median: $34.14
0.2× median
97597Normal range

$3K

613 claims · 0.0%

Your Cost: $5.00/claim|Median: $21.22
0.2× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$3K

740 claims · 0.0%

Your Cost: $3.99/claim|Median: $9.70
0.4× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$3K

267 claims · 0.0%

Your Cost: $10.40/claim|Median: $36.13
0.3× median
81025Normal range

Urine pregnancy test

$3K

1,678 claims · 0.0%

Your Cost: $1.60/claim|Median: $4.81
0.3× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$3K

996 claims · 0.0%

Your Cost: $2.54/claim|Median: $65.64
0.0× median
J0696Normal range

$2K

1,722 claims · 0.0%

Your Cost: $1.23/claim|Median: $1.34
0.9× median
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