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Provider 1386719524

NPI: 1386719524Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.5M

$10,541,872

Total Claims

368K

Beneficiaries

322K

1.1 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+4%
2019
$1.5M
-18%
2020
$1.2M
+21%
2021
$1.5M
+30%
2022
$1.9M
-15%
2023
$1.6M
-7%
2024
$1.5M

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 45% of total spending.

99213Top 25%

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

$4.8M

84K claims · 45.3%

Your Cost: $57.12/claim|Median: $37.81
1.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$808K

11K claims · 7.7%

Your Cost: $71.88/claim|Median: $74.82
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$685K

9,421 claims · 6.5%

Your Cost: $72.67/claim|Median: $75.18
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$552K

7,127 claims · 5.2%

Your Cost: $77.42/claim|Median: $80.15
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$438K

6,688 claims · 4.2%

Your Cost: $65.55/claim|Median: $69.35
0.9× median
87804Normal range

Influenza virus detection, rapid test

$356K

25K claims · 3.4%

Your Cost: $14.02/claim|Median: $12.59
1.1× median
87426Normal range

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

$352K

12K claims · 3.3%

Your Cost: $30.07/claim|Median: $30.04
1.0× median
99214Top 25%

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

$279K

3,463 claims · 2.6%

Your Cost: $80.60/claim|Median: $53.41
1.5× median
92551Normal range

Screening audiometry, pure tone, air only

$218K

25K claims · 2.1%

Your Cost: $8.86/claim|Median: $6.61
1.3× median
90651Top 25%

HPV vaccine, 9-valent

$181K

4,442 claims · 1.7%

Your Cost: $40.81/claim|Median: $8.93
4.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$151K

12K claims · 1.4%

Your Cost: $12.80/claim|Median: $11.48
1.1× median
99204Normal range

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

$138K

1,286 claims · 1.3%

Your Cost: $107.10/claim|Median: $84.03
1.3× median
90670Top 10%

$128K

5,327 claims · 1.2%

Your Cost: $24.10/claim|Median: $5.94
4.1× median
96110Normal range

Developmental screening, per standardized instrument

$116K

16K claims · 1.1%

Your Cost: $7.32/claim|Median: $9.10
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$113K

3,712 claims · 1.1%

Your Cost: $30.55/claim|Median: $25.06
1.2× median
99211Normal range

Office/outpatient visit, minimal complexity

$110K

12K claims · 1.0%

Your Cost: $9.24/claim|Median: $12.93
0.7× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$95K

9,025 claims · 0.9%

Your Cost: $10.52/claim|Median: $7.18
1.5× median
90716Top 10%

$93K

4,074 claims · 0.9%

Your Cost: $22.90/claim|Median: $6.18
3.7× median
90734Top 10%

$68K

2,589 claims · 0.6%

Your Cost: $26.22/claim|Median: $6.40
4.1× median
90707Top 25%

MMR vaccine

$65K

3,827 claims · 0.6%

Your Cost: $16.99/claim|Median: $5.76
2.9× median
90680Top 25%

$56K

3,417 claims · 0.5%

Your Cost: $16.37/claim|Median: $5.58
2.9× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$54K

850 claims · 0.5%

Your Cost: $63.72/claim|Median: $73.46
0.9× median
90633Top 25%

$54K

4,402 claims · 0.5%

Your Cost: $12.23/claim|Median: $3.56
3.4× median
90715Normal range

Tdap vaccine

$46K

3,219 claims · 0.4%

Your Cost: $14.22/claim|Median: $10.32
1.4× median
90723Top 25%

DTaP-HepB-IPV vaccine

$45K

2,975 claims · 0.4%

Your Cost: $15.25/claim|Median: $5.78
2.6× median
90688Normal range

$45K

3,937 claims · 0.4%

Your Cost: $11.41/claim|Median: $9.00
1.3× median
90700Top 25%

$43K

3,637 claims · 0.4%

Your Cost: $11.96/claim|Median: $4.56
2.6× median
90648Top 25%

$42K

4,060 claims · 0.4%

Your Cost: $10.27/claim|Median: $4.08
2.5× median
90621Top 10%

$33K

921 claims · 0.3%

Your Cost: $35.30/claim|Median: $7.66
4.6× median
99173Normal range

$30K

25K claims · 0.3%

Your Cost: $1.20/claim|Median: $2.16
0.6× median
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