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Provider 1376946913

NPI: 1376946913Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.1M

$13,102,301

Total Claims

230K

Beneficiaries

177K

1.3 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$2.1M
+23%
2019
$2.6M
-36%
2020
$1.7M
+10%
2021
$1.9M
-3%
2022
$1.8M
-8%
2023
$1.7M
-28%
2024
$1.2M

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 30% of total spending.

99213Top 25%

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

$4.0M

60K claims · 30.3%

Your Cost: $66.30/claim|Median: $37.81
1.8× median
99214Top 25%

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

$3.0M

34K claims · 22.8%

Your Cost: $87.49/claim|Median: $53.41
1.6× median
99215Top 25%

Office/outpatient visit, high complexity

$725K

6,473 claims · 5.5%

Your Cost: $111.99/claim|Median: $74.09
1.5× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$548K

6,019 claims · 4.2%

Your Cost: $91.05/claim|Median: $75.18
1.2× median
76816Top 10%

Ultrasound, pregnant uterus, follow-up

$485K

4,185 claims · 3.7%

Your Cost: $115.98/claim|Median: $58.55
2.0× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$420K

3,906 claims · 3.2%

Your Cost: $107.59/claim|Median: $74.82
1.4× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$416K

19K claims · 3.2%

Your Cost: $21.95/claim|Median: $17.85
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$409K

5,118 claims · 3.1%

Your Cost: $79.99/claim|Median: $69.35
1.2× median
76811Top 25%

Ultrasound, pregnant uterus, detailed, single fetus

$349K

1,942 claims · 2.7%

Your Cost: $179.61/claim|Median: $106.79
1.7× median
76818Top 10%

$307K

2,354 claims · 2.3%

Your Cost: $130.54/claim|Median: $68.15
1.9× median
99203Top 10%

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

$243K

2,438 claims · 1.9%

Your Cost: $99.49/claim|Median: $57.85
1.7× median
99480Top 10%

Subsequent intensive care, very low birth weight infant

$219K

1,519 claims · 1.7%

Your Cost: $143.88/claim|Median: $98.15
1.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$172K

4,116 claims · 1.3%

Your Cost: $41.78/claim|Median: $39.70
1.1× median
99212Top 25%

Office/outpatient visit, low complexity

$142K

3,438 claims · 1.1%

Your Cost: $41.37/claim|Median: $25.06
1.7× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$138K

1,311 claims · 1.1%

Your Cost: $105.24/claim|Median: $80.15
1.3× median
99479Top 10%

Subsequent intensive care, 2,501-5,000 grams

$124K

862 claims · 0.9%

Your Cost: $143.86/claim|Median: $103.70
1.4× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$112K

1,997 claims · 0.9%

Your Cost: $56.33/claim|Median: $40.11
1.4× median
90837Normal range

Psychotherapy, 60 minutes

$103K

1,428 claims · 0.8%

Your Cost: $71.88/claim|Median: $85.66
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$101K

1,812 claims · 0.8%

Your Cost: $55.47/claim|Median: $54.68
1.0× median
76815Top 10%

Ultrasound, pregnant uterus, limited

$97K

1,178 claims · 0.7%

Your Cost: $82.32/claim|Median: $36.79
2.2× median
87502Top 25%

Influenza virus detection, reverse transcription, amplified probe

$95K

1,186 claims · 0.7%

Your Cost: $79.97/claim|Median: $65.64
1.2× median
90472Normal range

Immunization administration, each additional vaccine

$75K

4,219 claims · 0.6%

Your Cost: $17.85/claim|Median: $11.79
1.5× median
76820Top 25%

$75K

1,499 claims · 0.6%

Your Cost: $50.10/claim|Median: $31.79
1.6× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$68K

2,401 claims · 0.5%

Your Cost: $28.39/claim|Median: $28.46
1.0× median
90670Top 25%

$61K

4,101 claims · 0.5%

Your Cost: $14.99/claim|Median: $5.94
2.5× median
93010Normal range

Electrocardiogram, interpretation and report only

$48K

11K claims · 0.4%

Your Cost: $4.26/claim|Median: $5.60
0.8× median
96110Normal range

Developmental screening, per standardized instrument

$48K

5,432 claims · 0.4%

Your Cost: $8.76/claim|Median: $9.10
1.0× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$46K

360 claims · 0.4%

Your Cost: $128.31/claim|Median: $108.91
1.2× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$40K

697 claims · 0.3%

Your Cost: $57.20/claim|Median: $22.44
2.5× median
99309Normal range

Nursing facility care, subsequent, low complexity

$39K

2,479 claims · 0.3%

Your Cost: $15.64/claim|Median: $14.00
1.1× median
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