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Provider 1457624082

NPI: 1457624082Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.2M

$8,161,763

Total Claims

488K

Beneficiaries

412K

1.2 claims/patient

Avg Cost/Claim

$17

Monthly Spending Trend

Yearly Spending

2018
$27K
+10%
2019
$30K
+1318%
2020
$422K
+367%
2021
$2.0M
+14%
2022
$2.3M
-14%
2023
$1.9M
-22%
2024
$1.5M

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 33% of total spending.

99213Normal range

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

$2.7M

73K claims · 33.3%

Your Cost: $37.28/claim|Median: $37.81
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$708K

8,234 claims · 8.7%

Your Cost: $86.01/claim|Median: $74.82
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$652K

8,046 claims · 8.0%

Your Cost: $81.01/claim|Median: $75.18
1.1× median
87426Top 5%

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

$617K

14K claims · 7.6%

Your Cost: $45.18/claim|Median: $30.04
1.5× median
99214Normal range

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

$512K

9,643 claims · 6.3%

Your Cost: $53.09/claim|Median: $53.41
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$447K

4,745 claims · 5.5%

Your Cost: $94.30/claim|Median: $80.15
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$424K

5,490 claims · 5.2%

Your Cost: $77.26/claim|Median: $69.35
1.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$325K

30K claims · 4.0%

Your Cost: $10.90/claim|Median: $17.85
0.6× median
87804Normal range

Influenza virus detection, rapid test

$317K

18K claims · 3.9%

Your Cost: $17.14/claim|Median: $12.59
1.4× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$214K

15K claims · 2.6%

Your Cost: $14.48/claim|Median: $11.48
1.3× median
99000Top 25%

$178K

18K claims · 2.2%

Your Cost: $10.10/claim|Median: $2.30
4.4× median
99204Normal range

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

$138K

1,576 claims · 1.7%

Your Cost: $87.81/claim|Median: $84.03
1.0× median
96110Normal range

Developmental screening, per standardized instrument

$109K

16K claims · 1.3%

Your Cost: $6.94/claim|Median: $9.10
0.8× median
S8301Normal range

$101K

15K claims · 1.2%

Your Cost: $6.58/claim|Median: $8.32
0.8× median
99381Normal range

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

$94K

1,248 claims · 1.1%

Your Cost: $75.20/claim|Median: $73.46
1.0× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$70K

751 claims · 0.9%

Your Cost: $92.84/claim|Median: $81.92
1.1× median
99429Normal range

$57K

4,024 claims · 0.7%

Your Cost: $14.27/claim|Median: $28.58
0.5× median
99395Normal range

Preventive medicine, established patient, age 18-39

$49K

550 claims · 0.6%

Your Cost: $88.76/claim|Median: $72.71
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$45K

1,954 claims · 0.6%

Your Cost: $23.12/claim|Median: $25.06
0.9× median
92551Normal range

Screening audiometry, pure tone, air only

$41K

13K claims · 0.5%

Your Cost: $3.26/claim|Median: $6.61
0.5× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$41K

400 claims · 0.5%

Your Cost: $101.39/claim|Median: $83.63
1.2× median
99382Normal range

Preventive visit, new patient, early childhood (1-4 yr)

$40K

440 claims · 0.5%

Your Cost: $90.22/claim|Median: $79.89
1.1× median
87807Normal range

$32K

2,870 claims · 0.4%

Your Cost: $11.32/claim|Median: $10.06
1.1× median
83655Normal range

$28K

7,575 claims · 0.3%

Your Cost: $3.71/claim|Median: $10.49
0.4× median
90461Normal range

Immunization admin, additional vaccine, counseling

$27K

11K claims · 0.3%

Your Cost: $2.37/claim|Median: $6.93
0.3× median
97169Normal range

$22K

1,260 claims · 0.3%

Your Cost: $17.09/claim|Median: $22.00
0.8× median
92587Normal range

$13K

4,717 claims · 0.2%

Your Cost: $2.69/claim|Median: $19.24
0.1× median
80053Normal range

Comprehensive metabolic panel

$13K

8,894 claims · 0.2%

Your Cost: $1.41/claim|Median: $7.24
0.2× median
86328Top 10%

$12K

270 claims · 0.1%

Your Cost: $44.31/claim|Median: $20.52
2.2× median
S8101Normal range

$12K

719 claims · 0.1%

Your Cost: $16.36/claim|Median: $23.46
0.7× median
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