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Provider 1457302010

NPI: 1457302010Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.9M

$17,922,459

Total Claims

662K

Beneficiaries

500K

1.3 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+22%
2019
$2.1M
+6%
2020
$2.2M
+33%
2021
$2.9M
+9%
2022
$3.2M
+2%
2023
$3.2M
-16%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 45% of total spending.

99214Normal range

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

$8.1M

215K claims · 45.2%

Your Cost: $37.76/claim|Median: $53.41
0.7× median
99213Normal range

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

$4.5M

137K claims · 25.1%

Your Cost: $32.89/claim|Median: $37.81
0.9× median
99204Normal range

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

$827K

12K claims · 4.6%

Your Cost: $70.27/claim|Median: $84.03
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$462K

13K claims · 2.6%

Your Cost: $35.41/claim|Median: $54.68
0.6× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$397K

5,480 claims · 2.2%

Your Cost: $72.40/claim|Median: $65.64
1.1× median
43239Normal range

Upper GI endoscopy with biopsy

$305K

3,158 claims · 1.7%

Your Cost: $96.44/claim|Median: $151.68
0.6× median
99203Normal range

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

$249K

4,945 claims · 1.4%

Your Cost: $50.25/claim|Median: $57.85
0.9× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$233K

7,695 claims · 1.3%

Your Cost: $30.26/claim|Median: $17.85
1.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$210K

5,183 claims · 1.2%

Your Cost: $40.42/claim|Median: $39.70
1.0× median
95886Normal range

$200K

2,707 claims · 1.1%

Your Cost: $73.97/claim|Median: $67.70
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$151K

1,621 claims · 0.8%

Your Cost: $92.90/claim|Median: $80.15
1.2× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$146K

956 claims · 0.8%

Your Cost: $152.50/claim|Median: $255.17
0.6× median
99393Normal range

Preventive medicine, established patient, age 5-11

$140K

1,694 claims · 0.8%

Your Cost: $82.37/claim|Median: $74.82
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$125K

5,725 claims · 0.7%

Your Cost: $21.90/claim|Median: $25.06
0.9× median
36415Normal range

Collection of venous blood by venipuncture

$112K

79K claims · 0.6%

Your Cost: $1.42/claim|Median: $1.57
0.9× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$109K

3,484 claims · 0.6%

Your Cost: $31.17/claim|Median: $28.46
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$104K

1,231 claims · 0.6%

Your Cost: $84.46/claim|Median: $75.18
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$96K

1,787 claims · 0.5%

Your Cost: $53.73/claim|Median: $74.09
0.7× median
80061Normal range

Lipid panel

$93K

15K claims · 0.5%

Your Cost: $6.24/claim|Median: $8.41
0.7× median
59400Normal range

Routine obstetric care, vaginal delivery, including postpartum

$92K

118 claims · 0.5%

Your Cost: $777.21/claim|Median: $1,482.45
0.5× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$69K

1,293 claims · 0.4%

Your Cost: $52.98/claim|Median: $74.78
0.7× median
80050Normal range

General health panel

$55K

2,688 claims · 0.3%

Your Cost: $20.63/claim|Median: $25.59
0.8× median
99490Top 25%

Chronic care management services, 20 minutes per month

$53K

3,376 claims · 0.3%

Your Cost: $15.58/claim|Median: $6.31
2.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$50K

642 claims · 0.3%

Your Cost: $77.17/claim|Median: $69.35
1.1× median
96160Top 25%

Patient-focused health risk assessment

$45K

4,563 claims · 0.3%

Your Cost: $9.92/claim|Median: $2.10
4.7× median
85025Normal range

Complete blood count (CBC) with differential, automated

$44K

12K claims · 0.2%

Your Cost: $3.63/claim|Median: $4.71
0.8× median
51798Normal range

$41K

6,179 claims · 0.2%

Your Cost: $6.59/claim|Median: $6.59
1.0× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$39K

5,398 claims · 0.2%

Your Cost: $7.28/claim|Median: $9.70
0.8× median
80053Normal range

Comprehensive metabolic panel

$39K

11K claims · 0.2%

Your Cost: $3.39/claim|Median: $7.24
0.5× median
G0108Normal range

Diabetes self-management training, individual

$36K

866 claims · 0.2%

Your Cost: $41.81/claim|Median: $35.89
1.2× median
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