Provider 1518068014
Total Paid
$11.4M
$11,448,586
Total Claims
223K
Beneficiaries
191K
1.2 claims/patient
Avg Cost/Claim
$51
Monthly Spending Trend
Yearly Spending
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 28% of total spending.
$3.2M
58K claims
$54.84
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$3.2M
58K claims · 28.0%
$2.5M
34K claims
$72.19
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$2.5M
34K claims · 21.6%
$1.3M
15K claims
$85.35
$69.51
Emergency dept visit, high complexity
$1.3M
15K claims · 11.2%
$504K
4,020 claims
$125.25
$85.65
Emergency dept visit, high/urgent complexity
$504K
4,020 claims · 4.4%
$436K
8,473 claims
$51.51
$42.48
Emergency dept visit, moderate complexity
$436K
8,473 claims · 3.8%
$363K
5,564 claims
$65.22
$57.85
Office/outpatient visit, new patient, low-mod complexity
$363K
5,564 claims · 3.2%
$309K
3,211 claims
$96.32
$84.03
Office/outpatient visit, new patient, mod-high complexity
$309K
3,211 claims · 2.7%
$272K
6,749 claims
$40.23
$23.99
Subsequent hospital care, per day, moderate complexity
$272K
6,749 claims · 2.4%
Psychotherapy, 60 minutes
$259K
2,742 claims · 2.3%
$195K
2,645 claims
$73.55
$75.18
Preventive medicine, established patient, age 1-4
$195K
2,645 claims · 1.7%
$174K
2,040 claims
$85.41
$74.09
Office/outpatient visit, high complexity
$174K
2,040 claims · 1.5%
$172K
2,673 claims
$64.22
$69.35
Preventive medicine, established patient, infant (under 1)
$172K
2,673 claims · 1.5%
$133K
1,738 claims
$76.50
$74.82
Preventive medicine, established patient, age 5-11
$133K
1,738 claims · 1.2%
$123K
3,065 claims
$40.28
$37.72
Emergency dept visit, low complexity
$123K
3,065 claims · 1.1%
$115K
7,625 claims
$15.13
$11.48
Streptococcus, Group A, rapid antigen detection
$115K
7,625 claims · 1.0%
$108K
1,010 claims
$107.15
$108.91
Psychiatric diagnostic evaluation with medical services
$108K
1,010 claims · 0.9%
$97K
7,470 claims
$13.03
$9.80
Immunization administration, 1 vaccine, percutaneous/ID/SC/IM
$97K
7,470 claims · 0.9%
$93K
1,130 claims
$82.47
$80.15
Preventive medicine, established patient, age 12-17
$93K
1,130 claims · 0.8%
$86K
1,034 claims
$83.50
$51.25
Initial hospital care, per day, moderate complexity
$86K
1,034 claims · 0.8%
$82K
1,110 claims
$74.15
$72.71
Preventive medicine, established patient, age 18-39
$82K
1,110 claims · 0.7%
$75K
3,757 claims
$20.08
$11.79
Immunization administration, each additional vaccine
$75K
3,757 claims · 0.7%
$73K
641 claims
$113.21
$100.62
Respiratory virus detection, 3-5 targets, nucleic acid
$73K
641 claims · 0.6%
$69K
1,480 claims
$46.93
$37.22
Hospital discharge day management, 30 minutes or less
$69K
1,480 claims · 0.6%
$68K
1,109 claims
$61.35
$43.85
Hospital discharge day management, more than 30 minutes
$68K
1,109 claims · 0.6%
$67K
4,609 claims
$14.49
$12.59
Influenza virus detection, rapid test
$67K
4,609 claims · 0.6%
$66K
835 claims
$78.76
$76.06
Preventive medicine, established patient, age 40-64
$66K
835 claims · 0.6%
$52K
1,510 claims
$34.43
$25.06
Office/outpatient visit, low complexity
$52K
1,510 claims · 0.5%
$42K
698 claims
$59.93
$35.30
Subsequent hospital care, per day, high complexity
$42K
698 claims · 0.4%
$37K
323 claims
$115.03
$132.89
Anesthesia for intraoral procedures
$37K
323 claims · 0.3%
$37K
3,275 claims
$11.17
$9.10
Developmental screening, per standardized instrument
$37K
3,275 claims · 0.3%