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Provider 1407975675

NPI: 1407975675Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.3M

$10,328,750

Total Claims

319K

Beneficiaries

273K

1.2 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-3%
2019
$1.5M
-21%
2020
$1.2M
+21%
2021
$1.5M
+13%
2022
$1.7M
-10%
2023
$1.5M
-12%
2024
$1.3M

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 41% of total spending.

99213Top 10%

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

$4.2M

57K claims · 40.6%

Your Cost: $73.58/claim|Median: $37.81
1.9× median
99214Top 10%

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

$961K

8,492 claims · 9.3%

Your Cost: $113.21/claim|Median: $53.41
2.1× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$688K

5,806 claims · 6.7%

Your Cost: $118.42/claim|Median: $74.82
1.6× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$625K

5,032 claims · 6.1%

Your Cost: $124.19/claim|Median: $80.15
1.5× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$602K

5,139 claims · 5.8%

Your Cost: $117.15/claim|Median: $69.35
1.7× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$578K

4,669 claims · 5.6%

Your Cost: $123.73/claim|Median: $75.18
1.6× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$538K

44K claims · 5.2%

Your Cost: $12.14/claim|Median: $17.85
0.7× median
96110Top 25%

Developmental screening, per standardized instrument

$318K

15K claims · 3.1%

Your Cost: $20.55/claim|Median: $9.10
2.3× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$301K

6,447 claims · 2.9%

Your Cost: $46.63/claim|Median: $39.70
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$214K

3,732 claims · 2.1%

Your Cost: $57.37/claim|Median: $63.65
0.9× median
96127Top 5%

Brief emotional/behavioral assessment, per standardized instrument

$184K

9,298 claims · 1.8%

Your Cost: $19.77/claim|Median: $3.67
5.4× median
87426Normal range

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

$179K

5,367 claims · 1.7%

Your Cost: $33.28/claim|Median: $30.04
1.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$151K

23K claims · 1.5%

Your Cost: $6.60/claim|Median: $4.71
1.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$132K

13K claims · 1.3%

Your Cost: $10.32/claim|Median: $11.48
0.9× median
92551Normal range

Screening audiometry, pure tone, air only

$96K

17K claims · 0.9%

Your Cost: $5.74/claim|Median: $6.61
0.9× median
99174Top 10%

$93K

4,946 claims · 0.9%

Your Cost: $18.72/claim|Median: $5.27
3.6× median
87804Normal range

Influenza virus detection, rapid test

$78K

7,531 claims · 0.8%

Your Cost: $10.35/claim|Median: $12.59
0.8× median
82465Normal range

$63K

17K claims · 0.6%

Your Cost: $3.65/claim|Median: $3.41
1.1× median
87400Normal range

$59K

5,951 claims · 0.6%

Your Cost: $9.95/claim|Median: $8.40
1.2× median
81000Normal range

Urinalysis with microscopy, non-automated

$48K

18K claims · 0.5%

Your Cost: $2.68/claim|Median: $2.51
1.1× median
99212Top 25%

Office/outpatient visit, low complexity

$44K

1,050 claims · 0.4%

Your Cost: $41.59/claim|Median: $25.06
1.7× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$43K

346 claims · 0.4%

Your Cost: $123.00/claim|Median: $72.71
1.7× median
99188Top 25%

$28K

1,171 claims · 0.3%

Your Cost: $24.19/claim|Median: $12.80
1.9× median
87070Normal range

Bacterial culture, any source except blood or urine

$22K

3,667 claims · 0.2%

Your Cost: $5.90/claim|Median: $5.89
1.0× median
92567Normal range

$9K

700 claims · 0.1%

Your Cost: $12.95/claim|Median: $11.50
1.1× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$9K

404 claims · 0.1%

Your Cost: $21.10/claim|Median: $57.30
0.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$8K

11K claims · 0.1%

Your Cost: $0.76/claim|Median: $7.18
0.1× median
90620Top 25%

$8K

298 claims · 0.1%

Your Cost: $26.67/claim|Median: $6.49
4.1× median
D1206Normal range

Topical application of fluoride varnish

$7K

392 claims · 0.1%

Your Cost: $16.79/claim|Median: $18.12
0.9× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$6K

4,124 claims · 0.1%

Your Cost: $1.44/claim|Median: $0.79
1.8× median
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