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Provider 1396979787

NPI: 1396979787Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.9M

$17,938,844

Total Claims

484K

Beneficiaries

456K

1.1 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$2.7M
-5%
2019
$2.6M
-18%
2020
$2.1M
+33%
2021
$2.8M
+16%
2022
$3.2M
-17%
2023
$2.7M
-27%
2024
$1.9M

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 32% of total spending.

99213Top 25%

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

$5.7M

93K claims · 31.8%

Your Cost: $60.96/claim|Median: $37.81
1.6× median
99214Normal range

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

$4.3M

60K claims · 23.7%

Your Cost: $70.95/claim|Median: $53.41
1.3× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$2.1M

23K claims · 11.6%

Your Cost: $92.06/claim|Median: $69.35
1.3× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$1.8M

18K claims · 10.1%

Your Cost: $99.06/claim|Median: $75.18
1.3× median
90460Top 10%

Immunization administration, first vaccine/toxoid, with counseling

$635K

14K claims · 3.5%

Your Cost: $44.41/claim|Median: $17.85
2.5× median
90471Top 10%

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

$556K

26K claims · 3.1%

Your Cost: $21.54/claim|Median: $9.80
2.2× median
90472Normal range

Immunization administration, each additional vaccine

$425K

26K claims · 2.4%

Your Cost: $16.31/claim|Median: $11.79
1.4× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$408K

4,163 claims · 2.3%

Your Cost: $97.98/claim|Median: $74.82
1.3× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$255K

17K claims · 1.4%

Your Cost: $15.08/claim|Median: $11.48
1.3× median
87428Top 5%

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

$222K

3,172 claims · 1.2%

Your Cost: $70.13/claim|Median: $39.63
1.8× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$177K

1,642 claims · 1.0%

Your Cost: $108.07/claim|Median: $80.15
1.3× median
99203Top 25%

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

$151K

1,780 claims · 0.8%

Your Cost: $85.10/claim|Median: $57.85
1.5× median
87804Top 10%

Influenza virus detection, rapid test

$140K

4,778 claims · 0.8%

Your Cost: $29.27/claim|Median: $12.59
2.3× median
96110Normal range

Developmental screening, per standardized instrument

$113K

9,760 claims · 0.6%

Your Cost: $11.60/claim|Median: $9.10
1.3× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$89K

2,871 claims · 0.5%

Your Cost: $31.00/claim|Median: $54.68
0.6× median
99429Normal range

$82K

6,278 claims · 0.5%

Your Cost: $13.12/claim|Median: $28.58
0.5× median
99212Top 25%

Office/outpatient visit, low complexity

$74K

1,870 claims · 0.4%

Your Cost: $39.81/claim|Median: $25.06
1.6× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$68K

1,171 claims · 0.4%

Your Cost: $58.39/claim|Median: $58.55
1.0× median
87426Top 25%

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

$66K

1,821 claims · 0.4%

Your Cost: $36.18/claim|Median: $30.04
1.2× median
99204Normal range

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

$45K

453 claims · 0.3%

Your Cost: $99.53/claim|Median: $84.03
1.2× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$45K

428 claims · 0.2%

Your Cost: $104.02/claim|Median: $74.78
1.4× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$40K

475 claims · 0.2%

Your Cost: $84.01/claim|Median: $62.48
1.3× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$37K

3,363 claims · 0.2%

Your Cost: $10.92/claim|Median: $9.70
1.1× median
76819Top 25%

Fetal biophysical profile with non-stress test

$36K

490 claims · 0.2%

Your Cost: $74.46/claim|Median: $49.45
1.5× median
99238Top 10%

Hospital discharge day management, 30 minutes or less

$35K

535 claims · 0.2%

Your Cost: $65.15/claim|Median: $37.22
1.8× median
85018Top 25%

$32K

11K claims · 0.2%

Your Cost: $2.86/claim|Median: $1.71
1.7× median
90474Normal range

$29K

2,518 claims · 0.2%

Your Cost: $11.65/claim|Median: $8.42
1.4× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$29K

1,087 claims · 0.2%

Your Cost: $26.67/claim|Median: $23.99
1.1× median
59025Normal range

Fetal non-stress test

$28K

863 claims · 0.2%

Your Cost: $32.24/claim|Median: $26.45
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$27K

426 claims · 0.2%

Your Cost: $63.65/claim|Median: $74.09
0.9× median
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