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Provider 1487081279

NPI: 1487081279Share
Active Billing Period:2018-01→2024-12(74 months)

Total Paid

$9.7M

$9,665,866

Total Claims

351K

Beneficiaries

302K

1.2 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$23K
-63%
2019
$8K
+3121%
2020
$273K
+721%
2021
$2.2M
+25%
2022
$2.8M
-15%
2023
$2.4M
-18%
2024
$1.9M

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 23% of total spending.

99213Normal range

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

$2.2M

63K claims · 23.2%

Your Cost: $35.59/claim|Median: $37.81
0.9× median
99214Normal range

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

$1.2M

24K claims · 12.7%

Your Cost: $50.10/claim|Median: $53.41
0.9× median
87428Top 10%

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

$976K

14K claims · 10.1%

Your Cost: $69.17/claim|Median: $39.63
1.7× median
S8301Top 10%

$942K

37K claims · 9.7%

Your Cost: $25.60/claim|Median: $8.32
3.1× median
87811Top 25%

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

$781K

20K claims · 8.1%

Your Cost: $39.58/claim|Median: $30.53
1.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$457K

5,716 claims · 4.7%

Your Cost: $80.00/claim|Median: $74.82
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$433K

5,392 claims · 4.5%

Your Cost: $80.22/claim|Median: $80.15
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$423K

5,571 claims · 4.4%

Your Cost: $75.86/claim|Median: $75.18
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$300K

4,039 claims · 3.1%

Your Cost: $74.26/claim|Median: $69.35
1.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$283K

26K claims · 2.9%

Your Cost: $10.84/claim|Median: $17.85
0.6× median
87804Normal range

Influenza virus detection, rapid test

$215K

16K claims · 2.2%

Your Cost: $13.55/claim|Median: $12.59
1.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$162K

25K claims · 1.7%

Your Cost: $6.36/claim|Median: $4.71
1.4× median
87637Top 25%

Respiratory virus detection, 3-5 targets, nucleic acid

$147K

1,140 claims · 1.5%

Your Cost: $128.64/claim|Median: $100.62
1.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$141K

10K claims · 1.5%

Your Cost: $13.45/claim|Median: $11.48
1.2× median
99429Top 25%

$139K

4,204 claims · 1.4%

Your Cost: $32.98/claim|Median: $28.58
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$102K

4,185 claims · 1.1%

Your Cost: $24.30/claim|Median: $25.06
1.0× median
99000Top 25%

$92K

9,242 claims · 1.0%

Your Cost: $9.95/claim|Median: $2.30
4.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$74K

6,418 claims · 0.8%

Your Cost: $11.49/claim|Median: $9.56
1.2× median
99050Normal range

$70K

4,956 claims · 0.7%

Your Cost: $14.10/claim|Median: $11.81
1.2× median
99395Normal range

Preventive medicine, established patient, age 18-39

$57K

719 claims · 0.6%

Your Cost: $79.44/claim|Median: $72.71
1.1× median
87426Top 25%

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

$43K

1,173 claims · 0.4%

Your Cost: $36.82/claim|Median: $30.04
1.2× median
96110Normal range

Developmental screening, per standardized instrument

$42K

5,271 claims · 0.4%

Your Cost: $7.90/claim|Median: $9.10
0.9× median
99203Normal range

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

$42K

717 claims · 0.4%

Your Cost: $57.90/claim|Median: $57.85
1.0× median
94010Normal range

$35K

1,619 claims · 0.4%

Your Cost: $21.69/claim|Median: $18.11
1.2× median
90461Normal range

Immunization admin, additional vaccine, counseling

$27K

6,310 claims · 0.3%

Your Cost: $4.21/claim|Median: $6.93
0.6× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$26K

676 claims · 0.3%

Your Cost: $38.65/claim|Median: $33.72
1.1× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$24K

598 claims · 0.2%

Your Cost: $39.81/claim|Median: $36.70
1.1× median
0071ANormal range

$19K

495 claims · 0.2%

Your Cost: $37.62/claim|Median: $38.71
1.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$14K

1,035 claims · 0.1%

Your Cost: $13.56/claim|Median: $12.93
1.0× median
0072ANormal range

$12K

319 claims · 0.1%

Your Cost: $38.93/claim|Median: $39.57
1.0× median
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