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Provider 1487045530

NPI: 1487045530Share
Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$8.0M

$7,961,543

Total Claims

246K

Beneficiaries

205K

1.2 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$977K
+6%
2019
$1.0M
+20%
2020
$1.2M
-7%
2021
$1.2M
+21%
2022
$1.4M
+8%
2023
$1.5M
-56%
2024
$656K

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 17% of total spending.

99214Normal range

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

$1.4M

32K claims · 17.1%

Your Cost: $42.68/claim|Median: $53.41
0.8× median
99213Normal range

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

$1.3M

33K claims · 16.2%

Your Cost: $39.47/claim|Median: $37.81
1.0× median
93880Top 5%

Duplex ultrasound scan of carotid arteries, bilateral

$958K

5,044 claims · 12.0%

Your Cost: $189.90/claim|Median: $49.03
3.9× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$817K

2,878 claims · 10.3%

Your Cost: $283.99/claim|Median: $54.68
5.2× median
G0447Top 5%

$505K

20K claims · 6.3%

Your Cost: $25.74/claim|Median: $5.19
5.0× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$463K

4,079 claims · 5.8%

Your Cost: $113.55/claim|Median: $72.71
1.6× median
U0002Top 25%

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

$427K

8,451 claims · 5.4%

Your Cost: $50.54/claim|Median: $34.62
1.5× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$348K

3,023 claims · 4.4%

Your Cost: $115.17/claim|Median: $76.06
1.5× median
87811Top 25%

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

$329K

8,378 claims · 4.1%

Your Cost: $39.31/claim|Median: $30.53
1.3× median
99497Top 5%

$282K

3,488 claims · 3.5%

Your Cost: $80.73/claim|Median: $10.99
7.3× median
99204Normal range

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

$219K

2,535 claims · 2.7%

Your Cost: $86.20/claim|Median: $84.03
1.0× median
93000Top 5%

Electrocardiogram, complete, with interpretation and report

$202K

5,875 claims · 2.5%

Your Cost: $34.42/claim|Median: $9.70
3.5× median
G2023Normal range

Specimen collection for COVID-19 testing

$144K

6,273 claims · 1.8%

Your Cost: $22.98/claim|Median: $17.15
1.3× median
87426Normal range

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

$132K

3,815 claims · 1.7%

Your Cost: $34.73/claim|Median: $30.04
1.2× median
G9920Top 10%

$65K

2,147 claims · 0.8%

Your Cost: $30.20/claim|Median: $6.56
4.6× median
99212Top 25%

Office/outpatient visit, low complexity

$56K

1,185 claims · 0.7%

Your Cost: $47.64/claim|Median: $25.06
1.9× median
99406Top 25%

$45K

3,785 claims · 0.6%

Your Cost: $11.96/claim|Median: $6.53
1.8× median
G0442Top 10%

$37K

2,217 claims · 0.5%

Your Cost: $16.56/claim|Median: $4.91
3.4× median
G0444Top 5%

Annual depression screening, fifteen minutes

$34K

1,890 claims · 0.4%

Your Cost: $18.06/claim|Median: $4.23
4.3× median
J3420Top 5%

Injection, vitamin B-12 cyanocobalamin, up to one thousand mcg

$33K

5,115 claims · 0.4%

Your Cost: $6.50/claim|Median: $1.04
6.3× median
G8510Normal range

$25K

4,160 claims · 0.3%

Your Cost: $6.05/claim|Median: $1.96
3.1× median
76700Normal range

Ultrasound, abdominal, complete

$24K

293 claims · 0.3%

Your Cost: $80.27/claim|Median: $50.69
1.6× median
90756Top 5%

Influenza virus vaccine, quadrivalent

$23K

728 claims · 0.3%

Your Cost: $31.88/claim|Median: $14.34
2.2× median
90674Top 5%

$23K

697 claims · 0.3%

Your Cost: $33.08/claim|Median: $15.16
2.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$22K

4,731 claims · 0.3%

Your Cost: $4.60/claim|Median: $9.56
0.5× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$17K

200 claims · 0.2%

Your Cost: $85.43/claim|Median: $111.09
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$13K

298 claims · 0.2%

Your Cost: $44.75/claim|Median: $74.09
0.6× median
90655Top 1%

$10K

296 claims · 0.1%

Your Cost: $34.98/claim|Median: $3.81
9.2× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$9K

1,641 claims · 0.1%

Your Cost: $5.78/claim|Median: $3.67
1.6× median
93923Top 10%

$9K

87 claims · 0.1%

Your Cost: $105.29/claim|Median: $38.08
2.8× median
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