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Provider 1528039120

NPI: 1528039120Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.8M

$15,792,692

Total Claims

960K

Beneficiaries

762K

1.3 claims/patient

Avg Cost/Claim

$16

Monthly Spending Trend

Yearly Spending

2018
$192K
-6%
2019
$181K
+247%
2020
$626K
+417%
2021
$3.2M
+26%
2022
$4.1M
-3%
2023
$4.0M
-12%
2024
$3.5M

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 23% of total spending.

99213Normal range

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

$3.6M

106K claims · 23.1%

Your Cost: $34.37/claim|Median: $37.81
0.9× median
99214Normal range

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

$2.8M

68K claims · 17.7%

Your Cost: $41.33/claim|Median: $53.41
0.8× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$1.9M

41K claims · 11.9%

Your Cost: $46.17/claim|Median: $34.62
1.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$877K

68K claims · 5.6%

Your Cost: $12.92/claim|Median: $11.48
1.1× median
87804Normal range

Influenza virus detection, rapid test

$822K

65K claims · 5.2%

Your Cost: $12.63/claim|Median: $12.59
1.0× median
99000Top 25%

$710K

71K claims · 4.5%

Your Cost: $9.94/claim|Median: $2.30
4.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$650K

8,477 claims · 4.1%

Your Cost: $76.63/claim|Median: $75.18
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$588K

7,350 claims · 3.7%

Your Cost: $80.05/claim|Median: $74.82
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$511K

6,089 claims · 3.2%

Your Cost: $83.89/claim|Median: $80.15
1.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$504K

47K claims · 3.2%

Your Cost: $10.71/claim|Median: $17.85
0.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$486K

6,581 claims · 3.1%

Your Cost: $73.90/claim|Median: $69.35
1.1× median
87807Normal range

$306K

29K claims · 1.9%

Your Cost: $10.46/claim|Median: $10.06
1.0× median
S9470Top 25%

Nutritional counseling

$198K

5,173 claims · 1.3%

Your Cost: $38.32/claim|Median: $16.62
2.3× median
99203Normal range

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

$181K

3,264 claims · 1.1%

Your Cost: $55.58/claim|Median: $57.85
1.0× median
99444Top 25%

$118K

2,056 claims · 0.7%

Your Cost: $57.20/claim|Median: $56.66
1.0× median
99381Normal range

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

$108K

1,428 claims · 0.7%

Your Cost: $75.43/claim|Median: $73.46
1.0× median
99350Normal range

$101K

4,116 claims · 0.6%

Your Cost: $24.44/claim|Median: $35.62
0.7× median
99429Normal range

$99K

3,144 claims · 0.6%

Your Cost: $31.54/claim|Median: $28.58
1.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$99K

1,748 claims · 0.6%

Your Cost: $56.48/claim|Median: $72.71
0.8× median
99204Normal range

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

$94K

1,214 claims · 0.6%

Your Cost: $77.37/claim|Median: $84.03
0.9× median
99490Normal range

Chronic care management services, 20 minutes per month

$80K

21K claims · 0.5%

Your Cost: $3.84/claim|Median: $6.31
0.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$62K

9,407 claims · 0.4%

Your Cost: $6.54/claim|Median: $9.56
0.7× median
96110Normal range

Developmental screening, per standardized instrument

$61K

8,188 claims · 0.4%

Your Cost: $7.50/claim|Median: $9.10
0.8× median
99396Normal range

Preventive medicine, established patient, age 40-64

$55K

941 claims · 0.4%

Your Cost: $58.97/claim|Median: $76.06
0.8× median
99383Normal range

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

$53K

620 claims · 0.3%

Your Cost: $85.22/claim|Median: $81.92
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$45K

1,989 claims · 0.3%

Your Cost: $22.68/claim|Median: $25.06
0.9× median
H0049Normal range

$43K

6,382 claims · 0.3%

Your Cost: $6.78/claim|Median: $9.27
0.7× median
81002Normal range

Urinalysis, non-automated without microscopy

$38K

15K claims · 0.2%

Your Cost: $2.58/claim|Median: $2.00
1.3× median
99382Normal range

Preventive visit, new patient, early childhood (1-4 yr)

$36K

407 claims · 0.2%

Your Cost: $88.43/claim|Median: $79.89
1.1× median
90461Normal range

Immunization admin, additional vaccine, counseling

$31K

6,041 claims · 0.2%

Your Cost: $5.11/claim|Median: $6.93
0.7× median
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