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Provider 1427121375

NPI: 1427121375Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$14.4M

$14,372,680

Total Claims

535K

Beneficiaries

519K

1.0 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+18%
2019
$2.0M
+3%
2020
$2.1M
+36%
2021
$2.8M
+20%
2022
$3.4M
-31%
2023
$2.3M
-93%
2024
$155K

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 20% of total spending.

99213Normal range

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

$2.9M

96K claims · 20.3%

Your Cost: $30.28/claim|Median: $37.81
0.8× median
96156Top 25%

$2.7M

40K claims · 18.9%

Your Cost: $67.79/claim|Median: $22.36
3.0× median
99214Normal range

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

$1.6M

37K claims · 11.4%

Your Cost: $44.05/claim|Median: $53.41
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$809K

18K claims · 5.6%

Your Cost: $46.02/claim|Median: $74.82
0.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$709K

13K claims · 4.9%

Your Cost: $56.56/claim|Median: $80.15
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$629K

16K claims · 4.4%

Your Cost: $39.08/claim|Median: $75.18
0.5× median
96110Top 5%

Developmental screening, per standardized instrument

$628K

11K claims · 4.4%

Your Cost: $58.81/claim|Median: $9.10
6.5× median
G9920Top 25%

$468K

22K claims · 3.3%

Your Cost: $21.08/claim|Median: $6.56
3.2× median
92551Top 25%

Screening audiometry, pure tone, air only

$442K

42K claims · 3.1%

Your Cost: $10.56/claim|Median: $6.61
1.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$373K

8,670 claims · 2.6%

Your Cost: $43.06/claim|Median: $69.35
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$216K

12K claims · 1.5%

Your Cost: $18.28/claim|Median: $25.06
0.7× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$206K

24K claims · 1.4%

Your Cost: $8.47/claim|Median: $7.18
1.2× median
96151Top 25%

Health behavior reassessment

$204K

9,058 claims · 1.4%

Your Cost: $22.48/claim|Median: $15.43
1.5× median
99215Normal range

Office/outpatient visit, high complexity

$201K

3,463 claims · 1.4%

Your Cost: $57.96/claim|Median: $74.09
0.8× median
87426Normal range

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

$200K

5,733 claims · 1.4%

Your Cost: $34.86/claim|Median: $30.04
1.2× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$167K

1,321 claims · 1.2%

Your Cost: $126.60/claim|Median: $72.71
1.7× median
87428Normal range

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

$112K

2,193 claims · 0.8%

Your Cost: $51.05/claim|Median: $39.63
1.3× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$98K

3,699 claims · 0.7%

Your Cost: $26.59/claim|Median: $12.70
2.1× median
99383Normal range

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

$96K

1,410 claims · 0.7%

Your Cost: $68.12/claim|Median: $81.92
0.8× median
G8510Normal range

$84K

11K claims · 0.6%

Your Cost: $7.81/claim|Median: $1.96
4.0× median
99381Normal range

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

$83K

1,146 claims · 0.6%

Your Cost: $72.54/claim|Median: $73.46
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$78K

12K claims · 0.5%

Your Cost: $6.55/claim|Median: $11.48
0.6× median
99384Normal range

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

$74K

884 claims · 0.5%

Your Cost: $83.34/claim|Median: $83.63
1.0× median
G8431Top 25%

$65K

2,691 claims · 0.4%

Your Cost: $24.01/claim|Median: $2.37
10.1× median
90670Normal range

$60K

6,664 claims · 0.4%

Your Cost: $9.05/claim|Median: $5.94
1.5× median
87804Normal range

Influenza virus detection, rapid test

$60K

6,766 claims · 0.4%

Your Cost: $8.82/claim|Median: $12.59
0.7× median
85018Normal range

$56K

31K claims · 0.4%

Your Cost: $1.80/claim|Median: $1.71
1.1× median
99382Normal range

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

$49K

819 claims · 0.3%

Your Cost: $59.46/claim|Median: $79.89
0.7× median
90633Normal range

$49K

6,219 claims · 0.3%

Your Cost: $7.83/claim|Median: $3.56
2.2× median
90620Normal range

$47K

3,603 claims · 0.3%

Your Cost: $13.03/claim|Median: $6.49
2.0× median
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