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Provider 1376575514

NPI: 1376575514Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.6M

$10,612,239

Total Claims

371K

Beneficiaries

337K

1.1 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-1%
2019
$1.3M
-40%
2020
$770K
+92%
2021
$1.5M
+14%
2022
$1.7M
+3%
2023
$1.7M
+36%
2024
$2.4M

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 29% of total spending.

99213Normal range

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

$3.1M

79K claims · 29.2%

Your Cost: $39.08/claim|Median: $37.81
1.0× median
99214Normal range

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

$2.0M

37K claims · 18.9%

Your Cost: $53.91/claim|Median: $53.41
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$772K

12K claims · 7.3%

Your Cost: $64.88/claim|Median: $69.35
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$620K

9,399 claims · 5.8%

Your Cost: $66.01/claim|Median: $75.18
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$396K

5,988 claims · 3.7%

Your Cost: $66.14/claim|Median: $74.82
0.9× median
90472Top 25%

Immunization administration, each additional vaccine

$352K

16K claims · 3.3%

Your Cost: $21.36/claim|Median: $11.79
1.8× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$295K

2,760 claims · 2.8%

Your Cost: $107.02/claim|Median: $91.47
1.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$255K

3,845 claims · 2.4%

Your Cost: $66.30/claim|Median: $80.15
0.8× median
90471Normal range

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

$229K

23K claims · 2.2%

Your Cost: $9.88/claim|Median: $9.80
1.0× median
W0037Normal range

$190K

27K claims · 1.8%

Your Cost: $7.06/claim|Median: $3.00
2.4× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$188K

2,427 claims · 1.8%

Your Cost: $77.44/claim|Median: $62.48
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$175K

2,279 claims · 1.6%

Your Cost: $76.74/claim|Median: $74.09
1.0× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$152K

2,741 claims · 1.4%

Your Cost: $55.41/claim|Median: $37.22
1.5× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$150K

5,439 claims · 1.4%

Your Cost: $27.54/claim|Median: $28.46
1.0× median
54150Normal range

$140K

1,127 claims · 1.3%

Your Cost: $123.94/claim|Median: $84.60
1.5× median
99395Normal range

Preventive medicine, established patient, age 18-39

$106K

1,648 claims · 1.0%

Your Cost: $64.35/claim|Median: $72.71
0.9× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$97K

1,078 claims · 0.9%

Your Cost: $89.83/claim|Median: $51.25
1.8× median
0240UNormal range

$86K

831 claims · 0.8%

Your Cost: $104.08/claim|Median: $89.76
1.2× median
99203Normal range

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

$79K

1,290 claims · 0.7%

Your Cost: $61.51/claim|Median: $57.85
1.1× median
99308Top 25%

Nursing facility care, subsequent, straightforward

$72K

2,604 claims · 0.7%

Your Cost: $27.50/claim|Median: $9.79
2.8× median
71046Top 25%

Chest X-ray, 2 views

$62K

3,147 claims · 0.6%

Your Cost: $19.75/claim|Median: $8.92
2.2× median
90473Normal range

Immunization admin, intranasal, first

$58K

5,983 claims · 0.5%

Your Cost: $9.70/claim|Median: $9.17
1.1× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$58K

1,258 claims · 0.5%

Your Cost: $45.85/claim|Median: $23.99
1.9× median
99462Normal range

$51K

1,544 claims · 0.5%

Your Cost: $32.79/claim|Median: $27.49
1.2× median
99309Top 25%

Nursing facility care, subsequent, low complexity

$48K

1,486 claims · 0.5%

Your Cost: $32.24/claim|Median: $14.00
2.3× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$46K

1,051 claims · 0.4%

Your Cost: $43.77/claim|Median: $39.70
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$46K

1,893 claims · 0.4%

Your Cost: $24.05/claim|Median: $25.06
1.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$44K

626 claims · 0.4%

Your Cost: $69.74/claim|Median: $76.06
0.9× median
36415Top 25%

Collection of venous blood by venipuncture

$41K

9,246 claims · 0.4%

Your Cost: $4.46/claim|Median: $1.57
2.8× median
99204Normal range

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

$41K

411 claims · 0.4%

Your Cost: $98.76/claim|Median: $84.03
1.2× median
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