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Provider 1457393829

NPI: 1457393829Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.2M

$18,249,738

Total Claims

188K

Beneficiaries

174K

1.1 claims/patient

Avg Cost/Claim

$97

Monthly Spending Trend

Yearly Spending

2018
$2.6M
+2%
2019
$2.6M
-25%
2020
$2.0M
+45%
2021
$2.8M
+11%
2022
$3.2M
-16%
2023
$2.7M
-9%
2024
$2.4M

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 43% of total spending.

99214Top 5%

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

$7.8M

52K claims · 42.7%

Your Cost: $148.53/claim|Median: $53.41
2.8× median
99213Top 1%

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

$4.8M

31K claims · 26.1%

Your Cost: $153.41/claim|Median: $37.81
4.1× median
99212Top 5%

Office/outpatient visit, low complexity

$1.2M

8,626 claims · 6.8%

Your Cost: $143.55/claim|Median: $25.06
5.7× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$613K

3,464 claims · 3.4%

Your Cost: $176.96/claim|Median: $75.18
2.4× median
87804Top 5%

Influenza virus detection, rapid test

$518K

12K claims · 2.8%

Your Cost: $44.99/claim|Median: $12.59
3.6× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$482K

2,941 claims · 2.6%

Your Cost: $163.94/claim|Median: $69.35
2.4× median
87880Top 5%

Streptococcus, Group A, rapid antigen detection

$354K

11K claims · 1.9%

Your Cost: $33.63/claim|Median: $11.48
2.9× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$311K

1,699 claims · 1.7%

Your Cost: $182.87/claim|Median: $74.82
2.4× median
90837Top 10%

Psychotherapy, 60 minutes

$308K

2,099 claims · 1.7%

Your Cost: $146.79/claim|Median: $85.66
1.7× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$217K

6,599 claims · 1.2%

Your Cost: $32.89/claim|Median: $9.56
3.4× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$164K

900 claims · 0.9%

Your Cost: $182.31/claim|Median: $80.15
2.3× median
G0511Top 25%

RHC/FQHC visit, psychiatric collaborative care model

$131K

6,539 claims · 0.7%

Your Cost: $20.06/claim|Median: $11.35
1.8× median
99215Top 25%

Office/outpatient visit, high complexity

$131K

958 claims · 0.7%

Your Cost: $136.72/claim|Median: $74.09
1.8× median
99203Top 5%

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

$128K

751 claims · 0.7%

Your Cost: $170.77/claim|Median: $57.85
3.0× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$114K

795 claims · 0.6%

Your Cost: $143.21/claim|Median: $40.11
3.6× median
83036Top 5%

Hemoglobin A1c (glycated hemoglobin)

$79K

2,344 claims · 0.4%

Your Cost: $33.68/claim|Median: $5.50
6.1× median
90461Normal range

Immunization admin, additional vaccine, counseling

$73K

3,450 claims · 0.4%

Your Cost: $21.21/claim|Median: $6.93
3.1× median
81002Top 1%

Urinalysis, non-automated without microscopy

$72K

2,103 claims · 0.4%

Your Cost: $34.07/claim|Median: $2.00
17.0× median
99204Top 10%

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

$70K

438 claims · 0.4%

Your Cost: $160.06/claim|Median: $84.03
1.9× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$67K

5,815 claims · 0.4%

Your Cost: $11.50/claim|Median: $17.85
0.6× median
87254Normal range

$66K

4,647 claims · 0.4%

Your Cost: $14.11/claim|Median: $9.47
1.5× median
J3301Top 1%

Injection, triamcinolone acetonide, per ten milligrams

$63K

1,410 claims · 0.3%

Your Cost: $44.90/claim|Median: $2.91
15.4× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$62K

419 claims · 0.3%

Your Cost: $147.12/claim|Median: $72.71
2.0× median
87430Normal range

$61K

4,830 claims · 0.3%

Your Cost: $12.66/claim|Median: $9.41
1.3× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$56K

453 claims · 0.3%

Your Cost: $124.61/claim|Median: $144.30
0.9× median
J1885Top 5%

Injection, ketorolac tromethamine, fifteen milligrams

$43K

2,852 claims · 0.2%

Your Cost: $15.18/claim|Median: $0.91
16.7× median
99490Top 25%

Chronic care management services, 20 minutes per month

$43K

2,063 claims · 0.2%

Your Cost: $20.73/claim|Median: $6.31
3.3× median
J0696Top 10%

$26K

1,432 claims · 0.1%

Your Cost: $18.41/claim|Median: $1.34
13.7× median
J0561Normal range

$25K

281 claims · 0.1%

Your Cost: $88.47/claim|Median: $96.49
0.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$23K

643 claims · 0.1%

Your Cost: $35.39/claim|Median: $39.70
0.9× median
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