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Provider 1417004003

NPI: 1417004003Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.1M

$9,060,411

Total Claims

308K

Beneficiaries

295K

1.0 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$489K
-6%
2019
$460K
-44%
2020
$258K
+27%
2021
$328K
+21%
2022
$397K
+784%
2023
$3.5M
+3%
2024
$3.6M

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 27% of total spending.

99213Top 25%

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

$2.5M

43K claims · 27.1%

Your Cost: $56.69/claim|Median: $37.81
1.5× median
99214Top 25%

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

$1.3M

16K claims · 14.5%

Your Cost: $79.91/claim|Median: $53.41
1.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$936K

13K claims · 10.3%

Your Cost: $72.16/claim|Median: $75.18
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$891K

13K claims · 9.8%

Your Cost: $68.79/claim|Median: $69.35
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$711K

9,964 claims · 7.8%

Your Cost: $71.33/claim|Median: $74.82
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$465K

6,025 claims · 5.1%

Your Cost: $77.19/claim|Median: $80.15
1.0× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$377K

3,233 claims · 4.2%

Your Cost: $116.72/claim|Median: $97.61
1.2× median
90472Top 25%

Immunization administration, each additional vaccine

$327K

13K claims · 3.6%

Your Cost: $25.91/claim|Median: $11.79
2.2× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$287K

9,259 claims · 3.2%

Your Cost: $30.96/claim|Median: $17.85
1.7× median
90471Normal range

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

$280K

21K claims · 3.1%

Your Cost: $13.38/claim|Median: $9.80
1.4× median
99215Top 25%

Office/outpatient visit, high complexity

$159K

1,350 claims · 1.7%

Your Cost: $117.42/claim|Median: $74.09
1.6× median
96110Normal range

Developmental screening, per standardized instrument

$64K

5,949 claims · 0.7%

Your Cost: $10.77/claim|Median: $9.10
1.2× median
99395Normal range

Preventive medicine, established patient, age 18-39

$60K

737 claims · 0.7%

Your Cost: $81.25/claim|Median: $72.71
1.1× median
90480Top 10%

$55K

1,340 claims · 0.6%

Your Cost: $41.15/claim|Median: $25.29
1.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$52K

3,996 claims · 0.6%

Your Cost: $12.98/claim|Median: $11.48
1.1× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$50K

565 claims · 0.5%

Your Cost: $87.88/claim|Median: $81.92
1.1× median
87428Normal range

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

$45K

1,231 claims · 0.5%

Your Cost: $36.85/claim|Median: $39.63
0.9× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$44K

392 claims · 0.5%

Your Cost: $112.51/claim|Median: $100.62
1.1× median
99381Normal range

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

$43K

524 claims · 0.5%

Your Cost: $82.99/claim|Median: $73.46
1.1× median
90474Normal range

$43K

3,733 claims · 0.5%

Your Cost: $11.59/claim|Median: $8.42
1.4× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$41K

2,037 claims · 0.5%

Your Cost: $20.32/claim|Median: $28.46
0.7× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$28K

282 claims · 0.3%

Your Cost: $98.72/claim|Median: $83.63
1.2× median
99382Normal range

Preventive visit, new patient, early childhood (1-4 yr)

$27K

325 claims · 0.3%

Your Cost: $82.88/claim|Median: $79.89
1.0× median
99203Normal range

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

$22K

315 claims · 0.2%

Your Cost: $68.69/claim|Median: $57.85
1.2× median
83655Normal range

$21K

2,120 claims · 0.2%

Your Cost: $9.67/claim|Median: $10.49
0.9× median
92551Normal range

Screening audiometry, pure tone, air only

$20K

3,397 claims · 0.2%

Your Cost: $5.93/claim|Median: $6.61
0.9× median
91320Normal range

$18K

344 claims · 0.2%

Your Cost: $53.26/claim|Median: $72.65
0.7× median
92552Top 25%

Pure tone audiometry, air only, each ear

$16K

739 claims · 0.2%

Your Cost: $22.20/claim|Median: $12.63
1.8× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$14K

4,214 claims · 0.2%

Your Cost: $3.33/claim|Median: $3.67
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$14K

374 claims · 0.2%

Your Cost: $36.72/claim|Median: $25.06
1.5× median
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