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Provider 1447285390

NPI: 1447285390Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.7M

$11,672,115

Total Claims

178K

Beneficiaries

160K

1.1 claims/patient

Avg Cost/Claim

$65

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+31%
2019
$1.8M
-61%
2020
$708K
+94%
2021
$1.4M
+36%
2022
$1.9M
+46%
2023
$2.7M
-34%
2024
$1.8M

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 29% of total spending.

99213Top 5%

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

$3.3M

32K claims · 28.7%

Your Cost: $104.91/claim|Median: $37.81
2.8× median
99391Top 1%

Preventive medicine, established patient, infant (under 1)

$1.7M

6,816 claims · 14.9%

Your Cost: $255.06/claim|Median: $69.35
3.7× median
99392Top 1%

Preventive medicine, established patient, age 1-4

$1.5M

6,014 claims · 13.0%

Your Cost: $251.99/claim|Median: $75.18
3.4× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$1.3M

5,196 claims · 11.5%

Your Cost: $257.50/claim|Median: $74.82
3.4× median
99214Top 5%

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

$1.3M

7,253 claims · 11.0%

Your Cost: $177.80/claim|Median: $53.41
3.3× median
99394Top 1%

Preventive medicine, established patient, age 12-17

$958K

3,730 claims · 8.2%

Your Cost: $256.96/claim|Median: $80.15
3.2× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$307K

6,375 claims · 2.6%

Your Cost: $48.20/claim|Median: $41.92
1.1× median
99205Top 5%

Office/outpatient visit, new patient, high complexity

$207K

730 claims · 1.8%

Your Cost: $283.94/claim|Median: $111.09
2.6× median
G9008Normal range

Coordination of long-term care services, per month

$175K

3,844 claims · 1.5%

Your Cost: $45.65/claim|Median: $66.78
0.7× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$67K

9,121 claims · 0.6%

Your Cost: $7.34/claim|Median: $7.18
1.0× median
99401Normal range

$65K

5,720 claims · 0.6%

Your Cost: $11.33/claim|Median: $16.53
0.7× median
99203Top 25%

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

$58K

693 claims · 0.5%

Your Cost: $83.34/claim|Median: $57.85
1.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$56K

4,831 claims · 0.5%

Your Cost: $11.66/claim|Median: $11.48
1.0× median
S4993Normal range

$49K

3,691 claims · 0.4%

Your Cost: $13.38/claim|Median: $46.61
0.3× median
G9004Normal range

$48K

1,003 claims · 0.4%

Your Cost: $47.92/claim|Median: $55.49
0.9× median
92551Normal range

Screening audiometry, pure tone, air only

$47K

10K claims · 0.4%

Your Cost: $4.65/claim|Median: $6.61
0.7× median
99173Normal range

$43K

11K claims · 0.4%

Your Cost: $4.06/claim|Median: $2.16
1.9× median
90670Normal range

$35K

4,794 claims · 0.3%

Your Cost: $7.34/claim|Median: $5.94
1.2× median
96110Normal range

Developmental screening, per standardized instrument

$33K

3,332 claims · 0.3%

Your Cost: $9.76/claim|Median: $9.10
1.1× median
87804Normal range

Influenza virus detection, rapid test

$21K

2,207 claims · 0.2%

Your Cost: $9.63/claim|Median: $12.59
0.8× median
90651Normal range

HPV vaccine, 9-valent

$21K

2,603 claims · 0.2%

Your Cost: $8.10/claim|Median: $8.93
0.9× median
90698Normal range

$20K

2,726 claims · 0.2%

Your Cost: $7.24/claim|Median: $6.32
1.1× median
90633Normal range

$19K

2,670 claims · 0.2%

Your Cost: $7.19/claim|Median: $3.56
2.0× median
90680Normal range

$19K

2,484 claims · 0.2%

Your Cost: $7.56/claim|Median: $5.58
1.4× median
T1017Normal range

Targeted case management, per 15 min

$16K

420 claims · 0.1%

Your Cost: $37.07/claim|Median: $69.56
0.5× median
81025Normal range

Urine pregnancy test

$16K

6,270 claims · 0.1%

Your Cost: $2.48/claim|Median: $4.81
0.5× median
90697Normal range

$14K

1,761 claims · 0.1%

Your Cost: $7.67/claim|Median: $7.24
1.1× median
90688Normal range

$13K

2,046 claims · 0.1%

Your Cost: $6.57/claim|Median: $9.00
0.7× median
99381Top 1%

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

$13K

56 claims · 0.1%

Your Cost: $224.45/claim|Median: $73.46
3.1× median
36416Normal range

$12K

5,220 claims · 0.1%

Your Cost: $2.29/claim|Median: $1.31
1.7× median
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