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Provider 1467781690

NPI: 1467781690Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.1M

$12,084,144

Total Claims

541K

Beneficiaries

467K

1.2 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+29%
2019
$1.7M
-13%
2020
$1.5M
+11%
2021
$1.7M
+13%
2022
$1.9M
+2%
2023
$1.9M
+4%
2024
$2.0M

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 26% of total spending.

99213Normal range

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

$3.1M

77K claims · 25.6%

Your Cost: $40.16/claim|Median: $37.81
1.1× median
99214Normal range

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

$1.5M

26K claims · 12.8%

Your Cost: $60.36/claim|Median: $53.41
1.1× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$1.5M

38K claims · 12.7%

Your Cost: $39.89/claim|Median: $17.85
2.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.2M

18K claims · 9.7%

Your Cost: $65.46/claim|Median: $75.18
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$931K

16K claims · 7.7%

Your Cost: $59.34/claim|Median: $69.35
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$713K

11K claims · 5.9%

Your Cost: $64.50/claim|Median: $74.82
0.9× median
96110Top 25%

Developmental screening, per standardized instrument

$667K

39K claims · 5.5%

Your Cost: $16.92/claim|Median: $9.10
1.9× median
87426Normal range

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

$225K

6,836 claims · 1.9%

Your Cost: $32.96/claim|Median: $30.04
1.1× median
87804Normal range

Influenza virus detection, rapid test

$223K

22K claims · 1.8%

Your Cost: $10.30/claim|Median: $12.59
0.8× median
99177Normal range

$218K

43K claims · 1.8%

Your Cost: $5.07/claim|Median: $3.74
1.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$204K

2,821 claims · 1.7%

Your Cost: $72.24/claim|Median: $80.15
0.9× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$192K

4,365 claims · 1.6%

Your Cost: $44.03/claim|Median: $62.48
0.7× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$161K

20K claims · 1.3%

Your Cost: $8.13/claim|Median: $11.48
0.7× median
54150Normal range

$152K

1,321 claims · 1.3%

Your Cost: $115.03/claim|Median: $84.60
1.4× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$143K

3,190 claims · 1.2%

Your Cost: $44.81/claim|Median: $37.22
1.2× median
92551Normal range

Screening audiometry, pure tone, air only

$127K

20K claims · 1.1%

Your Cost: $6.43/claim|Median: $6.61
1.0× median
96161Top 10%

$108K

12K claims · 0.9%

Your Cost: $9.15/claim|Median: $2.49
3.7× median
96160Top 25%

Patient-focused health risk assessment

$106K

12K claims · 0.9%

Your Cost: $8.76/claim|Median: $2.10
4.2× median
87811Normal range

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

$105K

3,038 claims · 0.9%

Your Cost: $34.52/claim|Median: $30.53
1.1× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$80K

22K claims · 0.7%

Your Cost: $3.68/claim|Median: $3.67
1.0× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$69K

1,153 claims · 0.6%

Your Cost: $59.94/claim|Median: $43.85
1.4× median
99462Normal range

$66K

2,949 claims · 0.5%

Your Cost: $22.26/claim|Median: $27.49
0.8× median
3008FNormal range

$44K

35K claims · 0.4%

Your Cost: $1.26/claim|Median: $0.06
21.0× median
90471Normal range

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

$38K

3,256 claims · 0.3%

Your Cost: $11.77/claim|Median: $9.80
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$38K

1,453 claims · 0.3%

Your Cost: $26.20/claim|Median: $25.06
1.0× median
90670Normal range

$22K

8,349 claims · 0.2%

Your Cost: $2.65/claim|Median: $5.94
0.4× median
90461Normal range

Immunization admin, additional vaccine, counseling

$17K

20K claims · 0.1%

Your Cost: $0.88/claim|Median: $6.93
0.1× median
36416Normal range

$8K

7,573 claims · 0.1%

Your Cost: $1.01/claim|Median: $1.31
0.8× median
99464Normal range

$7K

164 claims · 0.1%

Your Cost: $44.39/claim|Median: $59.94
0.7× median
90677Normal range

$7K

2,084 claims · 0.1%

Your Cost: $3.40/claim|Median: $12.96
0.3× median
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