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Provider 1407966005

NPI: 1407966005Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.6M

$10,603,316

Total Claims

254K

Beneficiaries

239K

1.1 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+17%
2019
$1.6M
-25%
2020
$1.2M
+17%
2021
$1.4M
+22%
2022
$1.7M
+12%
2023
$1.9M
-15%
2024
$1.6M

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 30% of total spending.

99214Normal range

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

$3.2M

46K claims · 30.0%

Your Cost: $68.82/claim|Median: $53.41
1.3× median
99213Normal range

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

$1.9M

54K claims · 17.9%

Your Cost: $35.11/claim|Median: $37.81
0.9× median
87636Top 25%

Respiratory virus detection, 6-11 targets, nucleic acid

$1.2M

8,715 claims · 10.9%

Your Cost: $132.97/claim|Median: $97.61
1.4× median
99392Normal range

Preventive medicine, established patient, age 1-4

$698K

13K claims · 6.6%

Your Cost: $54.76/claim|Median: $75.18
0.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$596K

11K claims · 5.6%

Your Cost: $54.17/claim|Median: $74.82
0.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$461K

8,582 claims · 4.3%

Your Cost: $53.69/claim|Median: $80.15
0.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$454K

8,024 claims · 4.3%

Your Cost: $56.55/claim|Median: $69.35
0.8× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$404K

4,751 claims · 3.8%

Your Cost: $85.02/claim|Median: $65.45
1.3× median
87651Top 10%

Streptococcus Group A detection, nucleic acid, amplified probe

$332K

7,068 claims · 3.1%

Your Cost: $47.00/claim|Median: $28.46
1.7× median
87428Top 10%

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

$150K

2,186 claims · 1.4%

Your Cost: $68.67/claim|Median: $39.63
1.7× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$117K

9,861 claims · 1.1%

Your Cost: $11.91/claim|Median: $11.48
1.0× median
87502Top 5%

Influenza virus detection, reverse transcription, amplified probe

$115K

989 claims · 1.1%

Your Cost: $115.80/claim|Median: $65.64
1.8× median
99203Normal range

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

$109K

1,862 claims · 1.0%

Your Cost: $58.28/claim|Median: $57.85
1.0× median
87804Top 25%

Influenza virus detection, rapid test

$91K

3,939 claims · 0.9%

Your Cost: $23.13/claim|Median: $12.59
1.8× median
90670Normal range

$79K

7,342 claims · 0.7%

Your Cost: $10.73/claim|Median: $5.94
1.8× median
90647Top 25%

$70K

5,944 claims · 0.7%

Your Cost: $11.86/claim|Median: $4.31
2.8× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$68K

6,573 claims · 0.6%

Your Cost: $10.30/claim|Median: $4.71
2.2× median
90723Normal range

DTaP-HepB-IPV vaccine

$64K

5,916 claims · 0.6%

Your Cost: $10.83/claim|Median: $5.78
1.9× median
83655Top 10%

$49K

2,987 claims · 0.5%

Your Cost: $16.33/claim|Median: $10.49
1.6× median
99381Normal range

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

$48K

909 claims · 0.4%

Your Cost: $52.44/claim|Median: $73.46
0.7× median
87807Top 25%

$43K

3,570 claims · 0.4%

Your Cost: $12.10/claim|Median: $10.06
1.2× median
90707Normal range

MMR vaccine

$40K

3,757 claims · 0.4%

Your Cost: $10.71/claim|Median: $5.76
1.9× median
90716Normal range

$40K

3,722 claims · 0.4%

Your Cost: $10.72/claim|Median: $6.18
1.7× median
90633Top 25%

$40K

3,756 claims · 0.4%

Your Cost: $10.59/claim|Median: $3.56
3.0× median
90680Normal range

$38K

3,534 claims · 0.4%

Your Cost: $10.62/claim|Median: $5.58
1.9× median
81001Top 25%

Urinalysis, automated, with microscopy

$28K

6,781 claims · 0.3%

Your Cost: $4.13/claim|Median: $2.03
2.0× median
90651Normal range

HPV vaccine, 9-valent

$27K

2,545 claims · 0.3%

Your Cost: $10.56/claim|Median: $8.93
1.2× median
87426Top 25%

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

$25K

617 claims · 0.2%

Your Cost: $41.20/claim|Median: $30.04
1.4× median
99215Normal range

Office/outpatient visit, high complexity

$23K

226 claims · 0.2%

Your Cost: $103.17/claim|Median: $74.09
1.4× median
99212Normal range

Office/outpatient visit, low complexity

$21K

758 claims · 0.2%

Your Cost: $27.71/claim|Median: $25.06
1.1× median
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