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Provider 1487944898

NPI: 1487944898Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.7M

$8,705,315

Total Claims

67K

Beneficiaries

52K

1.3 claims/patient

Avg Cost/Claim

$130

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+7%
2019
$1.3M
-8%
2020
$1.2M
+25%
2021
$1.5M
-12%
2022
$1.3M
-8%
2023
$1.2M
-10%
2024
$1.1M

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 1%

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

$4.3M

21K claims · 49.7%

Your Cost: $207.24/claim|Median: $37.81
5.5× median
99214Top 1%

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

$2.1M

11K claims · 24.0%

Your Cost: $198.89/claim|Median: $53.41
3.7× median
99212Top 5%

Office/outpatient visit, low complexity

$752K

4,055 claims · 8.6%

Your Cost: $185.52/claim|Median: $25.06
7.4× median
X5622Top 5%

$731K

2,566 claims · 8.4%

Your Cost: $284.96/claim|Median: $52.61
5.4× median
99203Top 5%

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

$298K

1,618 claims · 3.4%

Your Cost: $184.26/claim|Median: $57.85
3.2× median
99215Top 5%

Office/outpatient visit, high complexity

$205K

1,013 claims · 2.4%

Your Cost: $202.54/claim|Median: $74.09
2.7× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$167K

981 claims · 1.9%

Your Cost: $170.16/claim|Median: $40.11
4.2× median
99204Top 5%

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

$63K

348 claims · 0.7%

Your Cost: $179.65/claim|Median: $84.03
2.1× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$22K

130 claims · 0.3%

Your Cost: $167.51/claim|Median: $22.44
7.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$14K

366 claims · 0.2%

Your Cost: $39.07/claim|Median: $75.18
0.5× median
99394Normal range

Preventive medicine, established patient, age 12-17

$14K

230 claims · 0.2%

Your Cost: $59.39/claim|Median: $80.15
0.7× median
G2025Top 10%

$6K

97 claims · 0.1%

Your Cost: $61.99/claim|Median: $15.63
4.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$4K

136 claims · 0.0%

Your Cost: $31.48/claim|Median: $74.82
0.4× median
11721Top 1%

$4K

49 claims · 0.0%

Your Cost: $85.55/claim|Median: $8.56
10.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$2K

255 claims · 0.0%

Your Cost: $9.30/claim|Median: $69.35
0.1× median
99283Normal range

Emergency dept visit, moderate complexity

$794

18 claims · 0.0%

Your Cost: $44.13/claim|Median: $42.48
1.0× median
90471Normal range

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

$480

6,291 claims · 0.0%

Your Cost: $0.08/claim|Median: $9.80
0.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$323

2,549 claims · 0.0%

Your Cost: $0.13/claim|Median: $12.93
0.0× median
90472Normal range

Immunization administration, each additional vaccine

$93

1,931 claims · 0.0%

Your Cost: $0.05/claim|Median: $11.79
0.0× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$71

266 claims · 0.0%

Your Cost: $0.27/claim|Median: $36.70
0.0× median
92552Normal range

Pure tone audiometry, air only, each ear

$63

1,525 claims · 0.0%

Your Cost: $0.04/claim|Median: $12.63
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$59

1,985 claims · 0.0%

Your Cost: $0.03/claim|Median: $7.18
0.0× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$48

306 claims · 0.0%

Your Cost: $0.16/claim|Median: $33.72
0.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$11

1,357 claims · 0.0%

Your Cost: $0.01/claim|Median: $3.67
0.0× median
S0302Normal range

$3

3,562 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.05
0.0× median
99173Normal range

$1

1,567 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.16
0.0× median
99188Normal range

$1

722 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.80
0.0× median
96110Normal range

Developmental screening, per standardized instrument

$0

287 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.10
0.0× median
91300Normal range

COVID-19 vaccine (Pfizer), first dose

$0

797 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
0.0× median
0004ANormal range

$0

39 claims · 0.0%

Your Cost: $0.00/claim|Median: $35.62
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