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Provider 1518001437

NPI: 1518001437Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.8M

$8,771,233

Total Claims

718K

Beneficiaries

690K

1.0 claims/patient

Avg Cost/Claim

$12

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+4%
2019
$1.7M
-31%
2020
$1.1M
-8%
2021
$1.0M
+12%
2022
$1.2M
-0%
2023
$1.2M
-14%
2024
$1.0M

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 17% of total spending.

99213Normal range

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

$1.5M

45K claims · 16.7%

Your Cost: $32.61/claim|Median: $37.81
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.1M

16K claims · 12.8%

Your Cost: $69.63/claim|Median: $74.82
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.0M

15K claims · 11.9%

Your Cost: $70.14/claim|Median: $75.18
0.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$884K

11K claims · 10.1%

Your Cost: $78.46/claim|Median: $80.15
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$681K

11K claims · 7.8%

Your Cost: $60.45/claim|Median: $69.35
0.9× median
90471Top 25%

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

$525K

32K claims · 6.0%

Your Cost: $16.54/claim|Median: $9.80
1.7× median
90472Normal range

Immunization administration, each additional vaccine

$389K

23K claims · 4.4%

Your Cost: $17.13/claim|Median: $11.79
1.5× median
85027Top 25%

Complete blood count (CBC), automated

$323K

48K claims · 3.7%

Your Cost: $6.72/claim|Median: $3.72
1.8× median
99212Normal range

Office/outpatient visit, low complexity

$257K

11K claims · 2.9%

Your Cost: $23.35/claim|Median: $25.06
0.9× median
87804Normal range

Influenza virus detection, rapid test

$202K

13K claims · 2.3%

Your Cost: $15.22/claim|Median: $12.59
1.2× median
92552Normal range

Pure tone audiometry, air only, each ear

$193K

21K claims · 2.2%

Your Cost: $9.35/claim|Median: $12.63
0.7× median
82465Top 25%

$139K

32K claims · 1.6%

Your Cost: $4.39/claim|Median: $3.41
1.3× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$135K

8,824 claims · 1.5%

Your Cost: $15.30/claim|Median: $11.48
1.3× median
82947Top 25%

Blood glucose level test

$135K

32K claims · 1.5%

Your Cost: $4.24/claim|Median: $2.38
1.8× median
96110Top 25%

Developmental screening, per standardized instrument

$113K

4,784 claims · 1.3%

Your Cost: $23.63/claim|Median: $9.10
2.6× median
81002Top 25%

Urinalysis, non-automated without microscopy

$86K

29K claims · 1.0%

Your Cost: $2.93/claim|Median: $2.00
1.5× median
87426Normal range

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

$83K

3,417 claims · 0.9%

Your Cost: $24.30/claim|Median: $30.04
0.8× median
90473Top 25%

Immunization admin, intranasal, first

$70K

4,700 claims · 0.8%

Your Cost: $14.98/claim|Median: $9.17
1.6× median
36416Normal range

$58K

49K claims · 0.7%

Your Cost: $1.18/claim|Median: $1.31
0.9× median
99177Normal range

$50K

21K claims · 0.6%

Your Cost: $2.35/claim|Median: $3.74
0.6× median
99214Normal range

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

$39K

648 claims · 0.4%

Your Cost: $60.78/claim|Median: $53.41
1.1× median
99383Normal range

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

$35K

394 claims · 0.4%

Your Cost: $87.82/claim|Median: $81.92
1.1× median
90651Normal range

HPV vaccine, 9-valent

$34K

5,585 claims · 0.4%

Your Cost: $6.11/claim|Median: $8.93
0.7× median
86703Top 25%

$34K

2,593 claims · 0.4%

Your Cost: $13.02/claim|Median: $10.37
1.3× median
96160Normal range

Patient-focused health risk assessment

$33K

14K claims · 0.4%

Your Cost: $2.34/claim|Median: $2.10
1.1× median
90670Normal range

$31K

8,073 claims · 0.4%

Your Cost: $3.90/claim|Median: $5.94
0.7× median
99173Top 5%

$29K

885 claims · 0.3%

Your Cost: $33.08/claim|Median: $2.16
15.3× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$28K

7,060 claims · 0.3%

Your Cost: $4.03/claim|Median: $3.67
1.1× median
D1206Normal range

Topical application of fluoride varnish

$28K

1,939 claims · 0.3%

Your Cost: $14.44/claim|Median: $18.12
0.8× median
0071ANormal range

$27K

712 claims · 0.3%

Your Cost: $37.92/claim|Median: $38.71
1.0× median
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