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Provider 1487185369

NPI: 1487185369Share
Active Billing Period:2019-05→2023-12(56 months)
Billing appears to have stoppedLast active: 2023-12

Total Paid

$13.8M

$13,775,560

Total Claims

171K

Beneficiaries

159K

1.1 claims/patient

Avg Cost/Claim

$80

Monthly Spending Trend

Yearly Spending

2019
$1.7M
+68%
2020
$2.9M
+21%
2021
$3.5M
-11%
2022
$3.1M
-19%
2023
$2.5M

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 38% of total spending.

99213Top 5%

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

$5.2M

55K claims · 37.5%

Your Cost: $93.32/claim|Median: $37.81
2.5× median
99203Top 25%

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

$2.6M

28K claims · 19.2%

Your Cost: $93.22/claim|Median: $57.85
1.6× median
99214Top 25%

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

$2.2M

23K claims · 15.9%

Your Cost: $94.99/claim|Median: $53.41
1.8× median
S9083Normal range

Global fee, urgent care centers

$1.4M

12K claims · 10.1%

Your Cost: $117.67/claim|Median: $103.99
1.1× median
99212Top 10%

Office/outpatient visit, low complexity

$1.1M

12K claims · 7.8%

Your Cost: $91.95/claim|Median: $25.06
3.7× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$826K

9,013 claims · 6.0%

Your Cost: $91.68/claim|Median: $40.11
2.3× median
99204Normal range

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

$293K

3,367 claims · 2.1%

Your Cost: $87.14/claim|Median: $84.03
1.0× median
87426Normal range

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

$78K

3,220 claims · 0.6%

Your Cost: $24.11/claim|Median: $30.04
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$19K

216 claims · 0.1%

Your Cost: $89.27/claim|Median: $74.09
1.2× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$19K

198 claims · 0.1%

Your Cost: $94.96/claim|Median: $27.38
3.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$14K

626 claims · 0.1%

Your Cost: $22.39/claim|Median: $39.70
0.6× median
87811Normal range

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

$12K

559 claims · 0.1%

Your Cost: $22.33/claim|Median: $30.53
0.7× median
90471Normal range

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

$5K

382 claims · 0.0%

Your Cost: $13.17/claim|Median: $9.80
1.3× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$4K

276 claims · 0.0%

Your Cost: $13.62/claim|Median: $25.93
0.5× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$3K

125 claims · 0.0%

Your Cost: $27.33/claim|Median: $33.85
0.8× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$3K

6,596 claims · 0.0%

Your Cost: $0.48/claim|Median: $11.48
0.0× median
87804Normal range

Influenza virus detection, rapid test

$3K

6,659 claims · 0.0%

Your Cost: $0.39/claim|Median: $12.59
0.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$2K

789 claims · 0.0%

Your Cost: $2.20/claim|Median: $9.56
0.2× median
81003Normal range

Urinalysis, automated without microscopy

$1K

3,272 claims · 0.0%

Your Cost: $0.33/claim|Median: $1.48
0.2× median
90714Normal range

Td vaccine

$872

101 claims · 0.0%

Your Cost: $8.64/claim|Median: $13.20
0.7× median
90674Normal range

$553

37 claims · 0.0%

Your Cost: $14.95/claim|Median: $15.16
1.0× median
81025Normal range

Urine pregnancy test

$549

1,480 claims · 0.0%

Your Cost: $0.37/claim|Median: $4.81
0.1× median
73610Normal range

X-ray of ankle, complete, minimum three views

$298

468 claims · 0.0%

Your Cost: $0.64/claim|Median: $13.55
0.0× median
71046Normal range

Chest X-ray, 2 views

$294

507 claims · 0.0%

Your Cost: $0.58/claim|Median: $8.92
0.1× median
J2930Top 5%

$276

12 claims · 0.0%

Your Cost: $23.00/claim|Median: $3.03
7.6× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$254

378 claims · 0.0%

Your Cost: $0.67/claim|Median: $10.88
0.1× median
12001Normal range

$206

12 claims · 0.0%

Your Cost: $17.13/claim|Median: $64.99
0.3× median
J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

$183

214 claims · 0.0%

Your Cost: $0.86/claim|Median: $0.91
0.9× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$153

390 claims · 0.0%

Your Cost: $0.39/claim|Median: $12.06
0.0× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$146

424 claims · 0.0%

Your Cost: $0.34/claim|Median: $9.70
0.0× median
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