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Provider 1386911691

NPI: 1386911691Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.5M

$11,546,914

Total Claims

405K

Beneficiaries

369K

1.1 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+37%
2019
$1.7M
-24%
2020
$1.3M
+32%
2021
$1.7M
+23%
2022
$2.1M
-4%
2023
$2.0M
-17%
2024
$1.7M

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 34% of total spending.

99213Top 5%

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

$3.9M

42K claims · 34.1%

Your Cost: $92.66/claim|Median: $37.81
2.5× median
99212Top 25%

Office/outpatient visit, low complexity

$1.4M

25K claims · 11.7%

Your Cost: $54.18/claim|Median: $25.06
2.2× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$945K

8,610 claims · 8.2%

Your Cost: $109.70/claim|Median: $74.82
1.5× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$712K

24K claims · 6.2%

Your Cost: $30.31/claim|Median: $17.85
1.7× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$710K

6,518 claims · 6.1%

Your Cost: $108.86/claim|Median: $75.18
1.4× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$598K

4,995 claims · 5.2%

Your Cost: $119.79/claim|Median: $80.15
1.5× median
87804Normal range

Influenza virus detection, rapid test

$515K

38K claims · 4.5%

Your Cost: $13.66/claim|Median: $12.59
1.1× median
87426Normal range

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

$478K

17K claims · 4.1%

Your Cost: $28.26/claim|Median: $30.04
0.9× median
99214Top 5%

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

$408K

3,144 claims · 3.5%

Your Cost: $129.93/claim|Median: $53.41
2.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$350K

27K claims · 3.0%

Your Cost: $13.04/claim|Median: $11.48
1.1× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$304K

2,965 claims · 2.6%

Your Cost: $102.47/claim|Median: $69.35
1.5× median
92587Normal range

$276K

15K claims · 2.4%

Your Cost: $18.58/claim|Median: $19.24
1.0× median
90461Top 10%

Immunization admin, additional vaccine, counseling

$233K

5,090 claims · 2.0%

Your Cost: $45.84/claim|Median: $6.93
6.6× median
90471Top 25%

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

$88K

5,047 claims · 0.8%

Your Cost: $17.43/claim|Median: $9.80
1.8× median
99401Normal range

$70K

4,119 claims · 0.6%

Your Cost: $17.04/claim|Median: $16.53
1.0× median
H0049Normal range

$55K

4,968 claims · 0.5%

Your Cost: $11.06/claim|Median: $9.27
1.2× median
99051Normal range

$50K

14K claims · 0.4%

Your Cost: $3.61/claim|Median: $7.89
0.5× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$43K

16K claims · 0.4%

Your Cost: $2.69/claim|Median: $12.70
0.2× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$40K

1,714 claims · 0.3%

Your Cost: $23.27/claim|Median: $28.46
0.8× median
0071ATop 25%

$31K

660 claims · 0.3%

Your Cost: $47.22/claim|Median: $38.71
1.2× median
0072ANormal range

$29K

689 claims · 0.2%

Your Cost: $41.45/claim|Median: $39.57
1.0× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$26K

634 claims · 0.2%

Your Cost: $41.66/claim|Median: $36.70
1.1× median
G8510Normal range

$25K

4,949 claims · 0.2%

Your Cost: $5.05/claim|Median: $1.96
2.6× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$23K

653 claims · 0.2%

Your Cost: $35.76/claim|Median: $33.72
1.1× median
90480Normal range

$18K

561 claims · 0.2%

Your Cost: $32.28/claim|Median: $25.29
1.3× median
99381Top 25%

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

$17K

156 claims · 0.1%

Your Cost: $108.45/claim|Median: $73.46
1.5× median
0073ATop 25%

$15K

353 claims · 0.1%

Your Cost: $41.78/claim|Median: $40.00
1.0× median
92551Top 25%

Screening audiometry, pure tone, air only

$14K

1,356 claims · 0.1%

Your Cost: $10.46/claim|Median: $6.61
1.6× median
0154ANormal range

$12K

310 claims · 0.1%

Your Cost: $40.22/claim|Median: $39.23
1.0× median
36415Normal range

Collection of venous blood by venipuncture

$12K

19K claims · 0.1%

Your Cost: $0.62/claim|Median: $1.57
0.4× median
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