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Provider 1497843734

NPI: 1497843734Share
Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$11.2M

$11,227,899

Total Claims

46K

Beneficiaries

40K

1.2 claims/patient

Avg Cost/Claim

$242

Monthly Spending Trend

Yearly Spending

2018
$713K
+1%
2019
$718K
+48%
2020
$1.1M
+373%
2021
$5.0M
-49%
2022
$2.6M
-68%
2023
$821K
-66%
2024
$279K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99212 (Office/outpatient visit, low complexity)) accounts for 18% of total spending.

99212Top 5%

Office/outpatient visit, low complexity

$2.0M

16K claims · 17.6%

Your Cost: $123.78/claim|Median: $25.06
4.9× median
Q3014Top 1%

Telehealth originating site facility fee

$1.9M

3,840 claims · 17.4%

Your Cost: $507.47/claim|Median: $15.37
33.0× median
0011ATop 1%

COVID-19 vaccine admin, Moderna, 1st dose

$991K

1,959 claims · 8.8%

Your Cost: $505.65/claim|Median: $25.93
19.5× median
0012ATop 1%

COVID-19 vaccine admin, Moderna, 2nd dose

$974K

1,920 claims · 8.7%

Your Cost: $507.22/claim|Median: $33.85
15.0× median
0001ATop 1%

COVID-19 vaccine admin, Pfizer, 1st dose

$724K

1,450 claims · 6.4%

Your Cost: $499.23/claim|Median: $33.72
14.8× median
0064ATop 1%

$715K

1,288 claims · 6.4%

Your Cost: $554.91/claim|Median: $34.17
16.2× median
99211Top 5%

Office/outpatient visit, minimal complexity

$712K

5,336 claims · 6.3%

Your Cost: $133.34/claim|Median: $12.93
10.3× median
0002ATop 1%

COVID-19 vaccine admin, Pfizer, 2nd dose

$705K

1,388 claims · 6.3%

Your Cost: $508.28/claim|Median: $36.70
13.8× median
0124ATop 1%

$652K

1,174 claims · 5.8%

Your Cost: $555.78/claim|Median: $34.32
16.2× median
0071ATop 1%

$345K

657 claims · 3.1%

Your Cost: $524.51/claim|Median: $38.71
13.5× median
0054ATop 1%

$319K

521 claims · 2.8%

Your Cost: $613.12/claim|Median: $35.83
17.1× median
0072ATop 1%

$317K

574 claims · 2.8%

Your Cost: $553.02/claim|Median: $39.57
14.0× median
0004ATop 1%

$179K

359 claims · 1.6%

Your Cost: $499.59/claim|Median: $35.62
14.0× median
87635Top 1%

COVID-19 SARS-CoV-2 amplified probe detection

$130K

348 claims · 1.2%

Your Cost: $374.38/claim|Median: $39.70
9.4× median
99213Normal range

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

$126K

5,085 claims · 1.1%

Your Cost: $24.86/claim|Median: $37.81
0.7× median
0154ATop 5%

$77K

123 claims · 0.7%

Your Cost: $629.59/claim|Median: $39.23
16.0× median
0081ATop 1%

$60K

99 claims · 0.5%

Your Cost: $607.68/claim|Median: $38.21
15.9× median
99214Top 25%

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

$52K

661 claims · 0.5%

Your Cost: $78.50/claim|Median: $53.41
1.5× median
0121ATop 1%

$37K

76 claims · 0.3%

Your Cost: $482.31/claim|Median: $29.06
16.6× median
0074ATop 5%

$35K

61 claims · 0.3%

Your Cost: $566.56/claim|Median: $39.19
14.5× median
0082ATop 1%

$31K

48 claims · 0.3%

Your Cost: $640.00/claim|Median: $39.88
16.0× median
0083ATop 1%

$30K

47 claims · 0.3%

Your Cost: $640.00/claim|Median: $39.40
16.2× median
0151ATop 1%

$20K

30 claims · 0.2%

Your Cost: $654.00/claim|Median: $36.80
17.8× median
0031ATop 1%

COVID-19 vaccine admin, J&J, single dose

$15K

31 claims · 0.1%

Your Cost: $485.52/claim|Median: $32.49
14.9× median
0051ATop 5%

$10K

17 claims · 0.1%

Your Cost: $595.24/claim|Median: $36.92
16.1× median
0052ATop 1%

$10K

15 claims · 0.1%

Your Cost: $640.00/claim|Median: $37.79
16.9× median
38300Normal range

$5K

50 claims · 0.0%

Your Cost: $97.61/claim|Median: $135.70
0.7× median
G0008Normal range

$5K

983 claims · 0.0%

Your Cost: $4.86/claim|Median: $2.54
1.9× median
0003ATop 1%

COVID-19 vaccine admin, Pfizer, 3rd dose

$5K

13 claims · 0.0%

Your Cost: $362.83/claim|Median: $36.49
9.9× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$5K

415 claims · 0.0%

Your Cost: $11.08/claim|Median: $47.08
0.2× median
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