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Provider 1407297245

NPI: 1407297245Share
Active Billing Period:2018-01→2024-12(69 months)

Total Paid

$8.9M

$8,853,584

Total Claims

272K

Beneficiaries

246K

1.1 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$84K
+133%
2019
$196K
+643%
2021
$1.5M
+32%
2022
$1.9M
+22%
2023
$2.3M
+21%
2024
$2.9M

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 46% of total spending.

99213Top 5%

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

$4.0M

42K claims · 45.7%

Your Cost: $96.48/claim|Median: $37.81
2.6× median
99214Top 5%

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

$1.1M

8,209 claims · 12.6%

Your Cost: $136.10/claim|Median: $53.41
2.5× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$656K

5,865 claims · 7.4%

Your Cost: $111.91/claim|Median: $75.18
1.5× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$571K

5,088 claims · 6.5%

Your Cost: $112.30/claim|Median: $74.82
1.5× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$367K

3,528 claims · 4.1%

Your Cost: $104.08/claim|Median: $69.35
1.5× median
99212Top 10%

Office/outpatient visit, low complexity

$365K

6,405 claims · 4.1%

Your Cost: $56.95/claim|Median: $25.06
2.3× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$338K

2,749 claims · 3.8%

Your Cost: $123.06/claim|Median: $80.15
1.5× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$213K

13K claims · 2.4%

Your Cost: $16.30/claim|Median: $17.85
0.9× median
87804Normal range

Influenza virus detection, rapid test

$146K

11K claims · 1.7%

Your Cost: $13.68/claim|Median: $12.59
1.1× median
87070Normal range

Bacterial culture, any source except blood or urine

$132K

19K claims · 1.5%

Your Cost: $6.87/claim|Median: $5.89
1.2× median
87184Top 25%

$108K

19K claims · 1.2%

Your Cost: $5.60/claim|Median: $4.02
1.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$107K

23K claims · 1.2%

Your Cost: $4.59/claim|Median: $11.48
0.4× median
99050Normal range

$93K

12K claims · 1.0%

Your Cost: $7.57/claim|Median: $11.81
0.6× median
92551Normal range

Screening audiometry, pure tone, air only

$83K

9,768 claims · 0.9%

Your Cost: $8.51/claim|Median: $6.61
1.3× median
87426Normal range

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

$80K

2,712 claims · 0.9%

Your Cost: $29.64/claim|Median: $30.04
1.0× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$53K

427 claims · 0.6%

Your Cost: $124.91/claim|Median: $72.71
1.7× median
G2211Top 25%

$51K

5,097 claims · 0.6%

Your Cost: $10.08/claim|Median: $2.40
4.2× median
69210Top 5%

$45K

665 claims · 0.5%

Your Cost: $67.44/claim|Median: $21.74
3.1× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$41K

7,301 claims · 0.5%

Your Cost: $5.63/claim|Median: $3.67
1.5× median
99381Top 10%

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

$34K

298 claims · 0.4%

Your Cost: $114.06/claim|Median: $73.46
1.6× median
99188Normal range

$33K

2,744 claims · 0.4%

Your Cost: $12.08/claim|Median: $12.80
0.9× median
85018Normal range

$25K

14K claims · 0.3%

Your Cost: $1.71/claim|Median: $1.71
1.0× median
83655Normal range

$23K

2,102 claims · 0.3%

Your Cost: $10.98/claim|Median: $10.49
1.0× median
90677Normal range

$23K

1,001 claims · 0.3%

Your Cost: $23.05/claim|Median: $12.96
1.8× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$22K

1,340 claims · 0.2%

Your Cost: $16.05/claim|Median: $9.56
1.7× median
96110Normal range

Developmental screening, per standardized instrument

$20K

2,769 claims · 0.2%

Your Cost: $7.13/claim|Median: $9.10
0.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$11K

3,512 claims · 0.1%

Your Cost: $3.18/claim|Median: $4.71
0.7× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$8K

393 claims · 0.1%

Your Cost: $21.55/claim|Median: $30.53
0.7× median
87807Normal range

$7K

611 claims · 0.1%

Your Cost: $11.28/claim|Median: $10.06
1.1× median
96160Normal range

Patient-focused health risk assessment

$7K

2,445 claims · 0.1%

Your Cost: $2.81/claim|Median: $2.10
1.3× median
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