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Provider 1518138916

NPI: 1518138916Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.7M

$16,730,421

Total Claims

745K

Beneficiaries

614K

1.2 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$2.5M
+14%
2019
$2.8M
-16%
2020
$2.4M
+18%
2021
$2.8M
-13%
2022
$2.4M
-11%
2023
$2.2M
-18%
2024
$1.8M

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 24% of total spending.

99214Normal range

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

$4.1M

55K claims · 24.4%

Your Cost: $73.70/claim|Median: $53.41
1.4× median
99213Normal range

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

$3.8M

79K claims · 23.0%

Your Cost: $48.81/claim|Median: $37.81
1.3× median
90460Top 5%

Immunization administration, first vaccine/toxoid, with counseling

$1.7M

34K claims · 10.0%

Your Cost: $48.64/claim|Median: $17.85
2.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.6M

20K claims · 9.6%

Your Cost: $79.81/claim|Median: $75.18
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.5M

21K claims · 8.9%

Your Cost: $70.11/claim|Median: $69.35
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$873K

11K claims · 5.2%

Your Cost: $76.44/claim|Median: $74.82
1.0× median
96110Top 25%

Developmental screening, per standardized instrument

$556K

24K claims · 3.3%

Your Cost: $23.36/claim|Median: $9.10
2.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$297K

3,494 claims · 1.8%

Your Cost: $85.00/claim|Median: $80.15
1.1× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$272K

36K claims · 1.6%

Your Cost: $7.58/claim|Median: $4.71
1.6× median
87804Normal range

Influenza virus detection, rapid test

$229K

21K claims · 1.4%

Your Cost: $11.01/claim|Median: $12.59
0.9× median
92552Normal range

Pure tone audiometry, air only, each ear

$217K

11K claims · 1.3%

Your Cost: $20.31/claim|Median: $12.63
1.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$214K

19K claims · 1.3%

Your Cost: $10.99/claim|Median: $11.48
1.0× median
96161Top 10%

$198K

15K claims · 1.2%

Your Cost: $13.28/claim|Median: $2.49
5.3× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$190K

40K claims · 1.1%

Your Cost: $4.72/claim|Median: $3.67
1.3× median
90471Top 25%

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

$126K

8,551 claims · 0.8%

Your Cost: $14.78/claim|Median: $9.80
1.5× median
90472Top 25%

Immunization administration, each additional vaccine

$91K

4,756 claims · 0.5%

Your Cost: $19.17/claim|Median: $11.79
1.6× median
87811Normal range

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

$89K

2,424 claims · 0.5%

Your Cost: $36.62/claim|Median: $30.53
1.2× median
99381Normal range

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

$78K

1,077 claims · 0.5%

Your Cost: $72.41/claim|Median: $73.46
1.0× median
36416Normal range

$59K

40K claims · 0.4%

Your Cost: $1.46/claim|Median: $1.31
1.1× median
99173Top 25%

$59K

11K claims · 0.4%

Your Cost: $5.21/claim|Median: $2.16
2.4× median
80061Top 25%

Lipid panel

$58K

3,937 claims · 0.3%

Your Cost: $14.84/claim|Median: $8.41
1.8× median
1160FTop 25%

$44K

67K claims · 0.3%

Your Cost: $0.66/claim|Median: $0.01
65.9× median
83655Normal range

$44K

3,746 claims · 0.3%

Your Cost: $11.61/claim|Median: $10.49
1.1× median
1159FTop 25%

$41K

64K claims · 0.2%

Your Cost: $0.64/claim|Median: $0.01
64.4× median
69210Top 25%

$40K

1,050 claims · 0.2%

Your Cost: $37.79/claim|Median: $21.74
1.7× median
96160Top 25%

Patient-focused health risk assessment

$38K

2,947 claims · 0.2%

Your Cost: $13.00/claim|Median: $2.10
6.2× median
81003Normal range

Urinalysis, automated without microscopy

$29K

15K claims · 0.2%

Your Cost: $1.91/claim|Median: $1.48
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$28K

904 claims · 0.2%

Your Cost: $31.51/claim|Median: $25.06
1.3× median
3008FTop 25%

$20K

14K claims · 0.1%

Your Cost: $1.44/claim|Median: $0.06
24.0× median
99383Normal range

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

$19K

250 claims · 0.1%

Your Cost: $76.24/claim|Median: $81.92
0.9× median
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