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Provider 1437161437

NPI: 1437161437Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.3M

$16,261,225

Total Claims

1.1M

Beneficiaries

996K

1.1 claims/patient

Avg Cost/Claim

$15

Monthly Spending Trend

Yearly Spending

2018
$2.5M
-11%
2019
$2.2M
-12%
2020
$1.9M
+25%
2021
$2.4M
+9%
2022
$2.6M
+1%
2023
$2.7M
-28%
2024
$1.9M

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 31% of total spending.

99213Normal range

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

$5.0M

98K claims · 30.9%

Your Cost: $51.22/claim|Median: $37.81
1.4× median
99214Top 25%

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

$3.8M

48K claims · 23.2%

Your Cost: $78.21/claim|Median: $53.41
1.5× median
99396Normal range

Preventive medicine, established patient, age 40-64

$1.9M

22K claims · 11.5%

Your Cost: $84.61/claim|Median: $76.06
1.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$1.3M

17K claims · 7.9%

Your Cost: $76.39/claim|Median: $72.71
1.1× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$575K

6,217 claims · 3.5%

Your Cost: $92.48/claim|Median: $76.22
1.2× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$475K

4,330 claims · 2.9%

Your Cost: $109.70/claim|Median: $87.82
1.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$358K

4,671 claims · 2.2%

Your Cost: $76.54/claim|Median: $80.15
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$332K

4,816 claims · 2.0%

Your Cost: $69.03/claim|Median: $74.82
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$255K

7,879 claims · 1.6%

Your Cost: $32.35/claim|Median: $25.06
1.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$212K

3,001 claims · 1.3%

Your Cost: $70.61/claim|Median: $75.18
0.9× median
99384Normal range

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

$196K

2,041 claims · 1.2%

Your Cost: $96.15/claim|Median: $83.63
1.1× median
99441Top 25%

Telephone E/M by physician, 5-10 min

$192K

5,120 claims · 1.2%

Your Cost: $37.52/claim|Median: $13.30
2.8× median
99383Normal range

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

$162K

1,846 claims · 1.0%

Your Cost: $87.64/claim|Median: $81.92
1.1× median
36415Normal range

Collection of venous blood by venipuncture

$141K

60K claims · 0.9%

Your Cost: $2.35/claim|Median: $1.57
1.5× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$134K

15K claims · 0.8%

Your Cost: $9.01/claim|Median: $9.56
0.9× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$126K

14K claims · 0.8%

Your Cost: $9.06/claim|Median: $9.80
0.9× median
90472Normal range

Immunization administration, each additional vaccine

$123K

6,567 claims · 0.8%

Your Cost: $18.70/claim|Median: $11.79
1.6× median
99203Normal range

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

$107K

1,619 claims · 0.7%

Your Cost: $66.21/claim|Median: $57.85
1.1× median
99382Normal range

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

$98K

1,125 claims · 0.6%

Your Cost: $87.29/claim|Median: $79.89
1.1× median
Q0091Normal range

$89K

4,600 claims · 0.5%

Your Cost: $19.30/claim|Median: $11.15
1.7× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$79K

28K claims · 0.5%

Your Cost: $2.79/claim|Median: $3.67
0.8× median
81025Normal range

Urine pregnancy test

$69K

11K claims · 0.4%

Your Cost: $6.09/claim|Median: $4.81
1.3× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$60K

1,102 claims · 0.4%

Your Cost: $54.13/claim|Median: $22.44
2.4× median
96160Normal range

Patient-focused health risk assessment

$59K

16K claims · 0.4%

Your Cost: $3.72/claim|Median: $2.10
1.8× median
90732Top 25%

Pneumococcal vaccine (PPSV23)

$57K

561 claims · 0.4%

Your Cost: $102.44/claim|Median: $36.96
2.8× median
90674Top 25%

$57K

2,213 claims · 0.4%

Your Cost: $25.76/claim|Median: $15.16
1.7× median
82947Normal range

Blood glucose level test

$42K

16K claims · 0.3%

Your Cost: $2.59/claim|Median: $2.38
1.1× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$32K

2,238 claims · 0.2%

Your Cost: $14.30/claim|Median: $7.18
2.0× median
99215Top 25%

Office/outpatient visit, high complexity

$26K

236 claims · 0.2%

Your Cost: $109.30/claim|Median: $74.09
1.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$25K

422 claims · 0.2%

Your Cost: $60.32/claim|Median: $69.35
0.9× median
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