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Provider 1497702724

NPI: 1497702724Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.9M

$7,851,953

Total Claims

119K

Beneficiaries

105K

1.1 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

Yearly Spending

2018
$816K
+0%
2019
$817K
+16%
2020
$952K
+22%
2021
$1.2M
-5%
2022
$1.1M
+35%
2023
$1.5M
+0%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 60% of total spending.

99214Top 25%

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

$4.7M

53K claims · 60.4%

Your Cost: $89.34/claim|Median: $53.41
1.7× median
99213Top 25%

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

$1.6M

24K claims · 20.6%

Your Cost: $67.76/claim|Median: $37.81
1.8× median
99215Normal range

Office/outpatient visit, high complexity

$236K

3,338 claims · 3.0%

Your Cost: $70.75/claim|Median: $74.09
1.0× median
99203Top 10%

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

$166K

1,605 claims · 2.1%

Your Cost: $103.52/claim|Median: $57.85
1.8× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$106K

1,036 claims · 1.3%

Your Cost: $102.21/claim|Median: $76.06
1.3× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$86K

820 claims · 1.1%

Your Cost: $104.61/claim|Median: $72.71
1.4× median
99000Top 10%

$83K

5,461 claims · 1.1%

Your Cost: $15.15/claim|Median: $2.30
6.6× median
99204Top 25%

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

$61K

542 claims · 0.8%

Your Cost: $113.12/claim|Median: $84.03
1.3× median
Z1034Normal range

$57K

1,048 claims · 0.7%

Your Cost: $54.19/claim|Median: $54.74
1.0× median
81002Top 1%

Urinalysis, non-automated without microscopy

$56K

2,257 claims · 0.7%

Your Cost: $24.73/claim|Median: $2.00
12.4× median
94760Top 5%

Pulse oximetry, single reading, noninvasive

$49K

3,782 claims · 0.6%

Your Cost: $13.05/claim|Median: $0.79
16.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$48K

1,339 claims · 0.6%

Your Cost: $35.71/claim|Median: $75.18
0.5× median
H1001Top 25%

$47K

515 claims · 0.6%

Your Cost: $91.03/claim|Median: $60.48
1.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$45K

1,032 claims · 0.6%

Your Cost: $43.53/claim|Median: $69.35
0.6× median
99393Normal range

Preventive medicine, established patient, age 5-11

$44K

811 claims · 0.6%

Your Cost: $53.94/claim|Median: $74.82
0.7× median
96156Normal range

$42K

871 claims · 0.5%

Your Cost: $48.61/claim|Median: $22.36
2.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$39K

622 claims · 0.5%

Your Cost: $62.89/claim|Median: $80.15
0.8× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$30K

859 claims · 0.4%

Your Cost: $34.52/claim|Median: $9.56
3.6× median
59514Normal range

Cesarean delivery only

$29K

83 claims · 0.4%

Your Cost: $351.80/claim|Median: $452.80
0.8× median
88150Top 1%

$27K

590 claims · 0.3%

Your Cost: $46.24/claim|Median: $6.47
7.1× median
36415Top 5%

Collection of venous blood by venipuncture

$27K

761 claims · 0.3%

Your Cost: $35.35/claim|Median: $1.57
22.5× median
59409Normal range

Vaginal delivery only

$27K

54 claims · 0.3%

Your Cost: $493.48/claim|Median: $619.91
0.8× median
92552Normal range

Pure tone audiometry, air only, each ear

$24K

1,322 claims · 0.3%

Your Cost: $17.91/claim|Median: $12.63
1.4× median
G9920Normal range

$21K

1,276 claims · 0.3%

Your Cost: $16.63/claim|Median: $6.56
2.5× median
96110Top 5%

Developmental screening, per standardized instrument

$19K

454 claims · 0.2%

Your Cost: $41.45/claim|Median: $9.10
4.6× median
99173Top 5%

$15K

675 claims · 0.2%

Your Cost: $22.72/claim|Median: $2.16
10.5× median
93000Top 1%

Electrocardiogram, complete, with interpretation and report

$12K

191 claims · 0.1%

Your Cost: $60.60/claim|Median: $9.70
6.2× median
81025Normal range

Urine pregnancy test

$11K

2,628 claims · 0.1%

Your Cost: $4.36/claim|Median: $4.81
0.9× median
97750Normal range

$11K

420 claims · 0.1%

Your Cost: $25.43/claim|Median: $30.89
0.8× median
87426Top 1%

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

$10K

162 claims · 0.1%

Your Cost: $61.56/claim|Median: $30.04
2.0× median
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