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Provider 1518074640

NPI: 1518074640Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.5M

$9,483,258

Total Claims

498K

Beneficiaries

450K

1.1 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-27%
2019
$933K
+3%
2020
$957K
+90%
2021
$1.8M
+11%
2022
$2.0M
-25%
2023
$1.5M
-35%
2024
$978K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 49% of total spending.

99214Normal range

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

$4.7M

90K claims · 49.4%

Your Cost: $51.81/claim|Median: $53.41
1.0× median
99213Normal range

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

$2.3M

53K claims · 24.4%

Your Cost: $43.78/claim|Median: $37.81
1.2× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$392K

3,129 claims · 4.1%

Your Cost: $125.20/claim|Median: $91.47
1.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$223K

5,170 claims · 2.3%

Your Cost: $43.10/claim|Median: $39.70
1.1× median
99203Normal range

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

$220K

2,823 claims · 2.3%

Your Cost: $77.83/claim|Median: $57.85
1.3× median
87426Top 10%

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

$171K

3,958 claims · 1.8%

Your Cost: $43.26/claim|Median: $30.04
1.4× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$167K

3,245 claims · 1.8%

Your Cost: $51.47/claim|Median: $35.43
1.5× median
87428Normal range

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

$133K

3,220 claims · 1.4%

Your Cost: $41.32/claim|Median: $39.63
1.0× median
87804Top 25%

Influenza virus detection, rapid test

$104K

4,996 claims · 1.1%

Your Cost: $20.89/claim|Median: $12.59
1.7× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$104K

4,319 claims · 1.1%

Your Cost: $24.05/claim|Median: $17.85
1.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$55K

781 claims · 0.6%

Your Cost: $70.49/claim|Median: $75.18
0.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$51K

11K claims · 0.5%

Your Cost: $4.88/claim|Median: $4.71
1.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$51K

7,272 claims · 0.5%

Your Cost: $7.04/claim|Median: $9.56
0.7× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$50K

5,032 claims · 0.5%

Your Cost: $10.03/claim|Median: $11.48
0.9× median
80048Normal range

Basic metabolic panel

$45K

7,609 claims · 0.5%

Your Cost: $5.95/claim|Median: $5.78
1.0× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$44K

1,493 claims · 0.5%

Your Cost: $29.33/claim|Median: $30.53
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$42K

563 claims · 0.4%

Your Cost: $74.37/claim|Median: $74.82
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$38K

511 claims · 0.4%

Your Cost: $75.30/claim|Median: $80.15
0.9× median
82306Normal range

Vitamin D, 25 hydroxy

$31K

1,891 claims · 0.3%

Your Cost: $16.22/claim|Median: $18.18
0.9× median
U0003Top 10%

Infectious disease detection (COVID-19)

$29K

302 claims · 0.3%

Your Cost: $97.53/claim|Median: $63.08
1.5× median
90834Normal range

Psychotherapy, 45 minutes

$29K

420 claims · 0.3%

Your Cost: $69.67/claim|Median: $63.65
1.1× median
84443Normal range

Thyroid stimulating hormone (TSH)

$29K

2,498 claims · 0.3%

Your Cost: $11.60/claim|Median: $9.87
1.2× median
80061Normal range

Lipid panel

$29K

3,931 claims · 0.3%

Your Cost: $7.32/claim|Median: $8.41
0.9× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$28K

474 claims · 0.3%

Your Cost: $59.77/claim|Median: $65.64
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$27K

438 claims · 0.3%

Your Cost: $61.64/claim|Median: $69.35
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$25K

411 claims · 0.3%

Your Cost: $60.80/claim|Median: $74.09
0.8× median
80076Normal range

Hepatic function panel

$24K

4,897 claims · 0.2%

Your Cost: $4.81/claim|Median: $4.59
1.0× median
36415Normal range

Collection of venous blood by venipuncture

$23K

15K claims · 0.2%

Your Cost: $1.50/claim|Median: $1.57
1.0× median
99335Top 5%

$21K

374 claims · 0.2%

Your Cost: $55.40/claim|Median: $14.90
3.7× median
99204Normal range

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

$18K

210 claims · 0.2%

Your Cost: $83.36/claim|Median: $84.03
1.0× median
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