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Provider 1457346090

NPI: 1457346090Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.4M

$14,373,662

Total Claims

448K

Beneficiaries

405K

1.1 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$2.1M
-2%
2019
$2.1M
-14%
2020
$1.8M
+5%
2021
$1.9M
+11%
2022
$2.1M
+11%
2023
$2.3M
-18%
2024
$1.9M

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 27% of total spending.

99213Normal range

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

$3.8M

90K claims · 26.6%

Your Cost: $42.72/claim|Median: $37.81
1.1× median
99214Normal range

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

$2.9M

45K claims · 20.3%

Your Cost: $64.61/claim|Median: $53.41
1.2× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$2.6M

90K claims · 17.9%

Your Cost: $28.50/claim|Median: $17.85
1.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.5M

25K claims · 10.2%

Your Cost: $57.67/claim|Median: $75.18
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.1M

19K claims · 7.4%

Your Cost: $56.04/claim|Median: $74.82
0.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$810K

16K claims · 5.6%

Your Cost: $50.84/claim|Median: $69.35
0.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$433K

6,984 claims · 3.0%

Your Cost: $62.03/claim|Median: $80.15
0.8× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$238K

6,907 claims · 1.7%

Your Cost: $34.44/claim|Median: $30.04
1.1× median
96110Normal range

Developmental screening, per standardized instrument

$179K

23K claims · 1.2%

Your Cost: $7.86/claim|Median: $9.10
0.9× median
90670Normal range

$147K

12K claims · 1.0%

Your Cost: $12.19/claim|Median: $5.94
2.1× median
90651Top 25%

HPV vaccine, 9-valent

$83K

2,347 claims · 0.6%

Your Cost: $35.35/claim|Median: $8.93
4.0× median
90832Normal range

Psychotherapy, 30 minutes

$69K

1,714 claims · 0.5%

Your Cost: $40.43/claim|Median: $41.28
1.0× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$53K

1,035 claims · 0.4%

Your Cost: $50.73/claim|Median: $65.64
0.8× median
87804Normal range

Influenza virus detection, rapid test

$51K

5,350 claims · 0.4%

Your Cost: $9.52/claim|Median: $12.59
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$49K

2,169 claims · 0.3%

Your Cost: $22.72/claim|Median: $25.06
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$48K

546 claims · 0.3%

Your Cost: $87.77/claim|Median: $99.21
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$40K

3,470 claims · 0.3%

Your Cost: $11.63/claim|Median: $11.48
1.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$40K

11K claims · 0.3%

Your Cost: $3.74/claim|Median: $3.67
1.0× median
90837Normal range

Psychotherapy, 60 minutes

$36K

463 claims · 0.2%

Your Cost: $76.91/claim|Median: $85.66
0.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$30K

623 claims · 0.2%

Your Cost: $48.72/claim|Median: $39.70
1.2× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$28K

1,447 claims · 0.2%

Your Cost: $19.23/claim|Median: $28.46
0.7× median
90648Normal range

$23K

11K claims · 0.2%

Your Cost: $2.18/claim|Median: $4.08
0.5× median
36416Normal range

$21K

8,017 claims · 0.1%

Your Cost: $2.61/claim|Median: $1.31
2.0× median
90633Normal range

$18K

2,982 claims · 0.1%

Your Cost: $6.13/claim|Median: $3.56
1.7× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$17K

21K claims · 0.1%

Your Cost: $0.83/claim|Median: $7.18
0.1× median
96161Normal range

$13K

5,250 claims · 0.1%

Your Cost: $2.47/claim|Median: $2.49
1.0× median
99177Top 25%

$11K

1,089 claims · 0.1%

Your Cost: $9.95/claim|Median: $3.74
2.7× median
D1206Normal range

Topical application of fluoride varnish

$9K

667 claims · 0.1%

Your Cost: $13.23/claim|Median: $18.12
0.7× median
99381Normal range

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

$8K

136 claims · 0.1%

Your Cost: $61.24/claim|Median: $73.46
0.8× median
90834Normal range

Psychotherapy, 45 minutes

$7K

136 claims · 0.1%

Your Cost: $53.42/claim|Median: $63.65
0.8× median
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