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Provider 1417910886

NPI: 1417910886Share
Active Billing Period:2018-01→2022-03(51 months)
Billing appears to have stoppedLast active: 2022-03

Total Paid

$7.7M

$7,680,610

Total Claims

276K

Beneficiaries

264K

1.0 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+22%
2019
$1.8M
+2%
2020
$1.9M
+16%
2021
$2.2M
-84%
2022
$350K

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 38% of total spending.

99213Normal range

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

$2.9M

81K claims · 37.6%

Your Cost: $35.73/claim|Median: $37.81
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$516K

11K claims · 6.7%

Your Cost: $45.53/claim|Median: $75.18
0.6× median
99393Normal range

Preventive medicine, established patient, age 5-11

$505K

9,260 claims · 6.6%

Your Cost: $54.51/claim|Median: $74.82
0.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$447K

8,692 claims · 5.8%

Your Cost: $51.43/claim|Median: $69.35
0.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$410K

6,639 claims · 5.3%

Your Cost: $61.68/claim|Median: $80.15
0.8× median
G9920Top 10%

$405K

12K claims · 5.3%

Your Cost: $33.61/claim|Median: $6.56
5.1× median
90686Top 5%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$296K

12K claims · 3.9%

Your Cost: $24.31/claim|Median: $7.18
3.4× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$219K

3,443 claims · 2.8%

Your Cost: $63.56/claim|Median: $62.48
1.0× median
92551Top 25%

Screening audiometry, pure tone, air only

$162K

13K claims · 2.1%

Your Cost: $12.08/claim|Median: $6.61
1.8× median
99381Normal range

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

$136K

1,775 claims · 1.8%

Your Cost: $76.68/claim|Median: $73.46
1.0× median
96110Top 5%

Developmental screening, per standardized instrument

$131K

2,482 claims · 1.7%

Your Cost: $52.68/claim|Median: $9.10
5.8× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$129K

3,332 claims · 1.7%

Your Cost: $38.80/claim|Median: $34.62
1.1× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$110K

2,382 claims · 1.4%

Your Cost: $46.02/claim|Median: $37.22
1.2× median
99188Top 25%

$108K

5,408 claims · 1.4%

Your Cost: $19.99/claim|Median: $12.80
1.6× median
90670Normal range

$106K

8,230 claims · 1.4%

Your Cost: $12.89/claim|Median: $5.94
2.2× median
90700Top 5%

$85K

4,009 claims · 1.1%

Your Cost: $21.08/claim|Median: $4.56
4.6× median
99173Top 25%

$80K

17K claims · 1.0%

Your Cost: $4.65/claim|Median: $2.16
2.2× median
90744Top 10%

$71K

4,436 claims · 0.9%

Your Cost: $15.98/claim|Median: $5.00
3.2× median
90698Normal range

$68K

6,149 claims · 0.9%

Your Cost: $11.09/claim|Median: $6.32
1.8× median
90651Normal range

HPV vaccine, 9-valent

$66K

3,641 claims · 0.9%

Your Cost: $17.99/claim|Median: $8.93
2.0× median
90680Top 25%

$61K

5,126 claims · 0.8%

Your Cost: $11.81/claim|Median: $5.58
2.1× median
90633Top 25%

$60K

4,270 claims · 0.8%

Your Cost: $13.97/claim|Median: $3.56
3.9× median
90734Top 25%

$54K

2,437 claims · 0.7%

Your Cost: $22.22/claim|Median: $6.40
3.5× median
90707Normal range

MMR vaccine

$46K

4,045 claims · 0.6%

Your Cost: $11.38/claim|Median: $5.76
2.0× median
90716Normal range

$46K

4,088 claims · 0.6%

Your Cost: $11.22/claim|Median: $6.18
1.8× median
99383Normal range

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

$46K

651 claims · 0.6%

Your Cost: $70.15/claim|Median: $81.92
0.9× median
87804Normal range

Influenza virus detection, rapid test

$33K

5,162 claims · 0.4%

Your Cost: $6.47/claim|Median: $12.59
0.5× median
92552Normal range

Pure tone audiometry, air only, each ear

$31K

1,957 claims · 0.4%

Your Cost: $15.86/claim|Median: $12.63
1.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$27K

4,405 claims · 0.4%

Your Cost: $6.11/claim|Median: $11.48
0.5× median
90620Normal range

$25K

1,766 claims · 0.3%

Your Cost: $13.96/claim|Median: $6.49
2.2× median
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