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Provider 1386235125

NPI: 1386235125Share
Active Billing Period:2021-11→2024-10(34 months)

Total Paid

$10.3M

$10,284,893

Total Claims

252K

Beneficiaries

108K

2.3 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2021
$13K
+50659%
2022
$6.7M
-47%
2023
$3.5M
-100%
2024
$7K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (U0004 (COVID-19 test, nucleic acid detection, CDC lab only)) accounts for 63% of total spending.

U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$6.4M

93K claims · 62.6%

Your Cost: $69.47/claim|Median: $60.05
1.2× median
G2023Normal range

Specimen collection for COVID-19 testing

$1.5M

84K claims · 15.0%

Your Cost: $18.44/claim|Median: $17.15
1.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$1.4M

30K claims · 13.6%

Your Cost: $47.04/claim|Median: $39.70
1.2× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$852K

43K claims · 8.3%

Your Cost: $20.00/claim|Median: $15.76
1.3× median
91320Normal range

$10K

129 claims · 0.1%

Your Cost: $79.74/claim|Median: $72.65
1.1× median
0124ANormal range

$8K

383 claims · 0.1%

Your Cost: $20.97/claim|Median: $34.32
0.6× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$8K

295 claims · 0.1%

Your Cost: $26.99/claim|Median: $30.04
0.9× median
90480Normal range

$4K

148 claims · 0.0%

Your Cost: $27.70/claim|Median: $25.29
1.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$4K

373 claims · 0.0%

Your Cost: $9.95/claim|Median: $7.18
1.4× median
0004ANormal range

$3K

239 claims · 0.0%

Your Cost: $13.15/claim|Median: $35.62
0.4× median
0134ANormal range

$2K

83 claims · 0.0%

Your Cost: $25.10/claim|Median: $33.54
0.7× median
10005Normal range

$2K

19 claims · 0.0%

Your Cost: $100.00/claim|Median: $97.92
1.0× median
0072ANormal range

$851

129 claims · 0.0%

Your Cost: $6.60/claim|Median: $39.57
0.2× median
0071ANormal range

$684

89 claims · 0.0%

Your Cost: $7.68/claim|Median: $38.71
0.2× median
99212Normal range

Office/outpatient visit, low complexity

$643

120 claims · 0.0%

Your Cost: $5.36/claim|Median: $25.06
0.2× median
90715Normal range

Tdap vaccine

$620

76 claims · 0.0%

Your Cost: $8.16/claim|Median: $10.32
0.8× median
83655Normal range

$506

87 claims · 0.0%

Your Cost: $5.82/claim|Median: $10.49
0.6× median
0081ANormal range

$339

27 claims · 0.0%

Your Cost: $12.56/claim|Median: $38.21
0.3× median
G0008Normal range

$286

411 claims · 0.0%

Your Cost: $0.69/claim|Median: $2.54
0.3× median
0073ANormal range

$284

18 claims · 0.0%

Your Cost: $15.77/claim|Median: $40.00
0.4× median
0154ANormal range

$239

25 claims · 0.0%

Your Cost: $9.55/claim|Median: $39.23
0.2× median
0053ANormal range

$89

87 claims · 0.0%

Your Cost: $1.03/claim|Median: $37.33
0.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$78

25 claims · 0.0%

Your Cost: $3.13/claim|Median: $17.85
0.2× median
85018Normal range

$23

28 claims · 0.0%

Your Cost: $0.81/claim|Median: $1.71
0.5× median
90461Normal range

Immunization admin, additional vaccine, counseling

$9

14 claims · 0.0%

Your Cost: $0.64/claim|Median: $6.93
0.1× median
36416Normal range

$0

36 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.31
99173Normal range

$0

32 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.16
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