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Provider 1508047275

NPI: 1508047275Share
Active Billing Period:2018-01→2024-10(81 months)

Total Paid

$9.0M

$8,950,721

Total Claims

306K

Beneficiaries

250K

1.2 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$17K
+400%
2019
$85K
+1001%
2020
$939K
+101%
2021
$1.9M
+17%
2022
$2.2M
+2%
2023
$2.2M
-30%
2024
$1.6M

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 15% of total spending.

99213Normal range

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

$1.4M

37K claims · 15.3%

Your Cost: $37.06/claim|Median: $37.81
1.0× median
99214Normal range

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

$1.2M

23K claims · 13.6%

Your Cost: $52.63/claim|Median: $53.41
1.0× median
87426Top 5%

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

$949K

21K claims · 10.6%

Your Cost: $45.83/claim|Median: $30.04
1.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$802K

9,278 claims · 9.0%

Your Cost: $86.41/claim|Median: $74.82
1.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$649K

6,901 claims · 7.2%

Your Cost: $93.98/claim|Median: $80.15
1.2× median
G0315Top 10%

$627K

17K claims · 7.0%

Your Cost: $35.97/claim|Median: $29.35
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$613K

7,652 claims · 6.9%

Your Cost: $80.15/claim|Median: $75.18
1.1× median
87804Normal range

Influenza virus detection, rapid test

$480K

34K claims · 5.4%

Your Cost: $14.16/claim|Median: $12.59
1.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$339K

32K claims · 3.8%

Your Cost: $10.47/claim|Median: $17.85
0.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$297K

3,837 claims · 3.3%

Your Cost: $77.45/claim|Median: $69.35
1.1× median
99429Top 25%

$229K

6,744 claims · 2.6%

Your Cost: $33.92/claim|Median: $28.58
1.2× median
87636Top 25%

Respiratory virus detection, 6-11 targets, nucleic acid

$157K

1,189 claims · 1.7%

Your Cost: $131.71/claim|Median: $97.61
1.3× median
87637Top 25%

Respiratory virus detection, 3-5 targets, nucleic acid

$143K

1,103 claims · 1.6%

Your Cost: $129.95/claim|Median: $100.62
1.3× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$143K

10K claims · 1.6%

Your Cost: $14.05/claim|Median: $11.48
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$115K

4,698 claims · 1.3%

Your Cost: $24.43/claim|Median: $25.06
1.0× median
87502Top 25%

Influenza virus detection, reverse transcription, amplified probe

$78K

933 claims · 0.9%

Your Cost: $84.12/claim|Median: $65.64
1.3× median
96110Normal range

Developmental screening, per standardized instrument

$77K

9,222 claims · 0.9%

Your Cost: $8.34/claim|Median: $9.10
0.9× median
99395Normal range

Preventive medicine, established patient, age 18-39

$65K

725 claims · 0.7%

Your Cost: $89.93/claim|Median: $72.71
1.2× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$59K

710 claims · 0.7%

Your Cost: $82.67/claim|Median: $73.46
1.1× median
99203Normal range

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

$54K

886 claims · 0.6%

Your Cost: $60.47/claim|Median: $57.85
1.0× median
90461Normal range

Immunization admin, additional vaccine, counseling

$35K

5,465 claims · 0.4%

Your Cost: $6.45/claim|Median: $6.93
0.9× median
90471Normal range

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

$35K

3,008 claims · 0.4%

Your Cost: $11.49/claim|Median: $9.80
1.2× median
97169Normal range

$34K

1,339 claims · 0.4%

Your Cost: $25.66/claim|Median: $22.00
1.2× median
99001Top 25%

$31K

5,017 claims · 0.3%

Your Cost: $6.12/claim|Median: $2.31
2.7× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$29K

821 claims · 0.3%

Your Cost: $35.84/claim|Median: $33.72
1.1× median
87807Normal range

$29K

2,609 claims · 0.3%

Your Cost: $11.24/claim|Median: $10.06
1.1× median
U0002Top 25%

COVID-19 lab test, non-CDC, nucleic acid

$24K

472 claims · 0.3%

Your Cost: $50.38/claim|Median: $34.62
1.5× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$22K

229 claims · 0.2%

Your Cost: $95.96/claim|Median: $81.92
1.2× median
0071ANormal range

$21K

540 claims · 0.2%

Your Cost: $39.07/claim|Median: $38.71
1.0× median
83655Normal range

$21K

1,850 claims · 0.2%

Your Cost: $11.18/claim|Median: $10.49
1.1× median
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