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Provider 1407252828

NPI: 1407252828Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$8.7M

$8,744,130

Total Claims

187K

Beneficiaries

163K

1.2 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$1.7M
-5%
2019
$1.6M
-50%
2020
$819K
+67%
2021
$1.4M
-9%
2022
$1.2M
+6%
2023
$1.3M
-50%
2024
$654K

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 31% of total spending.

99213Normal range

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

$2.7M

53K claims · 30.9%

Your Cost: $50.74/claim|Median: $37.81
1.3× median
99214Normal range

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

$2.4M

37K claims · 27.4%

Your Cost: $63.97/claim|Median: $53.41
1.2× median
90460Top 10%

Immunization administration, first vaccine/toxoid, with counseling

$598K

14K claims · 6.8%

Your Cost: $41.38/claim|Median: $17.85
2.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$419K

5,413 claims · 4.8%

Your Cost: $77.38/claim|Median: $69.35
1.1× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$415K

4,596 claims · 4.7%

Your Cost: $90.19/claim|Median: $75.18
1.2× median
99203Normal range

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

$356K

4,788 claims · 4.1%

Your Cost: $74.31/claim|Median: $57.85
1.3× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$218K

527 claims · 2.5%

Your Cost: $414.37/claim|Median: $470.36
0.9× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$173K

1,947 claims · 2.0%

Your Cost: $89.06/claim|Median: $74.82
1.2× median
96110Normal range

Developmental screening, per standardized instrument

$145K

11K claims · 1.7%

Your Cost: $12.76/claim|Median: $9.10
1.4× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$113K

927 claims · 1.3%

Your Cost: $122.36/claim|Median: $97.61
1.3× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$107K

3,054 claims · 1.2%

Your Cost: $35.19/claim|Median: $29.03
1.2× median
99215Top 25%

Office/outpatient visit, high complexity

$77K

642 claims · 0.9%

Your Cost: $120.65/claim|Median: $74.09
1.6× median
77067Top 25%

Screening mammography, bilateral, including CAD

$69K

659 claims · 0.8%

Your Cost: $104.15/claim|Median: $39.33
2.6× median
90471Top 25%

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

$69K

3,808 claims · 0.8%

Your Cost: $18.00/claim|Median: $9.80
1.8× median
99204Normal range

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

$62K

736 claims · 0.7%

Your Cost: $83.83/claim|Median: $84.03
1.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$61K

1,536 claims · 0.7%

Your Cost: $39.81/claim|Median: $39.70
1.0× median
43239Normal range

Upper GI endoscopy with biopsy

$54K

555 claims · 0.6%

Your Cost: $97.91/claim|Median: $151.68
0.6× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$54K

145 claims · 0.6%

Your Cost: $371.97/claim|Median: $255.03
1.5× median
71046Top 25%

Chest X-ray, 2 views

$51K

2,563 claims · 0.6%

Your Cost: $20.03/claim|Median: $8.92
2.2× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$50K

504 claims · 0.6%

Your Cost: $98.29/claim|Median: $80.15
1.2× median
99233Normal range

Subsequent hospital care, per day, high complexity

$46K

1,206 claims · 0.5%

Your Cost: $38.29/claim|Median: $35.30
1.1× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$45K

1,277 claims · 0.5%

Your Cost: $35.39/claim|Median: $36.70
1.0× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$41K

1,260 claims · 0.5%

Your Cost: $32.51/claim|Median: $33.72
1.0× median
J7324Normal range

$29K

315 claims · 0.3%

Your Cost: $93.35/claim|Median: $56.65
1.6× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$26K

334 claims · 0.3%

Your Cost: $76.84/claim|Median: $62.48
1.2× median
64615Normal range

$19K

331 claims · 0.2%

Your Cost: $57.22/claim|Median: $82.82
0.7× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$19K

600 claims · 0.2%

Your Cost: $30.93/claim|Median: $23.99
1.3× median
95806Top 25%

$18K

127 claims · 0.2%

Your Cost: $141.27/claim|Median: $64.51
2.2× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$18K

354 claims · 0.2%

Your Cost: $49.54/claim|Median: $37.22
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$17K

579 claims · 0.2%

Your Cost: $30.09/claim|Median: $25.06
1.2× median
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