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Provider 1427441286

NPI: 1427441286Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.5M

$14,482,754

Total Claims

415K

Beneficiaries

389K

1.1 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-12%
2019
$1.4M
+20%
2020
$1.7M
+84%
2021
$3.1M
-24%
2022
$2.4M
-11%
2023
$2.1M
+4%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99203 (Office/outpatient visit, new patient, low-mod complexity)) accounts for 19% of total spending.

99203Normal range

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

$2.8M

39K claims · 19.1%

Your Cost: $71.68/claim|Median: $57.85
1.2× median
87428Top 5%

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

$2.6M

34K claims · 17.8%

Your Cost: $75.33/claim|Median: $39.63
1.9× median
99214Normal range

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

$2.5M

50K claims · 17.0%

Your Cost: $48.92/claim|Median: $53.41
0.9× median
99213Normal range

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

$1.8M

59K claims · 12.2%

Your Cost: $30.10/claim|Median: $37.81
0.8× median
87426Top 25%

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

$1.6M

41K claims · 11.2%

Your Cost: $39.21/claim|Median: $30.04
1.3× median
87804Top 25%

Influenza virus detection, rapid test

$753K

39K claims · 5.2%

Your Cost: $19.37/claim|Median: $12.59
1.5× median
H0033Normal range

Oral medication administration, direct observation

$428K

20K claims · 3.0%

Your Cost: $21.64/claim|Median: $31.37
0.7× median
U0004Top 5%

COVID-19 test, nucleic acid detection, CDC lab only

$277K

2,568 claims · 1.9%

Your Cost: $108.05/claim|Median: $60.05
1.8× median
86769Top 1%

Antibody, SARS-CoV-2 (COVID-19)

$265K

3,536 claims · 1.8%

Your Cost: $75.02/claim|Median: $26.94
2.8× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$232K

9,500 claims · 1.6%

Your Cost: $24.47/claim|Median: $9.56
2.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$202K

25K claims · 1.4%

Your Cost: $7.94/claim|Median: $11.48
0.7× median
99204Normal range

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

$186K

2,243 claims · 1.3%

Your Cost: $82.77/claim|Median: $84.03
1.0× median
G0447Top 10%

$148K

6,113 claims · 1.0%

Your Cost: $24.26/claim|Median: $5.19
4.7× median
J1885Top 5%

Injection, ketorolac tromethamine, fifteen milligrams

$97K

4,618 claims · 0.7%

Your Cost: $21.01/claim|Median: $0.91
23.1× median
81000Normal range

Urinalysis with microscopy, non-automated

$75K

26K claims · 0.5%

Your Cost: $2.91/claim|Median: $2.51
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$73K

998 claims · 0.5%

Your Cost: $73.21/claim|Median: $74.09
1.0× median
J0696Top 10%

$56K

2,484 claims · 0.4%

Your Cost: $22.37/claim|Median: $1.34
16.7× median
94760Top 10%

Pulse oximetry, single reading, noninvasive

$52K

8,684 claims · 0.4%

Your Cost: $5.95/claim|Median: $0.79
7.5× median
99212Normal range

Office/outpatient visit, low complexity

$49K

2,006 claims · 0.3%

Your Cost: $24.22/claim|Median: $25.06
1.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$43K

2,999 claims · 0.3%

Your Cost: $14.49/claim|Median: $12.93
1.1× median
87807Normal range

$42K

4,241 claims · 0.3%

Your Cost: $9.96/claim|Median: $10.06
1.0× median
81025Normal range

Urine pregnancy test

$41K

13K claims · 0.3%

Your Cost: $3.20/claim|Median: $4.81
0.7× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$30K

2,410 claims · 0.2%

Your Cost: $12.42/claim|Median: $10.88
1.1× median
J1100Top 1%

$28K

606 claims · 0.2%

Your Cost: $45.83/claim|Median: $0.52
88.1× median
99406Top 25%

$21K

1,817 claims · 0.1%

Your Cost: $11.72/claim|Median: $6.53
1.8× median
J3301Top 5%

Injection, triamcinolone acetonide, per ten milligrams

$21K

821 claims · 0.1%

Your Cost: $25.52/claim|Median: $2.91
8.8× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$18K

563 claims · 0.1%

Your Cost: $31.80/claim|Median: $24.95
1.3× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$18K

565 claims · 0.1%

Your Cost: $31.59/claim|Median: $23.39
1.4× median
D1206Normal range

Topical application of fluoride varnish

$18K

764 claims · 0.1%

Your Cost: $23.18/claim|Median: $18.12
1.3× median
87661Top 25%

Trichomonas vaginalis detection, nucleic acid, amplified probe

$16K

459 claims · 0.1%

Your Cost: $34.48/claim|Median: $21.08
1.6× median
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