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Provider 1396962734

NPI: 1396962734Share
Active Billing Period:2018-01→2024-12(81 months)

Total Paid

$7.7M

$7,737,289

Total Claims

174K

Beneficiaries

159K

1.1 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$43K
+1993%
2019
$895K
+1%
2020
$903K
+40%
2021
$1.3M
+52%
2022
$1.9M
-9%
2023
$1.8M
-46%
2024
$956K

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 29% of total spending.

99213Top 25%

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

$2.3M

33K claims · 29.4%

Your Cost: $68.23/claim|Median: $37.81
1.8× median
99214Top 10%

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

$1.6M

15K claims · 20.4%

Your Cost: $104.90/claim|Median: $53.41
2.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$459K

5,286 claims · 5.9%

Your Cost: $86.88/claim|Median: $75.18
1.2× median
U0002Top 25%

COVID-19 lab test, non-CDC, nucleic acid

$457K

9,174 claims · 5.9%

Your Cost: $49.85/claim|Median: $34.62
1.4× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$453K

4,763 claims · 5.9%

Your Cost: $95.06/claim|Median: $69.35
1.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$374K

4,263 claims · 4.8%

Your Cost: $87.70/claim|Median: $74.82
1.2× median
87804Top 25%

Influenza virus detection, rapid test

$269K

10K claims · 3.5%

Your Cost: $25.79/claim|Median: $12.59
2.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$255K

2,854 claims · 3.3%

Your Cost: $89.35/claim|Median: $80.15
1.1× median
S9451Top 25%

$250K

18K claims · 3.2%

Your Cost: $13.94/claim|Median: $0.35
39.8× median
87880Top 5%

Streptococcus, Group A, rapid antigen detection

$228K

7,349 claims · 2.9%

Your Cost: $31.00/claim|Median: $11.48
2.7× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$213K

9,076 claims · 2.8%

Your Cost: $23.46/claim|Median: $17.85
1.3× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$137K

2,699 claims · 1.8%

Your Cost: $50.74/claim|Median: $4.71
10.8× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$134K

4,841 claims · 1.7%

Your Cost: $27.60/claim|Median: $6.93
4.0× median
99381Normal range

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

$64K

758 claims · 0.8%

Your Cost: $84.45/claim|Median: $73.46
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$61K

2,250 claims · 0.8%

Your Cost: $26.94/claim|Median: $25.06
1.1× median
90723Top 5%

DTaP-HepB-IPV vaccine

$55K

1,375 claims · 0.7%

Your Cost: $39.77/claim|Median: $5.78
6.9× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$53K

15K claims · 0.7%

Your Cost: $3.51/claim|Median: $24.33
0.1× median
90686Top 5%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$41K

1,636 claims · 0.5%

Your Cost: $25.28/claim|Median: $7.18
3.5× median
87807Top 5%

$38K

2,154 claims · 0.5%

Your Cost: $17.60/claim|Median: $10.06
1.7× median
83655Top 1%

$29K

670 claims · 0.4%

Your Cost: $43.99/claim|Median: $10.49
4.2× median
96110Top 10%

Developmental screening, per standardized instrument

$26K

843 claims · 0.3%

Your Cost: $31.09/claim|Median: $9.10
3.4× median
99177Top 10%

$24K

1,294 claims · 0.3%

Your Cost: $18.62/claim|Median: $3.74
5.0× median
90647Top 10%

$23K

1,369 claims · 0.3%

Your Cost: $16.86/claim|Median: $4.31
3.9× median
81003Top 5%

Urinalysis, automated without microscopy

$21K

1,160 claims · 0.3%

Your Cost: $18.35/claim|Median: $1.48
12.4× median
90707Normal range

MMR vaccine

$18K

1,395 claims · 0.2%

Your Cost: $13.19/claim|Median: $5.76
2.3× median
93000Top 5%

Electrocardiogram, complete, with interpretation and report

$17K

531 claims · 0.2%

Your Cost: $32.76/claim|Median: $9.70
3.4× median
90633Top 25%

$16K

1,388 claims · 0.2%

Your Cost: $11.57/claim|Median: $3.56
3.2× median
90700Top 1%

$16K

427 claims · 0.2%

Your Cost: $36.48/claim|Median: $4.56
8.0× median
99383Top 25%

Preventive visit, new patient, late childhood (5-11 yr)

$14K

129 claims · 0.2%

Your Cost: $110.61/claim|Median: $81.92
1.4× median
90671Top 25%

$13K

351 claims · 0.2%

Your Cost: $38.38/claim|Median: $8.59
4.5× median
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