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Provider 1417125642

NPI: 1417125642Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$12.6M

$12,619,797

Total Claims

457K

Beneficiaries

413K

1.1 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$22K
+102%
2019
$45K
+1620%
2020
$774K
+265%
2021
$2.8M
+10%
2022
$3.1M
-1%
2023
$3.1M
-11%
2024
$2.8M

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 17% of total spending.

99214Normal range

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

$2.1M

36K claims · 16.7%

Your Cost: $58.13/claim|Median: $53.41
1.1× median
87502Top 25%

Influenza virus detection, reverse transcription, amplified probe

$1.7M

19K claims · 13.7%

Your Cost: $90.16/claim|Median: $65.64
1.4× median
99213Normal range

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

$1.7M

40K claims · 13.2%

Your Cost: $41.46/claim|Median: $37.81
1.1× median
87426Top 5%

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

$1.3M

27K claims · 10.4%

Your Cost: $49.18/claim|Median: $30.04
1.6× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$1.2M

12K claims · 9.2%

Your Cost: $94.81/claim|Median: $74.82
1.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$840K

9,471 claims · 6.7%

Your Cost: $88.73/claim|Median: $75.18
1.2× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$800K

7,660 claims · 6.3%

Your Cost: $104.40/claim|Median: $80.15
1.3× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$633K

19K claims · 5.0%

Your Cost: $33.41/claim|Median: $28.46
1.2× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$532K

45K claims · 4.2%

Your Cost: $11.82/claim|Median: $17.85
0.7× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$336K

3,930 claims · 2.7%

Your Cost: $85.49/claim|Median: $69.35
1.2× median
87634Top 25%

$296K

4,463 claims · 2.3%

Your Cost: $66.22/claim|Median: $48.78
1.4× median
99429Top 25%

$252K

6,963 claims · 2.0%

Your Cost: $36.14/claim|Median: $28.58
1.3× median
96110Normal range

Developmental screening, per standardized instrument

$168K

25K claims · 1.3%

Your Cost: $6.64/claim|Median: $9.10
0.7× median
H0049Normal range

$105K

10K claims · 0.8%

Your Cost: $10.12/claim|Median: $9.27
1.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$75K

4,630 claims · 0.6%

Your Cost: $16.25/claim|Median: $12.93
1.3× median
99001Top 25%

$74K

10K claims · 0.6%

Your Cost: $7.35/claim|Median: $2.31
3.2× median
87804Normal range

Influenza virus detection, rapid test

$71K

4,520 claims · 0.6%

Your Cost: $15.62/claim|Median: $12.59
1.2× median
90471Normal range

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

$71K

5,431 claims · 0.6%

Your Cost: $12.99/claim|Median: $9.80
1.3× median
90461Normal range

Immunization admin, additional vaccine, counseling

$50K

8,394 claims · 0.4%

Your Cost: $5.92/claim|Median: $6.93
0.9× median
0071ATop 10%

$44K

824 claims · 0.3%

Your Cost: $53.30/claim|Median: $38.71
1.4× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$41K

692 claims · 0.3%

Your Cost: $59.42/claim|Median: $39.70
1.5× median
0072ATop 25%

$37K

679 claims · 0.3%

Your Cost: $54.14/claim|Median: $39.57
1.4× median
99000Top 10%

$32K

2,730 claims · 0.3%

Your Cost: $11.64/claim|Median: $2.30
5.1× median
99212Normal range

Office/outpatient visit, low complexity

$31K

1,149 claims · 0.2%

Your Cost: $27.32/claim|Median: $25.06
1.1× median
90472Normal range

Immunization administration, each additional vaccine

$22K

1,800 claims · 0.2%

Your Cost: $11.95/claim|Median: $11.79
1.0× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$21K

465 claims · 0.2%

Your Cost: $44.98/claim|Median: $33.72
1.3× median
92551Normal range

Screening audiometry, pure tone, air only

$19K

25K claims · 0.2%

Your Cost: $0.78/claim|Median: $6.61
0.1× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$19K

422 claims · 0.2%

Your Cost: $45.64/claim|Median: $36.70
1.2× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$11K

788 claims · 0.1%

Your Cost: $13.91/claim|Median: $10.88
1.3× median
83655Normal range

$10K

864 claims · 0.1%

Your Cost: $12.11/claim|Median: $10.49
1.2× median
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