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Provider 1508071374

NPI: 1508071374Share
Active Billing Period:2018-12→2024-12(70 months)

Total Paid

$7.7M

$7,688,774

Total Claims

265K

Beneficiaries

207K

1.3 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$0
2019
$1.1M
-3%
2020
$1.0M
+49%
2021
$1.5M
+26%
2022
$1.9M
-16%
2023
$1.6M
-66%
2024
$552K

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 31% of total spending.

99213Top 25%

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

$2.4M

41K claims · 31.2%

Your Cost: $58.57/claim|Median: $37.81
1.5× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$833K

30K claims · 10.8%

Your Cost: $27.85/claim|Median: $17.85
1.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$814K

11K claims · 10.6%

Your Cost: $74.99/claim|Median: $75.18
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$665K

8,594 claims · 8.6%

Your Cost: $77.33/claim|Median: $69.35
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$641K

9,425 claims · 8.3%

Your Cost: $67.97/claim|Median: $74.82
0.9× median
99214Top 25%

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

$611K

7,487 claims · 7.9%

Your Cost: $81.59/claim|Median: $53.41
1.5× median
99394Normal range

Preventive medicine, established patient, age 12-17

$447K

6,194 claims · 5.8%

Your Cost: $72.11/claim|Median: $80.15
0.9× median
99212Top 25%

Office/outpatient visit, low complexity

$250K

4,997 claims · 3.3%

Your Cost: $50.03/claim|Median: $25.06
2.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$201K

6,120 claims · 2.6%

Your Cost: $32.90/claim|Median: $39.70
0.8× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$190K

23K claims · 2.5%

Your Cost: $8.22/claim|Median: $12.70
0.6× median
G0270Top 25%

Medical nutrition therapy, reassessment, individual

$173K

19K claims · 2.2%

Your Cost: $9.12/claim|Median: $1.61
5.7× median
99381Normal range

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

$105K

1,587 claims · 1.4%

Your Cost: $66.44/claim|Median: $73.46
0.9× median
G0447Normal range

$78K

6,646 claims · 1.0%

Your Cost: $11.68/claim|Median: $5.19
2.3× median
87804Normal range

Influenza virus detection, rapid test

$44K

5,051 claims · 0.6%

Your Cost: $8.70/claim|Median: $12.59
0.7× median
99383Normal range

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

$43K

593 claims · 0.6%

Your Cost: $72.24/claim|Median: $81.92
0.9× median
99211Top 25%

Office/outpatient visit, minimal complexity

$24K

1,134 claims · 0.3%

Your Cost: $20.72/claim|Median: $12.93
1.6× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$21K

207 claims · 0.3%

Your Cost: $102.13/claim|Median: $83.63
1.2× median
99203Top 25%

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

$20K

203 claims · 0.3%

Your Cost: $96.09/claim|Median: $57.85
1.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$19K

294 claims · 0.3%

Your Cost: $65.49/claim|Median: $72.71
0.9× median
96110Normal range

Developmental screening, per standardized instrument

$18K

9,905 claims · 0.2%

Your Cost: $1.80/claim|Median: $9.10
0.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$16K

2,601 claims · 0.2%

Your Cost: $6.00/claim|Median: $11.48
0.5× median
99382Normal range

Preventive visit, new patient, early childhood (1-4 yr)

$12K

147 claims · 0.2%

Your Cost: $82.61/claim|Median: $79.89
1.0× median
90677Normal range

$11K

811 claims · 0.1%

Your Cost: $14.11/claim|Median: $12.96
1.1× median
90670Normal range

$10K

5,508 claims · 0.1%

Your Cost: $1.76/claim|Median: $5.94
0.3× median
90651Normal range

HPV vaccine, 9-valent

$7K

3,759 claims · 0.1%

Your Cost: $1.89/claim|Median: $8.93
0.2× median
92552Normal range

Pure tone audiometry, air only, each ear

$5K

868 claims · 0.1%

Your Cost: $5.57/claim|Median: $12.63
0.4× median
U0002Normal range

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

$5K

760 claims · 0.1%

Your Cost: $6.33/claim|Median: $34.62
0.2× median
90698Normal range

$4K

2,198 claims · 0.1%

Your Cost: $1.80/claim|Median: $6.32
0.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$3K

466 claims · 0.0%

Your Cost: $6.18/claim|Median: $9.56
0.6× median
90716Normal range

$2K

3,658 claims · 0.0%

Your Cost: $0.66/claim|Median: $6.18
0.1× median
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