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Provider 1447306113

NPI: 1447306113Share
Active Billing Period:2018-01→2024-06(78 months)

Total Paid

$17.4M

$17,424,897

Total Claims

898K

Beneficiaries

613K

1.5 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$2.4M
+24%
2019
$2.9M
-26%
2020
$2.2M
+69%
2021
$3.7M
+19%
2022
$4.4M
-56%
2023
$1.9M
-98%
2024
$36K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99199 (Unlisted special service, procedure, or report)) accounts for 16% of total spending.

99199Normal range

Unlisted special service, procedure, or report

$2.7M

480K claims · 15.6%

Your Cost: $5.66/claim|Median: $5.39
1.1× median
99214Top 25%

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

$2.3M

27K claims · 13.3%

Your Cost: $86.43/claim|Median: $53.41
1.6× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$1.9M

51K claims · 10.8%

Your Cost: $37.09/claim|Median: $17.85
2.1× median
99213Top 25%

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

$1.9M

31K claims · 10.7%

Your Cost: $60.14/claim|Median: $37.81
1.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.5M

18K claims · 8.8%

Your Cost: $83.35/claim|Median: $69.35
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.5M

17K claims · 8.5%

Your Cost: $88.09/claim|Median: $75.18
1.2× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$1.1M

12K claims · 6.4%

Your Cost: $89.72/claim|Median: $74.82
1.2× median
99239Top 10%

Hospital discharge day management, more than 30 minutes

$875K

10K claims · 5.0%

Your Cost: $83.90/claim|Median: $43.85
1.9× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$686K

9,716 claims · 3.9%

Your Cost: $70.60/claim|Median: $62.48
1.1× median
96110Normal range

Developmental screening, per standardized instrument

$319K

35K claims · 1.8%

Your Cost: $9.20/claim|Median: $9.10
1.0× median
99215Top 25%

Office/outpatient visit, high complexity

$304K

2,612 claims · 1.7%

Your Cost: $116.43/claim|Median: $74.09
1.6× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$288K

2,902 claims · 1.7%

Your Cost: $99.39/claim|Median: $80.15
1.2× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$209K

4,556 claims · 1.2%

Your Cost: $45.86/claim|Median: $24.33
1.9× median
99499Top 5%

Unlisted evaluation and management service

$204K

616 claims · 1.2%

Your Cost: $330.43/claim|Median: $30.88
10.7× median
99462Normal range

$203K

6,473 claims · 1.2%

Your Cost: $31.29/claim|Median: $27.49
1.1× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$184K

5,784 claims · 1.1%

Your Cost: $31.77/claim|Median: $57.30
0.6× median
97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$154K

2,304 claims · 0.9%

Your Cost: $66.68/claim|Median: $12.70
5.3× median
99245Normal range

Office consultation, high complexity

$111K

735 claims · 0.6%

Your Cost: $151.21/claim|Median: $143.30
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$96K

1,088 claims · 0.6%

Your Cost: $88.43/claim|Median: $99.21
0.9× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$92K

22K claims · 0.5%

Your Cost: $4.10/claim|Median: $3.67
1.1× median
90471Top 25%

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

$85K

4,535 claims · 0.5%

Your Cost: $18.74/claim|Median: $9.80
1.9× median
D1206Normal range

Topical application of fluoride varnish

$82K

5,982 claims · 0.5%

Your Cost: $13.79/claim|Median: $18.12
0.8× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$61K

1,202 claims · 0.3%

Your Cost: $50.38/claim|Median: $23.99
2.1× median
94618Top 25%

$56K

2,023 claims · 0.3%

Your Cost: $27.47/claim|Median: $14.59
1.9× median
99367Top 25%

$45K

917 claims · 0.3%

Your Cost: $48.63/claim|Median: $35.65
1.4× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$41K

445 claims · 0.2%

Your Cost: $92.73/claim|Median: $51.25
1.8× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$32K

746 claims · 0.2%

Your Cost: $43.49/claim|Median: $22.44
1.9× median
99443Normal range

Telephone E/M by physician, 21-30 min

$32K

553 claims · 0.2%

Your Cost: $58.23/claim|Median: $32.55
1.8× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$32K

587 claims · 0.2%

Your Cost: $54.36/claim|Median: $37.22
1.5× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$32K

457 claims · 0.2%

Your Cost: $69.46/claim|Median: $35.30
2.0× median
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