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Provider 1447438197

NPI: 1447438197Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.7M

$15,674,541

Total Claims

210K

Beneficiaries

191K

1.1 claims/patient

Avg Cost/Claim

$74

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+10%
2019
$1.9M
-2%
2020
$1.9M
+54%
2021
$2.9M
-7%
2022
$2.7M
-7%
2023
$2.5M
-14%
2024
$2.1M

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 45% of total spending.

99213Top 5%

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

$7.0M

79K claims · 44.8%

Your Cost: $89.41/claim|Median: $37.81
2.4× median
99214Top 5%

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

$4.8M

37K claims · 30.8%

Your Cost: $130.14/claim|Median: $53.41
2.4× median
99396Top 10%

Preventive medicine, established patient, age 40-64

$1.6M

12K claims · 10.2%

Your Cost: $127.96/claim|Median: $76.06
1.7× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$752K

6,279 claims · 4.8%

Your Cost: $119.81/claim|Median: $72.71
1.6× median
90651Top 1%

HPV vaccine, 9-valent

$325K

1,161 claims · 2.1%

Your Cost: $280.32/claim|Median: $8.93
31.4× median
90471Top 25%

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

$243K

14K claims · 1.6%

Your Cost: $17.19/claim|Median: $9.80
1.8× median
90750Top 5%

$168K

833 claims · 1.1%

Your Cost: $201.41/claim|Median: $96.16
2.1× median
99212Top 25%

Office/outpatient visit, low complexity

$143K

2,679 claims · 0.9%

Your Cost: $53.48/claim|Median: $25.06
2.1× median
90674Top 10%

$115K

3,647 claims · 0.7%

Your Cost: $31.50/claim|Median: $15.16
2.1× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$94K

6,386 claims · 0.6%

Your Cost: $14.75/claim|Median: $9.70
1.5× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$67K

22K claims · 0.4%

Your Cost: $3.07/claim|Median: $3.67
0.8× median
90688Top 25%

$42K

2,323 claims · 0.3%

Your Cost: $18.27/claim|Median: $9.00
2.0× median
90686Top 10%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$34K

1,709 claims · 0.2%

Your Cost: $20.00/claim|Median: $7.18
2.8× median
90756Top 10%

Influenza virus vaccine, quadrivalent

$30K

1,066 claims · 0.2%

Your Cost: $27.78/claim|Median: $14.34
1.9× median
82274Normal range

$24K

1,721 claims · 0.2%

Your Cost: $13.69/claim|Median: $12.83
1.1× median
90661Top 5%

$23K

629 claims · 0.1%

Your Cost: $36.37/claim|Median: $14.37
2.5× median
90677Top 5%

$20K

74 claims · 0.1%

Your Cost: $271.25/claim|Median: $12.96
20.9× median
91320Top 10%

$18K

145 claims · 0.1%

Your Cost: $124.53/claim|Median: $72.65
1.7× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$13K

321 claims · 0.1%

Your Cost: $41.21/claim|Median: $33.85
1.2× median
0011ATop 25%

COVID-19 vaccine admin, Moderna, 1st dose

$13K

342 claims · 0.1%

Your Cost: $36.73/claim|Median: $25.93
1.4× median
99397Top 5%

$10K

79 claims · 0.1%

Your Cost: $120.72/claim|Median: $22.92
5.3× median
0064ATop 25%

$8K

200 claims · 0.1%

Your Cost: $40.56/claim|Median: $34.17
1.2× median
0124ATop 25%

$6K

156 claims · 0.0%

Your Cost: $40.40/claim|Median: $34.32
1.2× median
90472Normal range

Immunization administration, each additional vaccine

$6K

435 claims · 0.0%

Your Cost: $14.04/claim|Median: $11.79
1.2× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$6K

51 claims · 0.0%

Your Cost: $114.39/claim|Median: $97.61
1.2× median
99497Top 25%

$5K

195 claims · 0.0%

Your Cost: $26.90/claim|Median: $10.99
2.4× median
90746Top 25%

Hepatitis B vaccine, adult

$5K

77 claims · 0.0%

Your Cost: $67.25/claim|Median: $48.85
1.4× median
17110Top 10%

Destruction of benign lesions, up to fourteen

$5K

41 claims · 0.0%

Your Cost: $121.92/claim|Median: $59.25
2.1× median
3078FTop 10%

$5K

2,212 claims · 0.0%

Your Cost: $2.21/claim|Median: $0.08
27.6× median
90715Top 5%

Tdap vaccine

$5K

110 claims · 0.0%

Your Cost: $42.33/claim|Median: $10.32
4.1× median
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