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Provider 1417244989

NPI: 1417244989Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.2M

$8,196,421

Total Claims

260K

Beneficiaries

201K

1.3 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$651K
+57%
2019
$1.0M
-14%
2020
$873K
+60%
2021
$1.4M
+20%
2022
$1.7M
-11%
2023
$1.5M
-25%
2024
$1.1M

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 36% of total spending.

99213Normal range

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

$3.0M

63K claims · 36.1%

Your Cost: $46.86/claim|Median: $37.81
1.2× median
99214Normal range

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

$1.4M

20K claims · 16.9%

Your Cost: $69.36/claim|Median: $53.41
1.3× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$1.2M

70K claims · 15.2%

Your Cost: $17.77/claim|Median: $121.16
0.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$328K

4,233 claims · 4.0%

Your Cost: $77.40/claim|Median: $75.18
1.0× median
98941Top 25%

Chiropractic manipulative treatment, 3-4 spinal regions

$326K

12K claims · 4.0%

Your Cost: $26.24/claim|Median: $20.83
1.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$316K

4,542 claims · 3.9%

Your Cost: $69.68/claim|Median: $69.35
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$187K

6,498 claims · 2.3%

Your Cost: $28.79/claim|Median: $25.06
1.1× median
G0467Normal range

Federally qualified health center visit, mental health

$170K

7,515 claims · 2.1%

Your Cost: $22.58/claim|Median: $21.91
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$167K

2,245 claims · 2.0%

Your Cost: $74.61/claim|Median: $74.82
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$146K

1,545 claims · 1.8%

Your Cost: $94.59/claim|Median: $74.09
1.3× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$75K

952 claims · 0.9%

Your Cost: $78.27/claim|Median: $47.08
1.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$65K

879 claims · 0.8%

Your Cost: $74.33/claim|Median: $80.15
0.9× median
59425Normal range

Antepartum care only, 4-6 visits

$63K

1,276 claims · 0.8%

Your Cost: $49.21/claim|Median: $63.63
0.8× median
96152Normal range

Health behavior intervention, individual

$57K

3,148 claims · 0.7%

Your Cost: $17.99/claim|Median: $20.02
0.9× median
96158Normal range

$56K

2,744 claims · 0.7%

Your Cost: $20.57/claim|Median: $28.43
0.7× median
59426Normal range

Antepartum care only, high risk, additional visits

$51K

875 claims · 0.6%

Your Cost: $58.62/claim|Median: $122.30
0.5× median
98940Top 25%

$46K

2,449 claims · 0.6%

Your Cost: $18.68/claim|Median: $14.55
1.3× median
96156Normal range

$44K

2,064 claims · 0.5%

Your Cost: $21.21/claim|Median: $22.36
0.9× median
96150Normal range

Health behavior assessment, initial

$34K

1,559 claims · 0.4%

Your Cost: $21.52/claim|Median: $17.83
1.2× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$32K

6,321 claims · 0.4%

Your Cost: $5.10/claim|Median: $5.50
0.9× median
98943Top 25%

$31K

1,708 claims · 0.4%

Your Cost: $18.28/claim|Median: $14.25
1.3× median
96167Normal range

$27K

1,271 claims · 0.3%

Your Cost: $21.31/claim|Median: $43.84
0.5× median
96154Normal range

$23K

941 claims · 0.3%

Your Cost: $24.59/claim|Median: $36.72
0.7× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$23K

815 claims · 0.3%

Your Cost: $28.32/claim|Median: $33.85
0.8× median
99203Normal range

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

$20K

460 claims · 0.2%

Your Cost: $43.74/claim|Median: $57.85
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$19K

455 claims · 0.2%

Your Cost: $41.41/claim|Median: $41.28
1.0× median
99204Normal range

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

$17K

164 claims · 0.2%

Your Cost: $106.25/claim|Median: $84.03
1.3× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$17K

910 claims · 0.2%

Your Cost: $19.06/claim|Median: $25.93
0.7× median
80305Normal range

$16K

1,829 claims · 0.2%

Your Cost: $8.97/claim|Median: $7.44
1.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$14K

1,235 claims · 0.2%

Your Cost: $11.71/claim|Median: $11.48
1.0× median
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