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Provider 1417177841

NPI: 1417177841Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.3M

$16,349,257

Total Claims

1.1M

Beneficiaries

974K

1.2 claims/patient

Avg Cost/Claim

$14

Monthly Spending Trend

Yearly Spending

2018
$236K
+9%
2019
$257K
+205%
2020
$784K
+308%
2021
$3.2M
+35%
2022
$4.3M
-6%
2023
$4.1M
-14%
2024
$3.5M

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 21% of total spending.

99213Normal range

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

$3.4M

165K claims · 20.8%

Your Cost: $20.54/claim|Median: $37.81
0.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$2.4M

48K claims · 14.7%

Your Cost: $50.27/claim|Median: $74.82
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$2.1M

51K claims · 13.1%

Your Cost: $42.36/claim|Median: $75.18
0.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$1.9M

34K claims · 11.6%

Your Cost: $55.64/claim|Median: $80.15
0.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.6M

38K claims · 9.6%

Your Cost: $41.57/claim|Median: $69.35
0.6× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$1.3M

209K claims · 8.0%

Your Cost: $6.27/claim|Median: $17.85
0.4× median
99214Normal range

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

$955K

38K claims · 5.8%

Your Cost: $25.34/claim|Median: $53.41
0.5× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$394K

52K claims · 2.4%

Your Cost: $7.65/claim|Median: $11.48
0.7× median
99381Normal range

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

$391K

7,640 claims · 2.4%

Your Cost: $51.12/claim|Median: $73.46
0.7× median
87426Top 25%

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

$386K

10K claims · 2.4%

Your Cost: $37.53/claim|Median: $30.04
1.2× median
87804Normal range

Influenza virus detection, rapid test

$288K

35K claims · 1.8%

Your Cost: $8.13/claim|Median: $12.59
0.6× median
90471Normal range

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

$184K

27K claims · 1.1%

Your Cost: $6.88/claim|Median: $9.80
0.7× median
96110Normal range

Developmental screening, per standardized instrument

$166K

36K claims · 1.0%

Your Cost: $4.58/claim|Median: $9.10
0.5× median
99383Normal range

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

$147K

2,638 claims · 0.9%

Your Cost: $55.77/claim|Median: $81.92
0.7× median
90461Normal range

Immunization admin, additional vaccine, counseling

$136K

36K claims · 0.8%

Your Cost: $3.81/claim|Median: $6.93
0.5× median
99382Normal range

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

$86K

1,609 claims · 0.5%

Your Cost: $53.43/claim|Median: $79.89
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$81K

5,179 claims · 0.5%

Your Cost: $15.64/claim|Median: $25.06
0.6× median
99384Normal range

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

$56K

1,025 claims · 0.3%

Your Cost: $54.55/claim|Median: $83.63
0.7× median
0071ANormal range

$52K

1,959 claims · 0.3%

Your Cost: $26.63/claim|Median: $38.71
0.7× median
0072ANormal range

$46K

1,717 claims · 0.3%

Your Cost: $26.65/claim|Median: $39.57
0.7× median
90472Normal range

Immunization administration, each additional vaccine

$34K

5,816 claims · 0.2%

Your Cost: $5.77/claim|Median: $11.79
0.5× median
99429Normal range

$27K

2,970 claims · 0.2%

Your Cost: $9.16/claim|Median: $28.58
0.3× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$22K

2,740 claims · 0.1%

Your Cost: $8.17/claim|Median: $10.88
0.8× median
99211Normal range

Office/outpatient visit, minimal complexity

$22K

2,270 claims · 0.1%

Your Cost: $9.66/claim|Median: $12.93
0.7× median
87807Normal range

$19K

3,671 claims · 0.1%

Your Cost: $5.31/claim|Median: $10.06
0.5× median
83655Normal range

$15K

4,192 claims · 0.1%

Your Cost: $3.62/claim|Median: $10.49
0.3× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$11K

578 claims · 0.1%

Your Cost: $19.43/claim|Median: $40.11
0.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$10K

3,503 claims · 0.1%

Your Cost: $2.95/claim|Median: $4.71
0.6× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$10K

363 claims · 0.1%

Your Cost: $26.67/claim|Median: $36.70
0.7× median
99203Normal range

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

$9K

360 claims · 0.1%

Your Cost: $26.11/claim|Median: $57.85
0.5× median
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