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Provider 1417285875

NPI: 1417285875Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.8M

$7,750,989

Total Claims

402K

Beneficiaries

331K

1.2 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$21K
+74%
2019
$37K
+439%
2020
$201K
+532%
2021
$1.3M
+85%
2022
$2.4M
-10%
2023
$2.1M
-18%
2024
$1.7M

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 35% of total spending.

99213Normal range

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

$2.7M

87K claims · 35.3%

Your Cost: $31.29/claim|Median: $37.81
0.8× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$1.3M

40K claims · 16.7%

Your Cost: $32.56/claim|Median: $30.53
1.1× median
S8301Top 25%

$598K

34K claims · 7.7%

Your Cost: $17.53/claim|Median: $8.32
2.1× median
87804Normal range

Influenza virus detection, rapid test

$480K

41K claims · 6.2%

Your Cost: $11.83/claim|Median: $12.59
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$451K

39K claims · 5.8%

Your Cost: $11.52/claim|Median: $11.48
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$418K

6,242 claims · 5.4%

Your Cost: $67.03/claim|Median: $74.82
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$363K

5,783 claims · 4.7%

Your Cost: $62.81/claim|Median: $75.18
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$330K

4,929 claims · 4.3%

Your Cost: $66.86/claim|Median: $80.15
0.8× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$257K

26K claims · 3.3%

Your Cost: $9.92/claim|Median: $17.85
0.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$191K

3,090 claims · 2.5%

Your Cost: $61.79/claim|Median: $69.35
0.9× median
87809Normal range

$126K

8,405 claims · 1.6%

Your Cost: $15.03/claim|Median: $13.59
1.1× median
99429Normal range

$125K

4,484 claims · 1.6%

Your Cost: $27.97/claim|Median: $28.58
1.0× median
99203Normal range

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

$94K

1,818 claims · 1.2%

Your Cost: $51.66/claim|Median: $57.85
0.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$68K

12K claims · 0.9%

Your Cost: $5.73/claim|Median: $4.71
1.2× median
87807Normal range

$52K

5,279 claims · 0.7%

Your Cost: $9.78/claim|Median: $10.06
1.0× median
96110Normal range

Developmental screening, per standardized instrument

$50K

7,197 claims · 0.6%

Your Cost: $6.94/claim|Median: $9.10
0.8× median
99000Top 25%

$27K

3,044 claims · 0.3%

Your Cost: $8.73/claim|Median: $2.30
3.8× median
81002Normal range

Urinalysis, non-automated without microscopy

$23K

9,179 claims · 0.3%

Your Cost: $2.54/claim|Median: $2.00
1.3× median
90461Normal range

Immunization admin, additional vaccine, counseling

$22K

7,213 claims · 0.3%

Your Cost: $3.09/claim|Median: $6.93
0.4× median
99406Normal range

$17K

11K claims · 0.2%

Your Cost: $1.50/claim|Median: $6.53
0.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$9K

825 claims · 0.1%

Your Cost: $11.01/claim|Median: $9.56
1.2× median
96161Normal range

$6K

3,504 claims · 0.1%

Your Cost: $1.68/claim|Median: $2.49
0.7× median
83655Normal range

$2K

266 claims · 0.0%

Your Cost: $9.08/claim|Median: $10.49
0.9× median
99214Normal range

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

$2K

44 claims · 0.0%

Your Cost: $49.21/claim|Median: $53.41
0.9× median
92567Normal range

$802

65 claims · 0.0%

Your Cost: $12.35/claim|Median: $11.50
1.1× median
CP002Normal range

$745

76 claims · 0.0%

Your Cost: $9.80/claim|Median: $9.76
1.0× median
99381Normal range

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

$674

12 claims · 0.0%

Your Cost: $56.14/claim|Median: $73.46
0.8× median
90677Normal range

$600

787 claims · 0.0%

Your Cost: $0.76/claim|Median: $12.96
0.1× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$469

7,013 claims · 0.0%

Your Cost: $0.07/claim|Median: $12.70
0.0× median
99051Normal range

$463

299 claims · 0.0%

Your Cost: $1.55/claim|Median: $7.89
0.2× median
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