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Provider 1376521575

NPI: 1376521575Share
Active Billing Period:2018-01→2022-11(46 months)
Billing appears to have stoppedLast active: 2022-11

Total Paid

$9.4M

$9,417,163

Total Claims

479K

Beneficiaries

281K

1.7 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2018
$2.7M
+68%
2019
$4.5M
-51%
2020
$2.2M
-97%
2021
$63K
-87%
2022
$8K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (97110 (Therapeutic exercises, each 15 min)) accounts for 66% of total spending.

97110Top 10%

Therapeutic exercises, each 15 min

$6.2M

81K claims · 66.1%

Your Cost: $77.25/claim|Median: $24.49
3.2× median
97162Normal range

PT evaluation, moderate complexity

$215K

4,251 claims · 2.3%

Your Cost: $50.52/claim|Median: $46.10
1.1× median
90651Top 10%

HPV vaccine, 9-valent

$173K

2,101 claims · 1.8%

Your Cost: $82.24/claim|Median: $8.93
9.2× median
87389Top 25%

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$125K

4,763 claims · 1.3%

Your Cost: $26.27/claim|Median: $18.03
1.5× median
90670Top 5%

$116K

2,523 claims · 1.2%

Your Cost: $45.98/claim|Median: $5.94
7.7× median
92507Normal range

Speech/hearing/language treatment

$106K

7,621 claims · 1.1%

Your Cost: $13.87/claim|Median: $49.45
0.3× median
90715Top 25%

Tdap vaccine

$104K

4,024 claims · 1.1%

Your Cost: $25.81/claim|Median: $10.32
2.5× median
97161Normal range

Physical therapy evaluation, low complexity

$97K

2,178 claims · 1.0%

Your Cost: $44.53/claim|Median: $47.89
0.9× median
U0003Normal range

Infectious disease detection (COVID-19)

$96K

1,347 claims · 1.0%

Your Cost: $71.60/claim|Median: $63.08
1.1× median
77067Normal range

Screening mammography, bilateral, including CAD

$84K

1,450 claims · 0.9%

Your Cost: $57.85/claim|Median: $39.33
1.5× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$81K

4,169 claims · 0.9%

Your Cost: $19.38/claim|Median: $28.46
0.7× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$78K

537 claims · 0.8%

Your Cost: $144.69/claim|Median: $169.17
0.9× median
84443Normal range

Thyroid stimulating hormone (TSH)

$77K

13K claims · 0.8%

Your Cost: $5.72/claim|Median: $9.87
0.6× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$76K

2,147 claims · 0.8%

Your Cost: $35.59/claim|Median: $41.92
0.8× median
80053Normal range

Comprehensive metabolic panel

$75K

28K claims · 0.8%

Your Cost: $2.67/claim|Median: $7.24
0.4× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$61K

6,076 claims · 0.6%

Your Cost: $9.96/claim|Median: $23.39
0.4× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$60K

1,799 claims · 0.6%

Your Cost: $33.63/claim|Median: $65.64
0.5× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$58K

6,089 claims · 0.6%

Your Cost: $9.58/claim|Median: $24.95
0.4× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$58K

7,600 claims · 0.6%

Your Cost: $7.61/claim|Median: $9.56
0.8× median
Q2038Top 25%

$45K

3,289 claims · 0.5%

Your Cost: $13.58/claim|Median: $3.31
4.1× median
92557Top 25%

Comprehensive audiometry, air, bone, and speech testing

$38K

1,049 claims · 0.4%

Your Cost: $36.09/claim|Median: $27.28
1.3× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$37K

2,963 claims · 0.4%

Your Cost: $12.41/claim|Median: $75.28
0.2× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$36K

3,803 claims · 0.4%

Your Cost: $9.41/claim|Median: $7.50
1.3× median
17110Normal range

Destruction of benign lesions, up to fourteen

$35K

593 claims · 0.4%

Your Cost: $58.67/claim|Median: $59.25
1.0× median
90746Normal range

Hepatitis B vaccine, adult

$35K

584 claims · 0.4%

Your Cost: $59.45/claim|Median: $48.85
1.2× median
90734Top 10%

$34K

1,024 claims · 0.4%

Your Cost: $32.77/claim|Median: $6.40
5.1× median
87507Normal range

$31K

195 claims · 0.3%

Your Cost: $158.39/claim|Median: $157.44
1.0× median
97163Normal range

PT evaluation, high complexity

$28K

439 claims · 0.3%

Your Cost: $64.59/claim|Median: $50.34
1.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$27K

27K claims · 0.3%

Your Cost: $1.02/claim|Median: $4.71
0.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$26K

4,031 claims · 0.3%

Your Cost: $6.55/claim|Median: $11.48
0.6× median
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