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Provider 1477708469

NPI: 1477708469Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.9M

$17,856,513

Total Claims

351K

Beneficiaries

320K

1.1 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$721K
+85%
2019
$1.3M
+45%
2020
$1.9M
+81%
2021
$3.5M
+25%
2022
$4.4M
-16%
2023
$3.7M
-39%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (S9430) accounts for 30% of total spending.

S9430Top 25%

$5.4M

55K claims · 30.2%

Your Cost: $98.45/claim|Median: $42.75
2.3× median
S4993Normal range

$2.5M

79K claims · 14.0%

Your Cost: $31.73/claim|Median: $46.61
0.7× median
99213Top 10%

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

$2.0M

27K claims · 11.0%

Your Cost: $72.32/claim|Median: $37.81
1.9× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$1.8M

12K claims · 10.0%

Your Cost: $146.45/claim|Median: $72.71
2.0× median
99214Top 5%

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

$1.7M

14K claims · 9.6%

Your Cost: $121.76/claim|Median: $53.41
2.3× median
99212Top 10%

Office/outpatient visit, low complexity

$676K

11K claims · 3.8%

Your Cost: $60.10/claim|Median: $25.06
2.4× median
81025Top 5%

Urine pregnancy test

$542K

38K claims · 3.0%

Your Cost: $14.19/claim|Median: $4.81
2.9× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$383K

18K claims · 2.1%

Your Cost: $20.87/claim|Median: $18.03
1.2× median
99385Top 5%

Preventive visit, new patient, 18-39 yr

$366K

2,206 claims · 2.0%

Your Cost: $165.90/claim|Median: $76.22
2.2× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$346K

903 claims · 1.9%

Your Cost: $383.01/claim|Median: $786.43
0.5× median
J7304Normal range

$311K

495 claims · 1.7%

Your Cost: $628.42/claim|Median: $630.59
1.0× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$283K

4,398 claims · 1.6%

Your Cost: $64.24/claim|Median: $40.11
1.6× median
58300Top 5%

$215K

627 claims · 1.2%

Your Cost: $342.78/claim|Median: $74.77
4.6× median
11981Top 5%

$207K

644 claims · 1.2%

Your Cost: $320.97/claim|Median: $117.16
2.7× median
86780Normal range

$189K

17K claims · 1.1%

Your Cost: $11.43/claim|Median: $9.83
1.2× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$174K

13K claims · 1.0%

Your Cost: $13.49/claim|Median: $41.92
0.3× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$127K

8,331 claims · 0.7%

Your Cost: $15.30/claim|Median: $9.56
1.6× median
99203Top 10%

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

$125K

1,093 claims · 0.7%

Your Cost: $114.72/claim|Median: $57.85
2.0× median
99204Top 5%

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

$86K

425 claims · 0.5%

Your Cost: $202.59/claim|Median: $84.03
2.4× median
90834Normal range

Psychotherapy, 45 minutes

$86K

1,527 claims · 0.5%

Your Cost: $56.23/claim|Median: $63.65
0.9× median
87210Top 25%

$63K

13K claims · 0.4%

Your Cost: $5.00/claim|Median: $3.65
1.4× median
J3490Normal range

Unclassified drugs

$51K

3,852 claims · 0.3%

Your Cost: $13.29/claim|Median: $5.70
2.3× median
83986Normal range

$39K

13K claims · 0.2%

Your Cost: $3.12/claim|Median: $2.70
1.2× median
Q3014Normal range

Telehealth originating site facility fee

$29K

3,277 claims · 0.2%

Your Cost: $8.71/claim|Median: $15.37
0.6× median
99384Top 5%

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

$25K

144 claims · 0.1%

Your Cost: $171.65/claim|Median: $83.63
2.1× median
11982Normal range

$24K

343 claims · 0.1%

Your Cost: $69.87/claim|Median: $90.51
0.8× median
H0020Top 5%

Alcohol/drug services; methadone administration

$19K

93 claims · 0.1%

Your Cost: $206.35/claim|Median: $18.95
10.9× median
A4267Normal range

$18K

4,744 claims · 0.1%

Your Cost: $3.85/claim|Median: $7.86
0.5× median
58301Normal range

$16K

270 claims · 0.1%

Your Cost: $57.54/claim|Median: $49.65
1.2× median
86803Normal range

Hepatitis C antibody

$15K

1,197 claims · 0.1%

Your Cost: $12.25/claim|Median: $10.17
1.2× median
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