Provider 1407519556
Total Paid
$10.3M
$10,260,644
Total Claims
103K
Beneficiaries
85K
1.2 claims/patient
Avg Cost/Claim
$100
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 30 distinct procedure codes. The top code (87633 (Respiratory virus detection, 12-25 targets, nucleic acid)) accounts for 64% of total spending.
$6.6M
18K claims
$370.42
$169.17
Respiratory virus detection, 12-25 targets, nucleic acid
$6.6M
18K claims · 64.0%
$2.2M
46K claims
$47.03
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$2.2M
46K claims · 21.1%
$375K
11K claims
$35.33
$30.04
SARS-CoV-2 COVID-19 antigen detection, immunoassay
$375K
11K claims · 3.7%
$195K
2,591 claims
$75.21
$75.18
Preventive medicine, established patient, age 1-4
$195K
2,591 claims · 1.9%
$130K
1,536 claims
$84.48
$74.82
Preventive medicine, established patient, age 5-11
$130K
1,536 claims · 1.3%
$103K
723 claims
$142.63
$97.61
Respiratory virus detection, 6-11 targets, nucleic acid
$103K
723 claims · 1.0%
$95K
1,457 claims
$65.32
$69.35
Preventive medicine, established patient, infant (under 1)
$95K
1,457 claims · 0.9%
$83K
599 claims · 0.8%
$57K
591 claims · 0.6%
$56K
601 claims · 0.5%
$52K
3,806 claims
$13.64
$6.61
Screening audiometry, pure tone, air only
$52K
3,806 claims · 0.5%
$51K
662 claims
$77.30
$84.03
Office/outpatient visit, new patient, mod-high complexity
$51K
662 claims · 0.5%
$50K
513 claims
$98.05
$80.15
Preventive medicine, established patient, age 12-17
$50K
513 claims · 0.5%
$41K
519 claims
$79.36
$81.92
Preventive visit, new patient, late childhood (5-11 yr)
$41K
519 claims · 0.4%
$41K
455 claims
$89.37
$57.85
Office/outpatient visit, new patient, low-mod complexity
$41K
455 claims · 0.4%
Visual evoked potential testing
$25K
598 claims · 0.2%
$19K
591 claims · 0.2%
$19K
3,797 claims · 0.2%
$17K
1,572 claims · 0.2%
$14K
246 claims
$58.07
$79.89
Preventive visit, new patient, early childhood (1-4 yr)
$14K
246 claims · 0.1%
$12K
1,120 claims · 0.1%
DTaP-HepB-IPV vaccine
$12K
1,120 claims · 0.1%
$11K
187 claims
$60.33
$73.46
Preventive visit, new patient, infant (<1 yr)
$11K
187 claims · 0.1%
$11K
257 claims
$41.41
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$11K
257 claims · 0.1%
$10K
909 claims · 0.1%
$10K
909 claims · 0.1%
$5K
67 claims
$81.59
$83.63
Preventive visit, new patient, adolescent (12-17 yr)
$5K
67 claims · 0.1%
$5K
489 claims · 0.1%
$5K
468 claims · 0.1%
$5K
447 claims · 0.0%