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Provider 1376554824

NPI: 1376554824Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$12.4M

$12,387,727

Total Claims

341K

Beneficiaries

213K

1.6 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-4%
2019
$1.9M
-20%
2020
$1.5M
+13%
2021
$1.7M
+4%
2022
$1.8M
-3%
2023
$1.7M
+6%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (95144) accounts for 34% of total spending.

95144Top 25%

$4.2M

13K claims · 33.8%

Your Cost: $321.22/claim|Median: $109.74
2.9× median
95117Top 25%

$2.8M

234K claims · 22.6%

Your Cost: $11.99/claim|Median: $8.34
1.4× median
95004Normal range

Percutaneous allergy skin tests, each

$1.5M

11K claims · 11.8%

Your Cost: $128.21/claim|Median: $134.97
0.9× median
99213Normal range

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

$747K

22K claims · 6.0%

Your Cost: $34.68/claim|Median: $37.81
0.9× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$681K

5,487 claims · 5.5%

Your Cost: $124.07/claim|Median: $121.58
1.0× median
99214Normal range

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

$584K

9,908 claims · 4.7%

Your Cost: $58.97/claim|Median: $53.41
1.1× median
95024Normal range

$567K

6,571 claims · 4.6%

Your Cost: $86.32/claim|Median: $60.31
1.4× median
94060Top 25%

$534K

9,647 claims · 4.3%

Your Cost: $55.31/claim|Median: $25.18
2.2× median
95165Top 25%

Professional services for allergen immunotherapy, per injection

$260K

1,014 claims · 2.1%

Your Cost: $256.45/claim|Median: $144.04
1.8× median
94010Top 25%

$150K

4,879 claims · 1.2%

Your Cost: $30.75/claim|Median: $18.11
1.7× median
95115Top 25%

$141K

14K claims · 1.1%

Your Cost: $10.00/claim|Median: $6.96
1.4× median
99212Normal range

Office/outpatient visit, low complexity

$96K

4,552 claims · 0.8%

Your Cost: $21.05/claim|Median: $25.06
0.8× median
96401Normal range

$54K

3,167 claims · 0.4%

Your Cost: $17.11/claim|Median: $40.24
0.4× median
99243Normal range

Office or other outpatient consultation, low complexity

$30K

335 claims · 0.2%

Your Cost: $89.39/claim|Median: $82.43
1.1× median
99245Normal range

Office consultation, high complexity

$29K

242 claims · 0.2%

Your Cost: $120.74/claim|Median: $143.30
0.8× median
99204Normal range

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

$27K

306 claims · 0.2%

Your Cost: $86.89/claim|Median: $84.03
1.0× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$18K

724 claims · 0.1%

Your Cost: $24.85/claim|Median: $9.56
2.6× median
99203Normal range

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

$3K

42 claims · 0.0%

Your Cost: $75.83/claim|Median: $57.85
1.3× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$3K

75 claims · 0.0%

Your Cost: $38.27/claim|Median: $33.85
1.1× median
0011ATop 25%

COVID-19 vaccine admin, Moderna, 1st dose

$3K

76 claims · 0.0%

Your Cost: $37.63/claim|Median: $25.93
1.5× median
94375Normal range

$266

169 claims · 0.0%

Your Cost: $1.57/claim|Median: $17.23
0.1× median
90686Top 10%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$264

13 claims · 0.0%

Your Cost: $20.31/claim|Median: $7.18
2.8× median
90471Normal range

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

$261

30 claims · 0.0%

Your Cost: $8.70/claim|Median: $9.80
0.9× median