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Provider 1467678706

NPI: 1467678706Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.7M

$11,714,899

Total Claims

465K

Beneficiaries

393K

1.2 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+27%
2019
$1.5M
-2%
2020
$1.4M
+33%
2021
$1.9M
+20%
2022
$2.3M
-15%
2023
$1.9M
-16%
2024
$1.6M

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 32% of total spending.

99213Normal range

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

$3.7M

81K claims · 31.8%

Your Cost: $46.06/claim|Median: $37.81
1.2× median
99214Normal range

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

$1.2M

17K claims · 10.2%

Your Cost: $70.71/claim|Median: $53.41
1.3× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$817K

23K claims · 7.0%

Your Cost: $35.13/claim|Median: $17.85
2.0× median
96110Top 10%

Developmental screening, per standardized instrument

$716K

26K claims · 6.1%

Your Cost: $27.87/claim|Median: $9.10
3.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$695K

9,132 claims · 5.9%

Your Cost: $76.13/claim|Median: $75.18
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$676K

8,772 claims · 5.8%

Your Cost: $77.06/claim|Median: $74.82
1.0× median
87502Top 25%

Influenza virus detection, reverse transcription, amplified probe

$556K

6,775 claims · 4.7%

Your Cost: $82.06/claim|Median: $65.64
1.3× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$479K

15K claims · 4.1%

Your Cost: $32.95/claim|Median: $28.46
1.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$434K

9,399 claims · 3.7%

Your Cost: $46.19/claim|Median: $39.70
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$406K

5,658 claims · 3.5%

Your Cost: $71.81/claim|Median: $69.35
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$372K

4,296 claims · 3.2%

Your Cost: $86.55/claim|Median: $80.15
1.1× median
96160Top 25%

Patient-focused health risk assessment

$345K

31K claims · 2.9%

Your Cost: $10.98/claim|Median: $2.10
5.2× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$182K

22K claims · 1.6%

Your Cost: $8.17/claim|Median: $4.71
1.7× median
92551Normal range

Screening audiometry, pure tone, air only

$160K

20K claims · 1.4%

Your Cost: $7.92/claim|Median: $6.61
1.2× median
99173Top 25%

$124K

20K claims · 1.1%

Your Cost: $6.29/claim|Median: $2.16
2.9× median
99212Normal range

Office/outpatient visit, low complexity

$84K

2,792 claims · 0.7%

Your Cost: $29.96/claim|Median: $25.06
1.2× median
87811Normal range

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

$76K

2,292 claims · 0.6%

Your Cost: $33.18/claim|Median: $30.53
1.1× median
99401Normal range

$75K

3,190 claims · 0.6%

Your Cost: $23.53/claim|Median: $16.53
1.4× median
98966Top 5%

$69K

1,198 claims · 0.6%

Your Cost: $57.98/claim|Median: $6.84
8.5× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$66K

14K claims · 0.6%

Your Cost: $4.56/claim|Median: $3.67
1.2× median
98967Top 10%

$54K

853 claims · 0.5%

Your Cost: $62.96/claim|Median: $18.97
3.3× median
96161Top 5%

$47K

3,086 claims · 0.4%

Your Cost: $15.11/claim|Median: $2.49
6.1× median
99605Normal range

$45K

755 claims · 0.4%

Your Cost: $60.08/claim|Median: $50.00
1.2× median
36416Normal range

$42K

21K claims · 0.4%

Your Cost: $1.97/claim|Median: $1.31
1.5× median
99050Normal range

$26K

1,620 claims · 0.2%

Your Cost: $16.32/claim|Median: $11.81
1.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$24K

1,984 claims · 0.2%

Your Cost: $11.95/claim|Median: $11.48
1.0× median
83655Normal range

$24K

2,147 claims · 0.2%

Your Cost: $10.98/claim|Median: $10.49
1.0× median
87804Normal range

Influenza virus detection, rapid test

$23K

1,900 claims · 0.2%

Your Cost: $12.03/claim|Median: $12.59
1.0× median
90677Top 25%

$22K

470 claims · 0.2%

Your Cost: $47.67/claim|Median: $12.96
3.7× median
3008FNormal range

$21K

25K claims · 0.2%

Your Cost: $0.85/claim|Median: $0.06
14.1× median
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