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Provider 1497992770

NPI: 1497992770Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.4M

$9,400,802

Total Claims

318K

Beneficiaries

304K

1.0 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$360K
+279%
2019
$1.4M
-5%
2020
$1.3M
+78%
2021
$2.3M
-22%
2022
$1.8M
-30%
2023
$1.3M
-18%
2024
$1.0M

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 26% of total spending.

99214Normal range

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

$2.5M

36K claims · 26.4%

Your Cost: $68.91/claim|Median: $53.41
1.3× median
99213Normal range

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

$2.0M

40K claims · 21.2%

Your Cost: $50.46/claim|Median: $37.81
1.3× median
U0003Normal range

Infectious disease detection (COVID-19)

$1.1M

14K claims · 11.4%

Your Cost: $75.62/claim|Median: $63.08
1.2× median
99203Normal range

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

$453K

6,703 claims · 4.8%

Your Cost: $67.51/claim|Median: $57.85
1.2× median
S0302Top 5%

$435K

7,954 claims · 4.6%

Your Cost: $54.75/claim|Median: $9.05
6.0× median
U0005Top 25%

Infectious disease detection, COVID-19, antigen

$276K

12K claims · 2.9%

Your Cost: $23.51/claim|Median: $15.76
1.5× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$256K

7,558 claims · 2.7%

Your Cost: $33.88/claim|Median: $28.46
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$183K

2,601 claims · 1.9%

Your Cost: $70.18/claim|Median: $75.18
0.9× median
87804Top 10%

Influenza virus detection, rapid test

$155K

5,409 claims · 1.7%

Your Cost: $28.69/claim|Median: $12.59
2.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$149K

2,111 claims · 1.6%

Your Cost: $70.58/claim|Median: $74.82
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$111K

1,779 claims · 1.2%

Your Cost: $62.55/claim|Median: $69.35
0.9× median
90471Normal range

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

$104K

9,323 claims · 1.1%

Your Cost: $11.16/claim|Median: $9.80
1.1× median
99204Normal range

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

$100K

908 claims · 1.1%

Your Cost: $109.87/claim|Median: $84.03
1.3× median
84443Normal range

Thyroid stimulating hormone (TSH)

$94K

8,364 claims · 1.0%

Your Cost: $11.29/claim|Median: $9.87
1.1× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$94K

4,746 claims · 1.0%

Your Cost: $19.88/claim|Median: $36.70
0.5× median
80061Normal range

Lipid panel

$88K

10K claims · 0.9%

Your Cost: $8.69/claim|Median: $8.41
1.0× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$85K

5,053 claims · 0.9%

Your Cost: $16.85/claim|Median: $33.72
0.5× median
80053Normal range

Comprehensive metabolic panel

$81K

12K claims · 0.9%

Your Cost: $6.87/claim|Median: $7.24
0.9× median
36415Top 25%

Collection of venous blood by venipuncture

$80K

26K claims · 0.9%

Your Cost: $3.11/claim|Median: $1.57
2.0× median
99421Normal range

Online digital E/M, 5-10 min

$71K

8,304 claims · 0.8%

Your Cost: $8.57/claim|Median: $9.42
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$67K

623 claims · 0.7%

Your Cost: $107.61/claim|Median: $74.09
1.5× median
90472Normal range

Immunization administration, each additional vaccine

$66K

4,756 claims · 0.7%

Your Cost: $13.89/claim|Median: $11.79
1.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$57K

4,863 claims · 0.6%

Your Cost: $11.81/claim|Median: $11.48
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$52K

674 claims · 0.6%

Your Cost: $77.69/claim|Median: $80.15
1.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$50K

1,023 claims · 0.5%

Your Cost: $48.47/claim|Median: $39.70
1.2× median
X5622Normal range

$47K

2,700 claims · 0.5%

Your Cost: $17.58/claim|Median: $52.61
0.3× median
82306Normal range

Vitamin D, 25 hydroxy

$36K

1,373 claims · 0.4%

Your Cost: $26.19/claim|Median: $18.18
1.4× median
71046Normal range

Chest X-ray, 2 views

$33K

2,026 claims · 0.4%

Your Cost: $16.53/claim|Median: $8.92
1.9× median
80048Normal range

Basic metabolic panel

$33K

6,690 claims · 0.4%

Your Cost: $4.94/claim|Median: $5.78
0.9× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$33K

1,154 claims · 0.4%

Your Cost: $28.52/claim|Median: $24.95
1.1× median
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