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Provider 1457761199

NPI: 1457761199Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.5M

$10,522,306

Total Claims

417K

Beneficiaries

298K

1.4 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+44%
2019
$1.5M
-17%
2020
$1.3M
+98%
2021
$2.5M
-7%
2022
$2.3M
-46%
2023
$1.2M
-46%
2024
$672K

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 21% of total spending.

99214Normal range

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

$2.2M

43K claims · 20.6%

Your Cost: $50.90/claim|Median: $53.41
1.0× median
99204Normal range

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

$1.5M

21K claims · 14.6%

Your Cost: $72.38/claim|Median: $84.03
0.9× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$1.5M

57K claims · 14.4%

Your Cost: $26.30/claim|Median: $30.53
0.9× median
99213Normal range

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

$1.1M

33K claims · 10.0%

Your Cost: $31.69/claim|Median: $37.81
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$903K

15K claims · 8.6%

Your Cost: $61.46/claim|Median: $74.09
0.8× median
99203Normal range

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

$783K

18K claims · 7.4%

Your Cost: $43.91/claim|Median: $57.85
0.8× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$384K

7,273 claims · 3.7%

Your Cost: $52.84/claim|Median: $65.64
0.8× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$360K

3,757 claims · 3.4%

Your Cost: $95.71/claim|Median: $111.09
0.9× median
87426Normal range

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

$277K

16K claims · 2.6%

Your Cost: $17.44/claim|Median: $30.04
0.6× median
87804Normal range

Influenza virus detection, rapid test

$270K

32K claims · 2.6%

Your Cost: $8.47/claim|Median: $12.59
0.7× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$189K

5,199 claims · 1.8%

Your Cost: $36.32/claim|Median: $40.11
0.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$160K

5,987 claims · 1.5%

Your Cost: $26.73/claim|Median: $39.70
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$143K

7,451 claims · 1.4%

Your Cost: $19.19/claim|Median: $25.06
0.8× median
99050Normal range

$134K

18K claims · 1.3%

Your Cost: $7.25/claim|Median: $11.81
0.6× median
81025Normal range

Urine pregnancy test

$124K

29K claims · 1.2%

Your Cost: $4.20/claim|Median: $4.81
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$103K

12K claims · 1.0%

Your Cost: $8.64/claim|Median: $11.48
0.8× median
99051Normal range

$85K

8,696 claims · 0.8%

Your Cost: $9.73/claim|Median: $7.89
1.2× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$47K

461 claims · 0.5%

Your Cost: $102.92/claim|Median: $91.47
1.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$46K

24K claims · 0.4%

Your Cost: $1.89/claim|Median: $9.56
0.2× median
0240UNormal range

$42K

455 claims · 0.4%

Your Cost: $92.68/claim|Median: $89.76
1.0× median
86328Normal range

$38K

1,787 claims · 0.4%

Your Cost: $21.23/claim|Median: $20.52
1.0× median
87801Normal range

Infectious agent detection, amplified probe, multiple organisms

$31K

735 claims · 0.3%

Your Cost: $42.13/claim|Median: $38.79
1.1× median
87634Normal range

$26K

801 claims · 0.2%

Your Cost: $32.56/claim|Median: $48.78
0.7× median
G0136Normal range

$19K

3,181 claims · 0.2%

Your Cost: $6.05/claim|Median: $6.33
1.0× median
81003Normal range

Urinalysis, automated without microscopy

$18K

16K claims · 0.2%

Your Cost: $1.13/claim|Median: $1.48
0.8× median
87807Normal range

$11K

1,150 claims · 0.1%

Your Cost: $9.85/claim|Median: $10.06
1.0× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$8K

1,075 claims · 0.1%

Your Cost: $7.51/claim|Median: $10.88
0.7× median
J1100Normal range

$7K

12K claims · 0.1%

Your Cost: $0.55/claim|Median: $0.52
1.1× median
90471Normal range

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

$6K

716 claims · 0.1%

Your Cost: $8.99/claim|Median: $9.80
0.9× median
92551Normal range

Screening audiometry, pure tone, air only

$6K

826 claims · 0.1%

Your Cost: $7.65/claim|Median: $6.61
1.2× median
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