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Provider 1497095772

NPI: 1497095772Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.4M

$8,398,573

Total Claims

444K

Beneficiaries

302K

1.5 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$947K
+39%
2019
$1.3M
-24%
2020
$1.0M
+8%
2021
$1.1M
+23%
2022
$1.3M
+3%
2023
$1.4M
+1%
2024
$1.4M

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 26% of total spending.

99213Normal range

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

$2.2M

54K claims · 25.7%

Your Cost: $39.63/claim|Median: $37.81
1.0× median
99214Normal range

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

$1.2M

20K claims · 14.4%

Your Cost: $61.19/claim|Median: $53.41
1.1× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$972K

29K claims · 11.6%

Your Cost: $33.46/claim|Median: $17.85
1.9× median
96110Top 25%

Developmental screening, per standardized instrument

$717K

45K claims · 8.5%

Your Cost: $15.92/claim|Median: $9.10
1.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$671K

11K claims · 8.0%

Your Cost: $59.22/claim|Median: $75.18
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$663K

12K claims · 7.9%

Your Cost: $56.59/claim|Median: $74.82
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$465K

8,892 claims · 5.5%

Your Cost: $52.35/claim|Median: $69.35
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$381K

6,192 claims · 4.5%

Your Cost: $61.55/claim|Median: $80.15
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$205K

9,154 claims · 2.4%

Your Cost: $22.36/claim|Median: $25.06
0.9× median
92551Normal range

Screening audiometry, pure tone, air only

$126K

23K claims · 1.5%

Your Cost: $5.45/claim|Median: $6.61
0.8× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$123K

3,177 claims · 1.5%

Your Cost: $38.56/claim|Median: $39.70
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$112K

22K claims · 1.3%

Your Cost: $5.04/claim|Median: $4.71
1.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$104K

13K claims · 1.2%

Your Cost: $7.79/claim|Median: $11.48
0.7× median
87804Normal range

Influenza virus detection, rapid test

$55K

6,410 claims · 0.7%

Your Cost: $8.57/claim|Median: $12.59
0.7× median
99173Normal range

$53K

17K claims · 0.6%

Your Cost: $3.16/claim|Median: $2.16
1.5× median
G0315Top 10%

$33K

897 claims · 0.4%

Your Cost: $36.84/claim|Median: $29.35
1.3× median
81002Normal range

Urinalysis, non-automated without microscopy

$31K

20K claims · 0.4%

Your Cost: $1.54/claim|Median: $2.00
0.8× median
99401Normal range

$28K

2,407 claims · 0.3%

Your Cost: $11.49/claim|Median: $16.53
0.7× median
36416Normal range

$27K

32K claims · 0.3%

Your Cost: $0.85/claim|Median: $1.31
0.6× median
99211Normal range

Office/outpatient visit, minimal complexity

$24K

1,610 claims · 0.3%

Your Cost: $15.09/claim|Median: $12.93
1.2× median
G0447Normal range

$23K

2,986 claims · 0.3%

Your Cost: $7.59/claim|Median: $5.19
1.5× median
99203Normal range

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

$20K

333 claims · 0.2%

Your Cost: $58.57/claim|Median: $57.85
1.0× median
3008FNormal range

$19K

25K claims · 0.2%

Your Cost: $0.78/claim|Median: $0.06
13.0× median
90651Normal range

HPV vaccine, 9-valent

$18K

2,197 claims · 0.2%

Your Cost: $8.39/claim|Median: $8.93
0.9× median
90677Normal range

$18K

1,008 claims · 0.2%

Your Cost: $17.97/claim|Median: $12.96
1.4× median
99204Top 25%

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

$17K

153 claims · 0.2%

Your Cost: $113.17/claim|Median: $84.03
1.3× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$16K

4,807 claims · 0.2%

Your Cost: $3.35/claim|Median: $3.67
0.9× median
85018Normal range

$13K

10K claims · 0.2%

Your Cost: $1.27/claim|Median: $1.71
0.7× median
87811Normal range

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

$13K

524 claims · 0.2%

Your Cost: $24.89/claim|Median: $30.53
0.8× median
90670Normal range

$9K

6,057 claims · 0.1%

Your Cost: $1.44/claim|Median: $5.94
0.2× median
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