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Provider 1457435349

NPI: 1457435349Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.7M

$7,653,072

Total Claims

963K

Beneficiaries

922K

1.0 claims/patient

Avg Cost/Claim

$8

Monthly Spending Trend

Yearly Spending

2018
$715K
-1%
2019
$709K
-40%
2020
$428K
+107%
2021
$886K
+94%
2022
$1.7M
-14%
2023
$1.5M
+16%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99199 (Unlisted special service, procedure, or report)) accounts for 52% of total spending.

99199Normal range

Unlisted special service, procedure, or report

$4.0M

770K claims · 52.4%

Your Cost: $5.21/claim|Median: $5.39
1.0× median
99215Top 5%

Office/outpatient visit, high complexity

$483K

2,674 claims · 6.3%

Your Cost: $180.76/claim|Median: $74.09
2.4× median
59426Normal range

Antepartum care only, high risk, additional visits

$372K

595 claims · 4.9%

Your Cost: $625.71/claim|Median: $122.30
5.1× median
S0280Normal range

Medical home program, comprehensive care management

$271K

5,996 claims · 3.5%

Your Cost: $45.14/claim|Median: $48.38
0.9× median
99211Top 25%

Office/outpatient visit, minimal complexity

$183K

7,137 claims · 2.4%

Your Cost: $25.60/claim|Median: $12.93
2.0× median
D0120Normal range

Periodic oral evaluation, established patient

$166K

5,969 claims · 2.2%

Your Cost: $27.81/claim|Median: $24.34
1.1× median
99213Top 10%

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

$164K

2,206 claims · 2.1%

Your Cost: $74.38/claim|Median: $37.81
2.0× median
D1120Normal range

Prophylaxis, adult

$130K

4,465 claims · 1.7%

Your Cost: $29.13/claim|Median: $33.86
0.9× median
D1351Normal range

Sealant, per tooth

$129K

7,433 claims · 1.7%

Your Cost: $17.30/claim|Median: $26.10
0.7× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$122K

6,950 claims · 1.6%

Your Cost: $17.59/claim|Median: $24.95
0.7× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$121K

6,953 claims · 1.6%

Your Cost: $17.43/claim|Median: $23.39
0.7× median
90472Top 25%

Immunization administration, each additional vaccine

$107K

4,709 claims · 1.4%

Your Cost: $22.63/claim|Median: $11.79
1.9× median
90471Normal range

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

$102K

9,782 claims · 1.3%

Your Cost: $10.45/claim|Median: $9.80
1.1× median
D1206Normal range

Topical application of fluoride varnish

$86K

5,014 claims · 1.1%

Your Cost: $17.22/claim|Median: $18.12
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$82K

2,119 claims · 1.1%

Your Cost: $38.74/claim|Median: $43.38
0.9× median
99502Normal range

$73K

1,354 claims · 0.9%

Your Cost: $53.66/claim|Median: $59.00
0.9× median
90715Normal range

Tdap vaccine

$69K

3,424 claims · 0.9%

Your Cost: $20.27/claim|Median: $10.32
2.0× median
99214Top 25%

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

$57K

743 claims · 0.7%

Your Cost: $76.31/claim|Median: $53.41
1.4× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$49K

3,014 claims · 0.6%

Your Cost: $16.41/claim|Median: $41.92
0.4× median
86592Top 25%

$48K

10K claims · 0.6%

Your Cost: $4.70/claim|Median: $3.35
1.4× median
99204Top 5%

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

$46K

250 claims · 0.6%

Your Cost: $185.24/claim|Median: $84.03
2.2× median
99501Normal range

$45K

953 claims · 0.6%

Your Cost: $47.42/claim|Median: $76.03
0.6× median
81025Top 25%

Urine pregnancy test

$44K

6,024 claims · 0.6%

Your Cost: $7.31/claim|Median: $4.81
1.5× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$43K

4,369 claims · 0.6%

Your Cost: $9.78/claim|Median: $4.71
2.1× median
D0272Normal range

Bitewings, two radiographic images

$43K

2,223 claims · 0.6%

Your Cost: $19.17/claim|Median: $15.81
1.2× median
S0281Normal range

$36K

420 claims · 0.5%

Your Cost: $85.46/claim|Median: $92.97
0.9× median
36415Normal range

Collection of venous blood by venipuncture

$36K

15K claims · 0.5%

Your Cost: $2.41/claim|Median: $1.57
1.5× median
59430Normal range

$34K

418 claims · 0.4%

Your Cost: $81.78/claim|Median: $80.32
1.0× median
D2391Top 25%

Resin-based composite, one surface, posterior

$32K

414 claims · 0.4%

Your Cost: $77.55/claim|Median: $54.60
1.4× median
99205Top 10%

Office/outpatient visit, new patient, high complexity

$31K

136 claims · 0.4%

Your Cost: $231.04/claim|Median: $111.09
2.1× median
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