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Provider 1528157211

NPI: 1528157211Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.9M

$7,875,413

Total Claims

933K

Beneficiaries

793K

1.2 claims/patient

Avg Cost/Claim

$8

Monthly Spending Trend

Yearly Spending

2018
$447K
-1%
2019
$443K
-15%
2020
$375K
+176%
2021
$1.0M
+79%
2022
$1.8M
-2%
2023
$1.8M
+6%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99199 (Unlisted special service, procedure, or report)) accounts for 51% of total spending.

99199Normal range

Unlisted special service, procedure, or report

$4.1M

756K claims · 51.5%

Your Cost: $5.37/claim|Median: $5.39
1.0× median
99213Top 25%

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

$1.3M

23K claims · 15.9%

Your Cost: $54.81/claim|Median: $37.81
1.4× median
99214Top 25%

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

$1.0M

12K claims · 12.9%

Your Cost: $85.11/claim|Median: $53.41
1.6× median
99211Normal range

Office/outpatient visit, minimal complexity

$171K

10K claims · 2.2%

Your Cost: $16.54/claim|Median: $12.93
1.3× median
90471Normal range

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

$156K

13K claims · 2.0%

Your Cost: $12.02/claim|Median: $9.80
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$121K

1,597 claims · 1.5%

Your Cost: $76.08/claim|Median: $75.18
1.0× median
90472Top 25%

Immunization administration, each additional vaccine

$108K

4,437 claims · 1.4%

Your Cost: $24.42/claim|Median: $11.79
2.1× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$86K

965 claims · 1.1%

Your Cost: $89.08/claim|Median: $69.35
1.3× median
90834Normal range

Psychotherapy, 45 minutes

$71K

1,764 claims · 0.9%

Your Cost: $40.32/claim|Median: $63.65
0.6× median
99393Normal range

Preventive medicine, established patient, age 5-11

$54K

650 claims · 0.7%

Your Cost: $83.28/claim|Median: $74.82
1.1× median
99401Normal range

$54K

2,422 claims · 0.7%

Your Cost: $22.18/claim|Median: $16.53
1.3× median
99443Normal range

Telephone E/M by physician, 21-30 min

$51K

1,703 claims · 0.6%

Your Cost: $29.68/claim|Median: $32.55
0.9× median
92587Normal range

$45K

6,666 claims · 0.6%

Your Cost: $6.80/claim|Median: $19.24
0.4× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$37K

1,451 claims · 0.5%

Your Cost: $25.18/claim|Median: $41.92
0.6× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$32K

717 claims · 0.4%

Your Cost: $45.08/claim|Median: $33.72
1.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$32K

3,335 claims · 0.4%

Your Cost: $9.65/claim|Median: $11.48
0.8× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$31K

200 claims · 0.4%

Your Cost: $156.65/claim|Median: $111.09
1.4× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$31K

678 claims · 0.4%

Your Cost: $45.41/claim|Median: $36.70
1.2× median
87428Normal range

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

$30K

568 claims · 0.4%

Your Cost: $52.47/claim|Median: $39.63
1.3× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$29K

3,424 claims · 0.4%

Your Cost: $8.45/claim|Median: $5.50
1.5× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$27K

1,147 claims · 0.3%

Your Cost: $23.73/claim|Median: $57.30
0.4× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$26K

6,111 claims · 0.3%

Your Cost: $4.21/claim|Median: $3.67
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$23K

211 claims · 0.3%

Your Cost: $110.57/claim|Median: $99.21
1.1× median
0071ATop 25%

$17K

367 claims · 0.2%

Your Cost: $47.53/claim|Median: $38.71
1.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$16K

1,573 claims · 0.2%

Your Cost: $10.27/claim|Median: $9.56
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$16K

177 claims · 0.2%

Your Cost: $88.14/claim|Median: $80.15
1.1× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$15K

85 claims · 0.2%

Your Cost: $181.15/claim|Median: $169.17
1.1× median
0072ATop 25%

$14K

284 claims · 0.2%

Your Cost: $50.04/claim|Median: $39.57
1.3× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$13K

5,000 claims · 0.2%

Your Cost: $2.63/claim|Median: $7.18
0.4× median
T1002Normal range

RN services, per 15 minutes

$13K

334 claims · 0.2%

Your Cost: $38.10/claim|Median: $37.42
1.0× median
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