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Provider 1508423021

NPI: 1508423021Share
Active Billing Period:2020-09→2024-12(52 months)

Total Paid

$15.6M

$15,561,972

Total Claims

645K

Beneficiaries

496K

1.3 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2020
$296K
+664%
2021
$2.3M
+53%
2022
$3.5M
+32%
2023
$4.6M
+8%
2024
$5.0M

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 48% of total spending.

99213Normal range

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

$7.5M

139K claims · 47.9%

Your Cost: $53.62/claim|Median: $37.81
1.4× median
99214Normal range

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

$1.4M

19K claims · 8.9%

Your Cost: $72.34/claim|Median: $53.41
1.4× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.1M

18K claims · 6.9%

Your Cost: $58.25/claim|Median: $75.18
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$927K

15K claims · 6.0%

Your Cost: $60.22/claim|Median: $69.35
0.9× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$727K

35K claims · 4.7%

Your Cost: $20.93/claim|Median: $17.85
1.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$436K

52K claims · 2.8%

Your Cost: $8.40/claim|Median: $11.48
0.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$404K

6,624 claims · 2.6%

Your Cost: $61.02/claim|Median: $74.82
0.8× median
90677Top 25%

$352K

4,363 claims · 2.3%

Your Cost: $80.69/claim|Median: $12.96
6.2× median
69210Normal range

$296K

11K claims · 1.9%

Your Cost: $27.49/claim|Median: $21.74
1.3× median
90670Top 10%

$247K

8,495 claims · 1.6%

Your Cost: $29.07/claim|Median: $5.94
4.9× median
99381Normal range

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

$188K

3,966 claims · 1.2%

Your Cost: $47.34/claim|Median: $73.46
0.6× median
87804Normal range

Influenza virus detection, rapid test

$182K

21K claims · 1.2%

Your Cost: $8.56/claim|Median: $12.59
0.7× median
99050Normal range

$174K

29K claims · 1.1%

Your Cost: $6.06/claim|Median: $11.81
0.5× median
99212Normal range

Office/outpatient visit, low complexity

$162K

5,446 claims · 1.0%

Your Cost: $29.77/claim|Median: $25.06
1.2× median
90461Normal range

Immunization admin, additional vaccine, counseling

$154K

14K claims · 1.0%

Your Cost: $10.66/claim|Median: $6.93
1.5× median
87070Normal range

Bacterial culture, any source except blood or urine

$142K

41K claims · 0.9%

Your Cost: $3.43/claim|Median: $5.89
0.6× median
99203Normal range

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

$137K

2,744 claims · 0.9%

Your Cost: $49.77/claim|Median: $57.85
0.9× median
87184Normal range

$123K

42K claims · 0.8%

Your Cost: $2.95/claim|Median: $4.02
0.7× median
85025Normal range

Complete blood count (CBC) with differential, automated

$110K

34K claims · 0.7%

Your Cost: $3.24/claim|Median: $4.71
0.7× median
99188Top 25%

$84K

4,331 claims · 0.5%

Your Cost: $19.47/claim|Median: $12.80
1.5× median
99394Normal range

Preventive medicine, established patient, age 12-17

$78K

1,095 claims · 0.5%

Your Cost: $71.24/claim|Median: $80.15
0.9× median
90723Normal range

DTaP-HepB-IPV vaccine

$78K

7,522 claims · 0.5%

Your Cost: $10.35/claim|Median: $5.78
1.8× median
90716Top 10%

$75K

2,514 claims · 0.5%

Your Cost: $29.87/claim|Median: $6.18
4.8× median
99177Normal range

$49K

16K claims · 0.3%

Your Cost: $3.00/claim|Median: $3.74
0.8× median
90710Top 5%

MMRV vaccine

$48K

831 claims · 0.3%

Your Cost: $57.44/claim|Median: $7.00
8.2× median
99383Normal range

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

$45K

701 claims · 0.3%

Your Cost: $64.62/claim|Median: $81.92
0.8× median
83655Normal range

$38K

8,281 claims · 0.2%

Your Cost: $4.62/claim|Median: $10.49
0.4× median
98926Normal range

$36K

1,743 claims · 0.2%

Your Cost: $20.83/claim|Median: $22.66
0.9× median
90707Top 25%

MMR vaccine

$36K

2,162 claims · 0.2%

Your Cost: $16.52/claim|Median: $5.76
2.9× median
90633Normal range

$34K

4,104 claims · 0.2%

Your Cost: $8.34/claim|Median: $3.56
2.3× median
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