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Provider 1376684456

NPI: 1376684456Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.6M

$15,647,963

Total Claims

136K

Beneficiaries

103K

1.3 claims/patient

Avg Cost/Claim

$115

Monthly Spending Trend

Yearly Spending

2018
$2.1M
+14%
2019
$2.4M
-11%
2020
$2.1M
+19%
2021
$2.5M
-27%
2022
$1.8M
+23%
2023
$2.2M
+18%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (00003 (Anesthesia services)) accounts for 57% of total spending.

00003Normal range

Anesthesia services

$8.9M

39K claims · 56.7%

Your Cost: $230.15/claim|Median: $223.77
1.0× median
T1015Top 25%

Clinic visit/encounter, all-inclusive

$5.4M

27K claims · 34.6%

Your Cost: $200.20/claim|Median: $121.16
1.7× median
99213Normal range

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

$308K

17K claims · 2.0%

Your Cost: $17.90/claim|Median: $37.81
0.5× median
99214Normal range

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

$278K

13K claims · 1.8%

Your Cost: $21.41/claim|Median: $53.41
0.4× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$184K

4,619 claims · 1.2%

Your Cost: $39.88/claim|Median: $33.85
1.2× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$137K

4,430 claims · 0.9%

Your Cost: $30.83/claim|Median: $25.93
1.2× median
0031ATop 25%

COVID-19 vaccine admin, J&J, single dose

$115K

2,875 claims · 0.7%

Your Cost: $39.85/claim|Median: $32.49
1.2× median
59425Top 25%

Antepartum care only, 4-6 visits

$40K

462 claims · 0.3%

Your Cost: $87.13/claim|Median: $63.63
1.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$30K

2,274 claims · 0.2%

Your Cost: $13.14/claim|Median: $7.18
1.8× median
92551Top 25%

Screening audiometry, pure tone, air only

$25K

2,474 claims · 0.2%

Your Cost: $10.26/claim|Median: $6.61
1.6× median
90791Top 25%

Psychiatric diagnostic evaluation

$23K

141 claims · 0.1%

Your Cost: $162.99/claim|Median: $99.21
1.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$23K

351 claims · 0.1%

Your Cost: $65.45/claim|Median: $80.15
0.8× median
99396Normal range

Preventive medicine, established patient, age 40-64

$23K

451 claims · 0.1%

Your Cost: $50.67/claim|Median: $76.06
0.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$23K

331 claims · 0.1%

Your Cost: $68.84/claim|Median: $72.71
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$16K

352 claims · 0.1%

Your Cost: $45.10/claim|Median: $74.82
0.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$15K

424 claims · 0.1%

Your Cost: $35.89/claim|Median: $75.18
0.5× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$14K

350 claims · 0.1%

Your Cost: $40.00/claim|Median: $33.72
1.2× median
0064ATop 25%

$13K

317 claims · 0.1%

Your Cost: $40.00/claim|Median: $34.17
1.2× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$13K

318 claims · 0.1%

Your Cost: $39.85/claim|Median: $36.70
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$12K

377 claims · 0.1%

Your Cost: $30.92/claim|Median: $69.35
0.4× median
99401Normal range

$11K

787 claims · 0.1%

Your Cost: $14.51/claim|Median: $16.53
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$9K

2,037 claims · 0.1%

Your Cost: $4.40/claim|Median: $11.48
0.4× median
99212Normal range

Office/outpatient visit, low complexity

$8K

350 claims · 0.1%

Your Cost: $22.71/claim|Median: $25.06
0.9× median
99173Normal range

$7K

2,639 claims · 0.0%

Your Cost: $2.58/claim|Median: $2.16
1.2× median
85018Normal range

$6K

4,610 claims · 0.0%

Your Cost: $1.26/claim|Median: $1.71
0.7× median
90670Top 25%

$6K

400 claims · 0.0%

Your Cost: $14.26/claim|Median: $5.94
2.4× median
90715Top 25%

Tdap vaccine

$4K

197 claims · 0.0%

Your Cost: $22.10/claim|Median: $10.32
2.1× median
90648Top 25%

$3K

246 claims · 0.0%

Your Cost: $10.96/claim|Median: $4.08
2.7× median
90677Normal range

$3K

62 claims · 0.0%

Your Cost: $43.20/claim|Median: $12.96
3.3× median
81002Normal range

Urinalysis, non-automated without microscopy

$2K

2,679 claims · 0.0%

Your Cost: $0.79/claim|Median: $2.00
0.4× median
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