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Provider 1447508064

NPI: 1447508064Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.7M

$15,707,723

Total Claims

409K

Beneficiaries

382K

1.1 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+15%
2019
$1.8M
+12%
2020
$2.1M
+37%
2021
$2.8M
-3%
2022
$2.8M
-7%
2023
$2.6M
-21%
2024
$2.0M

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 47% of total spending.

99213Top 25%

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

$7.3M

104K claims · 46.8%

Your Cost: $70.68/claim|Median: $37.81
1.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.6M

19K claims · 10.4%

Your Cost: $86.56/claim|Median: $75.18
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.6M

20K claims · 10.0%

Your Cost: $79.38/claim|Median: $69.35
1.1× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$1.0M

12K claims · 6.5%

Your Cost: $88.27/claim|Median: $74.82
1.2× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$894K

54K claims · 5.7%

Your Cost: $16.46/claim|Median: $17.85
0.9× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$508K

5,159 claims · 3.2%

Your Cost: $98.44/claim|Median: $80.15
1.2× median
99214Top 25%

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

$461K

5,919 claims · 2.9%

Your Cost: $77.88/claim|Median: $53.41
1.5× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$389K

5,603 claims · 2.5%

Your Cost: $69.37/claim|Median: $62.48
1.1× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$324K

5,582 claims · 2.1%

Your Cost: $58.04/claim|Median: $37.22
1.6× median
90461Top 10%

Immunization admin, additional vaccine, counseling

$270K

6,699 claims · 1.7%

Your Cost: $40.36/claim|Median: $6.93
5.8× median
99462Normal range

$204K

6,538 claims · 1.3%

Your Cost: $31.13/claim|Median: $27.49
1.1× median
90671Top 25%

$178K

2,062 claims · 1.1%

Your Cost: $86.32/claim|Median: $8.59
10.0× median
87804Normal range

Influenza virus detection, rapid test

$145K

16K claims · 0.9%

Your Cost: $9.18/claim|Median: $12.59
0.7× median
99203Normal range

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

$89K

1,337 claims · 0.6%

Your Cost: $66.33/claim|Median: $57.85
1.1× median
99050Normal range

$80K

15K claims · 0.5%

Your Cost: $5.45/claim|Median: $11.81
0.5× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$77K

761 claims · 0.5%

Your Cost: $100.75/claim|Median: $72.71
1.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$72K

2,193 claims · 0.5%

Your Cost: $32.78/claim|Median: $39.70
0.8× median
99443Top 10%

Telephone E/M by physician, 21-30 min

$64K

633 claims · 0.4%

Your Cost: $101.74/claim|Median: $32.55
3.1× median
92568Normal range

$61K

5,976 claims · 0.4%

Your Cost: $10.19/claim|Median: $10.55
1.0× median
36406Normal range

$48K

5,639 claims · 0.3%

Your Cost: $8.59/claim|Median: $8.67
1.0× median
G2023Normal range

Specimen collection for COVID-19 testing

$35K

11K claims · 0.2%

Your Cost: $3.09/claim|Median: $17.15
0.2× median
94664Normal range

$33K

3,210 claims · 0.2%

Your Cost: $10.36/claim|Median: $8.88
1.2× median
87184Normal range

$33K

8,631 claims · 0.2%

Your Cost: $3.85/claim|Median: $4.02
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$32K

8,830 claims · 0.2%

Your Cost: $3.62/claim|Median: $11.48
0.3× median
99401Normal range

$30K

2,677 claims · 0.2%

Your Cost: $11.25/claim|Median: $16.53
0.7× median
87070Normal range

Bacterial culture, any source except blood or urine

$26K

5,870 claims · 0.2%

Your Cost: $4.44/claim|Median: $5.89
0.8× median
94667Normal range

$20K

3,187 claims · 0.1%

Your Cost: $6.35/claim|Median: $13.51
0.5× median
17250Normal range

$15K

285 claims · 0.1%

Your Cost: $52.52/claim|Median: $19.69
2.7× median
99442Top 10%

Telephone E/M by physician, 11-20 minutes

$7K

96 claims · 0.0%

Your Cost: $76.81/claim|Median: $22.44
3.4× median
90651Normal range

HPV vaccine, 9-valent

$6K

1,165 claims · 0.0%

Your Cost: $4.74/claim|Median: $8.93
0.5× median
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