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Provider 1417076829

NPI: 1417076829Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.0M

$9,011,398

Total Claims

560K

Beneficiaries

498K

1.1 claims/patient

Avg Cost/Claim

$16

Monthly Spending Trend

Yearly Spending

2018
$305K
+71%
2019
$523K
+72%
2020
$899K
+211%
2021
$2.8M
-30%
2022
$2.0M
-33%
2023
$1.3M
-8%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99211 (Office/outpatient visit, minimal complexity)) accounts for 24% of total spending.

99211Normal range

Office/outpatient visit, minimal complexity

$2.1M

175K claims · 23.6%

Your Cost: $12.18/claim|Median: $12.93
0.9× median
87426Normal range

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

$1.4M

56K claims · 15.5%

Your Cost: $24.80/claim|Median: $30.04
0.8× median
99213Normal range

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

$1.1M

21K claims · 12.3%

Your Cost: $52.61/claim|Median: $37.81
1.4× median
99203Normal range

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

$916K

14K claims · 10.2%

Your Cost: $63.28/claim|Median: $57.85
1.1× median
99214Normal range

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

$705K

11K claims · 7.8%

Your Cost: $66.13/claim|Median: $53.41
1.2× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$358K

8,489 claims · 4.0%

Your Cost: $42.21/claim|Median: $40.11
1.1× median
G2023Normal range

Specimen collection for COVID-19 testing

$196K

18K claims · 2.2%

Your Cost: $11.07/claim|Median: $17.15
0.6× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$189K

6,325 claims · 2.1%

Your Cost: $29.91/claim|Median: $28.46
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$184K

6,336 claims · 2.0%

Your Cost: $29.08/claim|Median: $25.06
1.2× median
99401Normal range

$123K

5,533 claims · 1.4%

Your Cost: $22.18/claim|Median: $16.53
1.3× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$107K

1,704 claims · 1.2%

Your Cost: $62.79/claim|Median: $65.64
1.0× median
90715Top 25%

Tdap vaccine

$102K

3,248 claims · 1.1%

Your Cost: $31.25/claim|Median: $10.32
3.0× median
87804Normal range

Influenza virus detection, rapid test

$91K

8,042 claims · 1.0%

Your Cost: $11.30/claim|Median: $12.59
0.9× median
86580Top 25%

Tuberculosis (TB) skin test

$88K

12K claims · 1.0%

Your Cost: $7.07/claim|Median: $4.46
1.6× median
90674Normal range

$79K

4,737 claims · 0.9%

Your Cost: $16.78/claim|Median: $15.16
1.1× median
3074FTop 10%

$77K

26K claims · 0.9%

Your Cost: $3.03/claim|Median: $0.11
27.6× median
99204Normal range

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

$67K

689 claims · 0.7%

Your Cost: $96.54/claim|Median: $84.03
1.1× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$65K

1,059 claims · 0.7%

Your Cost: $61.78/claim|Median: $41.92
1.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$65K

1,658 claims · 0.7%

Your Cost: $38.95/claim|Median: $39.70
1.0× median
90471Normal range

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

$62K

17K claims · 0.7%

Your Cost: $3.60/claim|Median: $9.80
0.4× median
3078FTop 10%

$61K

21K claims · 0.7%

Your Cost: $2.92/claim|Median: $0.08
36.5× median
90750Normal range

$60K

527 claims · 0.7%

Your Cost: $113.28/claim|Median: $96.16
1.2× median
90739Top 25%

$54K

392 claims · 0.6%

Your Cost: $137.78/claim|Median: $74.43
1.9× median
1160FTop 5%

$51K

25K claims · 0.6%

Your Cost: $2.04/claim|Median: $0.01
203.7× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$47K

4,327 claims · 0.5%

Your Cost: $10.94/claim|Median: $11.48
1.0× median
1159FTop 10%

$47K

22K claims · 0.5%

Your Cost: $2.08/claim|Median: $0.01
207.7× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$41K

3,148 claims · 0.5%

Your Cost: $13.09/claim|Median: $7.18
1.8× median
91322Top 25%

$40K

339 claims · 0.4%

Your Cost: $116.65/claim|Median: $76.28
1.5× median
90746Normal range

Hepatitis B vaccine, adult

$38K

798 claims · 0.4%

Your Cost: $48.09/claim|Median: $48.85
1.0× median
1036FTop 25%

$37K

30K claims · 0.4%

Your Cost: $1.26/claim|Median: $0.01
125.9× median
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