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Provider 1407013121

NPI: 1407013121Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.4M

$17,404,457

Total Claims

330K

Beneficiaries

300K

1.1 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+40%
2019
$1.6M
-20%
2020
$1.3M
+95%
2021
$2.5M
+41%
2022
$3.5M
+12%
2023
$3.9M
-11%
2024
$3.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 40% of total spending.

99214Top 25%

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

$6.9M

87K claims · 39.8%

Your Cost: $79.79/claim|Median: $53.41
1.5× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$2.7M

37K claims · 15.8%

Your Cost: $75.31/claim|Median: $65.64
1.1× median
99213Top 25%

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

$2.0M

35K claims · 11.3%

Your Cost: $56.07/claim|Median: $37.81
1.5× median
99204Normal range

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

$1.6M

15K claims · 9.2%

Your Cost: $106.58/claim|Median: $84.03
1.3× median
87426Normal range

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

$1.2M

43K claims · 6.7%

Your Cost: $27.39/claim|Median: $30.04
0.9× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$843K

25K claims · 4.8%

Your Cost: $33.66/claim|Median: $28.46
1.2× median
99203Normal range

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

$461K

6,386 claims · 2.6%

Your Cost: $72.14/claim|Median: $57.85
1.2× median
U0002Top 25%

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

$433K

8,817 claims · 2.5%

Your Cost: $49.16/claim|Median: $34.62
1.4× median
87430Normal range

$348K

30K claims · 2.0%

Your Cost: $11.73/claim|Median: $9.41
1.2× median
87634Top 25%

$273K

4,381 claims · 1.6%

Your Cost: $62.35/claim|Median: $48.78
1.3× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$183K

4,238 claims · 1.1%

Your Cost: $43.17/claim|Median: $39.70
1.1× median
71046Top 25%

Chest X-ray, 2 views

$127K

5,024 claims · 0.7%

Your Cost: $25.36/claim|Median: $8.92
2.8× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$106K

8,557 claims · 0.6%

Your Cost: $12.33/claim|Median: $11.48
1.1× median
87804Normal range

Influenza virus detection, rapid test

$78K

6,662 claims · 0.4%

Your Cost: $11.66/claim|Median: $12.59
0.9× median
87801Normal range

Infectious agent detection, amplified probe, multiple organisms

$48K

1,367 claims · 0.3%

Your Cost: $35.15/claim|Median: $38.79
0.9× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$19K

1,763 claims · 0.1%

Your Cost: $10.69/claim|Median: $10.88
1.0× median
99051Normal range

$16K

2,288 claims · 0.1%

Your Cost: $7.05/claim|Median: $7.89
0.9× median
87807Top 25%

$15K

1,292 claims · 0.1%

Your Cost: $11.85/claim|Median: $10.06
1.2× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$10K

219 claims · 0.1%

Your Cost: $46.06/claim|Median: $40.11
1.1× median
74021Top 25%

$8K

216 claims · 0.0%

Your Cost: $35.14/claim|Median: $10.59
3.3× median
81003Normal range

Urinalysis, automated without microscopy

$6K

3,516 claims · 0.0%

Your Cost: $1.83/claim|Median: $1.48
1.2× median
99215Top 25%

Office/outpatient visit, high complexity

$6K

56 claims · 0.0%

Your Cost: $113.90/claim|Median: $74.09
1.5× median
69210Top 25%

$3K

92 claims · 0.0%

Your Cost: $36.21/claim|Median: $21.74
1.7× median
74018Top 25%

$2K

108 claims · 0.0%

Your Cost: $22.63/claim|Median: $7.00
3.2× median
99211Normal range

Office/outpatient visit, minimal complexity

$2K

129 claims · 0.0%

Your Cost: $13.88/claim|Median: $12.93
1.1× median
L4361Normal range

$2K

12 claims · 0.0%

Your Cost: $135.67/claim|Median: $161.24
0.8× median
87428Normal range

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

$1K

38 claims · 0.0%

Your Cost: $38.48/claim|Median: $39.63
1.0× median
A7003Normal range

Administration set for nebulizer, with small volume

$1K

1,453 claims · 0.0%

Your Cost: $0.93/claim|Median: $1.48
0.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$1K

104 claims · 0.0%

Your Cost: $11.43/claim|Median: $9.56
1.2× median
73140Top 25%

$1K

40 claims · 0.0%

Your Cost: $29.02/claim|Median: $11.18
2.6× median
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