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Provider 1477908085

NPI: 1477908085Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.5M

$9,468,236

Total Claims

277K

Beneficiaries

233K

1.2 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$79K
+818%
2019
$722K
+66%
2020
$1.2M
+32%
2021
$1.6M
+29%
2022
$2.0M
+9%
2023
$2.2M
-26%
2024
$1.6M

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 70% of total spending.

99214Normal range

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

$6.7M

99K claims · 70.3%

Your Cost: $67.53/claim|Median: $53.41
1.3× median
99213Top 25%

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

$645K

12K claims · 6.8%

Your Cost: $53.70/claim|Median: $37.81
1.4× median
99396Normal range

Preventive medicine, established patient, age 40-64

$302K

3,234 claims · 3.2%

Your Cost: $93.49/claim|Median: $76.06
1.2× median
99211Normal range

Office/outpatient visit, minimal complexity

$196K

15K claims · 2.1%

Your Cost: $12.77/claim|Median: $12.93
1.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$160K

1,786 claims · 1.7%

Your Cost: $89.49/claim|Median: $72.71
1.2× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$157K

1,593 claims · 1.7%

Your Cost: $98.77/claim|Median: $76.22
1.3× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$133K

3,291 claims · 1.4%

Your Cost: $40.43/claim|Median: $17.85
2.3× median
99215Normal range

Office/outpatient visit, high complexity

$118K

1,993 claims · 1.3%

Your Cost: $59.42/claim|Median: $74.09
0.8× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$110K

2,426 claims · 1.2%

Your Cost: $45.25/claim|Median: $34.62
1.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$106K

1,218 claims · 1.1%

Your Cost: $86.66/claim|Median: $74.82
1.2× median
36415Top 25%

Collection of venous blood by venipuncture

$98K

33K claims · 1.0%

Your Cost: $2.98/claim|Median: $1.57
1.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$97K

1,116 claims · 1.0%

Your Cost: $87.23/claim|Median: $75.18
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$78K

960 claims · 0.8%

Your Cost: $81.77/claim|Median: $69.35
1.2× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$69K

629 claims · 0.7%

Your Cost: $109.82/claim|Median: $87.82
1.3× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$59K

461 claims · 0.6%

Your Cost: $128.36/claim|Median: $54.68
2.3× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$58K

607 claims · 0.6%

Your Cost: $96.11/claim|Median: $80.15
1.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$53K

4,149 claims · 0.6%

Your Cost: $12.76/claim|Median: $9.56
1.3× median
96110Top 25%

Developmental screening, per standardized instrument

$49K

2,166 claims · 0.5%

Your Cost: $22.77/claim|Median: $9.10
2.5× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$37K

3,158 claims · 0.4%

Your Cost: $11.82/claim|Median: $9.70
1.2× median
81002Top 25%

Urinalysis, non-automated without microscopy

$33K

13K claims · 0.4%

Your Cost: $2.61/claim|Median: $2.00
1.3× median
87804Top 25%

Influenza virus detection, rapid test

$30K

1,187 claims · 0.3%

Your Cost: $25.47/claim|Median: $12.59
2.0× median
90471Top 10%

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

$17K

795 claims · 0.2%

Your Cost: $21.68/claim|Median: $9.80
2.2× median
99397Normal range

$17K

517 claims · 0.2%

Your Cost: $32.56/claim|Median: $22.92
1.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$12K

98 claims · 0.1%

Your Cost: $121.67/claim|Median: $111.09
1.1× median
82962Normal range

Blood glucose test by monitoring device

$12K

6,084 claims · 0.1%

Your Cost: $1.91/claim|Median: $1.40
1.4× median
99383Normal range

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

$12K

134 claims · 0.1%

Your Cost: $86.13/claim|Median: $81.92
1.1× median
99497Normal range

$11K

971 claims · 0.1%

Your Cost: $11.74/claim|Median: $10.99
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$10K

362 claims · 0.1%

Your Cost: $28.15/claim|Median: $25.06
1.1× median
93229Top 5%

$10K

12 claims · 0.1%

Your Cost: $822.59/claim|Median: $364.01
2.3× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$10K

1,185 claims · 0.1%

Your Cost: $8.08/claim|Median: $7.18
1.1× median
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