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Provider 1457470858

NPI: 1457470858Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.4M

$12,380,545

Total Claims

546K

Beneficiaries

513K

1.1 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-8%
2019
$1.2M
-14%
2020
$1.0M
+309%
2021
$4.3M
-46%
2022
$2.3M
-41%
2023
$1.3M
-32%
2024
$912K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99203 (Office/outpatient visit, new patient, low-mod complexity)) accounts for 17% of total spending.

99203Normal range

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

$2.1M

32K claims · 17.3%

Your Cost: $67.24/claim|Median: $57.85
1.2× median
99211Normal range

Office/outpatient visit, minimal complexity

$2.0M

151K claims · 16.0%

Your Cost: $13.11/claim|Median: $12.93
1.0× median
99213Normal range

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

$1.8M

38K claims · 14.5%

Your Cost: $47.27/claim|Median: $37.81
1.3× median
87426Normal range

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

$1.7M

61K claims · 13.6%

Your Cost: $27.73/claim|Median: $30.04
0.9× median
99214Normal range

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

$1.2M

22K claims · 10.0%

Your Cost: $56.18/claim|Median: $53.41
1.1× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$836K

17K claims · 6.8%

Your Cost: $48.33/claim|Median: $40.11
1.2× median
G2023Normal range

Specimen collection for COVID-19 testing

$544K

24K claims · 4.4%

Your Cost: $22.38/claim|Median: $17.15
1.3× median
90471Top 25%

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

$379K

21K claims · 3.1%

Your Cost: $17.63/claim|Median: $9.80
1.8× median
99212Normal range

Office/outpatient visit, low complexity

$333K

11K claims · 2.7%

Your Cost: $28.97/claim|Median: $25.06
1.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$239K

21K claims · 1.9%

Your Cost: $11.35/claim|Median: $11.48
1.0× median
87804Normal range

Influenza virus detection, rapid test

$193K

16K claims · 1.6%

Your Cost: $12.43/claim|Median: $12.59
1.0× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$121K

6,778 claims · 1.0%

Your Cost: $17.79/claim|Median: $28.46
0.6× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$112K

7,907 claims · 0.9%

Your Cost: $14.23/claim|Median: $7.18
2.0× median
90715Top 25%

Tdap vaccine

$86K

2,743 claims · 0.7%

Your Cost: $31.50/claim|Median: $10.32
3.1× median
99204Normal range

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

$74K

1,061 claims · 0.6%

Your Cost: $69.98/claim|Median: $84.03
0.8× median
90674Normal range

$68K

5,524 claims · 0.5%

Your Cost: $12.30/claim|Median: $15.16
0.8× median
90746Normal range

Hepatitis B vaccine, adult

$60K

1,001 claims · 0.5%

Your Cost: $59.72/claim|Median: $48.85
1.2× median
91322Top 25%

$59K

518 claims · 0.5%

Your Cost: $114.37/claim|Median: $76.28
1.5× median
99401Top 25%

$48K

1,942 claims · 0.4%

Your Cost: $24.87/claim|Median: $16.53
1.5× median
91320Normal range

$47K

480 claims · 0.4%

Your Cost: $98.66/claim|Median: $72.65
1.4× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$46K

1,101 claims · 0.4%

Your Cost: $41.70/claim|Median: $65.64
0.6× median
90480Normal range

$36K

1,070 claims · 0.3%

Your Cost: $33.20/claim|Median: $25.29
1.3× median
86580Normal range

Tuberculosis (TB) skin test

$24K

3,902 claims · 0.2%

Your Cost: $6.25/claim|Median: $4.46
1.4× median
0004ATop 25%

$19K

470 claims · 0.2%

Your Cost: $40.70/claim|Median: $35.62
1.1× median
90682Normal range

$18K

654 claims · 0.1%

Your Cost: $27.56/claim|Median: $34.72
0.8× median
0082ATop 25%

$16K

362 claims · 0.1%

Your Cost: $45.58/claim|Median: $39.88
1.1× median
0064ANormal range

$16K

427 claims · 0.1%

Your Cost: $38.27/claim|Median: $34.17
1.1× median
90472Normal range

Immunization administration, each additional vaccine

$12K

1,437 claims · 0.1%

Your Cost: $8.65/claim|Median: $11.79
0.7× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$12K

436 claims · 0.1%

Your Cost: $27.94/claim|Median: $27.38
1.0× median
0134ANormal range

$12K

320 claims · 0.1%

Your Cost: $37.13/claim|Median: $33.54
1.1× median
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