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Provider 1487655031

NPI: 1487655031Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.8M

$9,786,405

Total Claims

340K

Beneficiaries

313K

1.1 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+6%
2019
$1.3M
-31%
2020
$881K
+21%
2021
$1.1M
+68%
2022
$1.8M
-3%
2023
$1.7M
+6%
2024
$1.8M

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 50% of total spending.

99213Top 25%

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

$4.9M

74K claims · 50.1%

Your Cost: $65.81/claim|Median: $37.81
1.7× median
99212Top 25%

Office/outpatient visit, low complexity

$729K

18K claims · 7.5%

Your Cost: $40.41/claim|Median: $25.06
1.6× median
99214Top 25%

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

$598K

6,081 claims · 6.1%

Your Cost: $98.41/claim|Median: $53.41
1.8× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$564K

19K claims · 5.8%

Your Cost: $29.23/claim|Median: $17.85
1.6× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$355K

3,159 claims · 3.6%

Your Cost: $112.41/claim|Median: $100.62
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$346K

6,267 claims · 3.5%

Your Cost: $55.24/claim|Median: $74.82
0.7× median
G0447Top 25%

$323K

17K claims · 3.3%

Your Cost: $18.76/claim|Median: $5.19
3.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$298K

5,016 claims · 3.0%

Your Cost: $59.45/claim|Median: $80.15
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$230K

4,461 claims · 2.4%

Your Cost: $51.59/claim|Median: $75.18
0.7× median
99188Normal range

$168K

10K claims · 1.7%

Your Cost: $16.37/claim|Median: $12.80
1.3× median
99441Top 25%

Telephone E/M by physician, 5-10 min

$159K

4,506 claims · 1.6%

Your Cost: $35.22/claim|Median: $13.30
2.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$128K

2,190 claims · 1.3%

Your Cost: $58.32/claim|Median: $69.35
0.8× median
99395Normal range

Preventive medicine, established patient, age 18-39

$120K

1,679 claims · 1.2%

Your Cost: $71.38/claim|Median: $72.71
1.0× median
92551Normal range

Screening audiometry, pure tone, air only

$113K

15K claims · 1.2%

Your Cost: $7.41/claim|Median: $6.61
1.1× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$93K

4,048 claims · 0.9%

Your Cost: $22.86/claim|Median: $6.93
3.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$79K

9,146 claims · 0.8%

Your Cost: $8.61/claim|Median: $11.48
0.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$59K

1,568 claims · 0.6%

Your Cost: $37.86/claim|Median: $39.70
1.0× median
99051Normal range

$57K

19K claims · 0.6%

Your Cost: $3.08/claim|Median: $7.89
0.4× median
G2211Top 25%

$47K

4,186 claims · 0.5%

Your Cost: $11.16/claim|Median: $2.40
4.7× median
83655Normal range

$45K

4,855 claims · 0.5%

Your Cost: $9.32/claim|Median: $10.49
0.9× median
94010Top 25%

$36K

1,204 claims · 0.4%

Your Cost: $30.05/claim|Median: $18.11
1.7× median
87804Normal range

Influenza virus detection, rapid test

$33K

2,346 claims · 0.3%

Your Cost: $13.90/claim|Median: $12.59
1.1× median
92567Normal range

$32K

2,411 claims · 0.3%

Your Cost: $13.30/claim|Median: $11.50
1.2× median
99203Top 25%

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

$31K

354 claims · 0.3%

Your Cost: $88.69/claim|Median: $57.85
1.5× median
H0005Normal range

Alcohol and/or drug services, group counseling

$23K

4,441 claims · 0.2%

Your Cost: $5.26/claim|Median: $47.35
0.1× median
99050Normal range

$22K

4,230 claims · 0.2%

Your Cost: $5.10/claim|Median: $11.81
0.4× median
99177Normal range

$14K

11K claims · 0.1%

Your Cost: $1.29/claim|Median: $3.74
0.3× median
36415Normal range

Collection of venous blood by venipuncture

$14K

13K claims · 0.1%

Your Cost: $1.09/claim|Median: $1.57
0.7× median
99396Normal range

Preventive medicine, established patient, age 40-64

$14K

154 claims · 0.1%

Your Cost: $88.65/claim|Median: $76.06
1.2× median
99406Normal range

$13K

3,918 claims · 0.1%

Your Cost: $3.36/claim|Median: $6.53
0.5× median
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