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Provider 1477934578

NPI: 1477934578Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$12.4M

$12,372,525

Total Claims

222K

Beneficiaries

208K

1.1 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$620K
+53%
2019
$948K
+19%
2020
$1.1M
+82%
2021
$2.0M
+31%
2022
$2.7M
-1%
2023
$2.6M
-12%
2024
$2.3M

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 32% of total spending.

99214Top 25%

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

$4.0M

41K claims · 32.3%

Your Cost: $98.40/claim|Median: $53.41
1.8× median
99213Top 10%

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

$2.4M

33K claims · 19.5%

Your Cost: $73.73/claim|Median: $37.81
2.0× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$1.2M

13K claims · 9.4%

Your Cost: $93.13/claim|Median: $75.18
1.2× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$951K

11K claims · 7.7%

Your Cost: $86.84/claim|Median: $69.35
1.3× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$851K

6,761 claims · 6.9%

Your Cost: $125.87/claim|Median: $100.62
1.3× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$447K

4,839 claims · 3.6%

Your Cost: $92.31/claim|Median: $74.82
1.2× median
97530Top 25%

Therapeutic activities, each 15 min

$431K

5,540 claims · 3.5%

Your Cost: $77.88/claim|Median: $33.11
2.4× median
99499Normal range

Unlisted evaluation and management service

$383K

15K claims · 3.1%

Your Cost: $25.41/claim|Median: $30.88
0.8× median
99429Normal range

$323K

14K claims · 2.6%

Your Cost: $23.79/claim|Median: $28.58
0.8× median
87635Top 25%

COVID-19 SARS-CoV-2 amplified probe detection

$192K

3,740 claims · 1.5%

Your Cost: $51.21/claim|Median: $39.70
1.3× median
99203Top 25%

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

$146K

1,590 claims · 1.2%

Your Cost: $91.75/claim|Median: $57.85
1.6× median
92507Normal range

Speech/hearing/language treatment

$142K

3,331 claims · 1.1%

Your Cost: $42.62/claim|Median: $49.45
0.9× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$125K

4,070 claims · 1.0%

Your Cost: $30.72/claim|Median: $28.46
1.1× median
99215Top 10%

Office/outpatient visit, high complexity

$90K

597 claims · 0.7%

Your Cost: $149.93/claim|Median: $74.09
2.0× median
99177Normal range

$86K

23K claims · 0.7%

Your Cost: $3.66/claim|Median: $3.74
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$78K

3,712 claims · 0.6%

Your Cost: $20.90/claim|Median: $24.34
0.9× median
99204Top 25%

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

$77K

570 claims · 0.6%

Your Cost: $134.91/claim|Median: $84.03
1.6× median
D9999Normal range

Unspecified adjunctive procedure, by report

$71K

3,587 claims · 0.6%

Your Cost: $19.84/claim|Median: $37.60
0.5× median
90670Top 25%

$44K

3,117 claims · 0.4%

Your Cost: $14.01/claim|Median: $5.94
2.4× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$39K

2,738 claims · 0.3%

Your Cost: $14.20/claim|Median: $7.18
2.0× median
99188Normal range

$27K

2,571 claims · 0.2%

Your Cost: $10.48/claim|Median: $12.80
0.8× median
90471Top 10%

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

$25K

1,293 claims · 0.2%

Your Cost: $19.57/claim|Median: $9.80
2.0× median
87502Top 25%

Influenza virus detection, reverse transcription, amplified probe

$19K

223 claims · 0.2%

Your Cost: $85.46/claim|Median: $65.64
1.3× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$19K

189 claims · 0.2%

Your Cost: $100.10/claim|Median: $80.15
1.2× median
90472Top 25%

Immunization administration, each additional vaccine

$17K

731 claims · 0.1%

Your Cost: $22.99/claim|Median: $11.79
2.0× median
36416Top 25%

$14K

4,078 claims · 0.1%

Your Cost: $3.44/claim|Median: $1.31
2.6× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$13K

2,981 claims · 0.1%

Your Cost: $4.36/claim|Median: $3.67
1.2× median
87633Top 25%

Respiratory virus detection, 12-25 targets, nucleic acid

$12K

32 claims · 0.1%

Your Cost: $363.22/claim|Median: $169.17
2.1× median
D1206Normal range

Topical application of fluoride varnish

$11K

616 claims · 0.1%

Your Cost: $18.40/claim|Median: $18.12
1.0× median
90633Top 25%

$11K

754 claims · 0.1%

Your Cost: $14.09/claim|Median: $3.56
4.0× median
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