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Provider 1407481245

NPI: 1407481245Share
Active Billing Period:2020-04→2024-12(57 months)

Total Paid

$10.1M

$10,130,844

Total Claims

99K

Beneficiaries

80K

1.2 claims/patient

Avg Cost/Claim

$102

Monthly Spending Trend

Yearly Spending

2020
$1.3M
+151%
2021
$3.3M
+8%
2022
$3.5M
-60%
2023
$1.4M
-58%
2024
$598K

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 44% of total spending.

99214Top 1%

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

$4.4M

21K claims · 43.6%

Your Cost: $213.14/claim|Median: $53.41
4.0× median
96372Top 1%

Therapeutic injection, subcutaneous/intramuscular

$1.7M

7,034 claims · 17.1%

Your Cost: $246.33/claim|Median: $9.56
25.8× median
99213Top 1%

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

$1.3M

7,623 claims · 13.2%

Your Cost: $176.03/claim|Median: $37.81
4.7× median
J2315Normal range

$760K

2,953 claims · 7.5%

Your Cost: $257.33/claim|Median: $1,045.36
0.2× median
99215Top 25%

Office/outpatient visit, high complexity

$531K

3,830 claims · 5.2%

Your Cost: $138.63/claim|Median: $74.09
1.9× median
99204Top 5%

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

$374K

2,270 claims · 3.7%

Your Cost: $164.57/claim|Median: $84.03
2.0× median
99211Top 25%

Office/outpatient visit, minimal complexity

$273K

7,725 claims · 2.7%

Your Cost: $35.39/claim|Median: $12.93
2.7× median
Q9991Normal range

$188K

405 claims · 1.9%

Your Cost: $463.91/claim|Median: $1,554.42
0.3× median
Q9992Normal range

$126K

238 claims · 1.2%

Your Cost: $530.72/claim|Median: $1,537.34
0.3× median
G2023Normal range

Specimen collection for COVID-19 testing

$111K

7,312 claims · 1.1%

Your Cost: $15.23/claim|Median: $17.15
0.9× median
80305Normal range

$75K

19K claims · 0.7%

Your Cost: $3.91/claim|Median: $7.44
0.5× median
87426Normal range

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

$48K

3,872 claims · 0.5%

Your Cost: $12.31/claim|Median: $30.04
0.4× median
91301

COVID-19 vaccine (Moderna), first dose

$24K

891 claims · 0.2%

81025Top 5%

Urine pregnancy test

$23K

1,954 claims · 0.2%

Your Cost: $11.61/claim|Median: $4.81
2.4× median
36415Top 25%

Collection of venous blood by venipuncture

$12K

3,504 claims · 0.1%

Your Cost: $3.31/claim|Median: $1.57
2.1× median
99496Top 25%

Transitional care management, moderate complexity face-to-face visit

$11K

89 claims · 0.1%

Your Cost: $129.21/claim|Median: $54.66
2.4× median
99490Normal range

Chronic care management services, 20 minutes per month

$11K

1,081 claims · 0.1%

Your Cost: $10.17/claim|Median: $6.31
1.6× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$11K

111 claims · 0.1%

Your Cost: $94.68/claim|Median: $111.09
0.9× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$9K

784 claims · 0.1%

Your Cost: $11.78/claim|Median: $7.18
1.6× median
90471Normal range

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

$9K

813 claims · 0.1%

Your Cost: $10.67/claim|Median: $9.80
1.1× median
99203Normal range

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

$8K

123 claims · 0.1%

Your Cost: $65.92/claim|Median: $57.85
1.1× median
91309

$6K

224 claims · 0.1%

99406Normal range

$5K

2,781 claims · 0.0%

Your Cost: $1.75/claim|Median: $6.53
0.3× median
86328Normal range

$4K

296 claims · 0.0%

Your Cost: $14.26/claim|Median: $20.52
0.7× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$3K

325 claims · 0.0%

Your Cost: $10.32/claim|Median: $25.93
0.4× median
0094ANormal range

$3K

234 claims · 0.0%

Your Cost: $11.62/claim|Median: $32.30
0.4× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$3K

253 claims · 0.0%

Your Cost: $9.96/claim|Median: $33.85
0.3× median
91303Top 1%

COVID-19 vaccine (J&J/Janssen), single dose

$2K

76 claims · 0.0%

Your Cost: $29.26/claim|Median: $0.01
2926.2× median
99417Normal range

$2K

82 claims · 0.0%

Your Cost: $26.61/claim|Median: $34.90
0.8× median
0013ANormal range

$2K

196 claims · 0.0%

Your Cost: $9.80/claim|Median: $35.38
0.3× median
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