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Provider 1528222577

NPI: 1528222577Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$11.1M

$11,061,227

Total Claims

417K

Beneficiaries

360K

1.2 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+30%
2019
$1.4M
+2%
2020
$1.4M
+66%
2021
$2.4M
-4%
2022
$2.3M
-49%
2023
$1.2M
+6%
2024
$1.2M

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 57% of total spending.

99213Top 5%

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

$6.4M

72K claims · 57.5%

Your Cost: $87.97/claim|Median: $37.81
2.3× median
99396Top 10%

Preventive medicine, established patient, age 40-64

$714K

5,575 claims · 6.5%

Your Cost: $128.00/claim|Median: $76.06
1.7× median
99212Top 25%

Office/outpatient visit, low complexity

$648K

12K claims · 5.9%

Your Cost: $54.13/claim|Median: $25.06
2.2× median
90651Top 1%

HPV vaccine, 9-valent

$607K

2,387 claims · 5.5%

Your Cost: $254.09/claim|Median: $8.93
28.5× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$503K

4,230 claims · 4.5%

Your Cost: $118.85/claim|Median: $72.71
1.6× median
99214Top 5%

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

$435K

3,326 claims · 3.9%

Your Cost: $130.90/claim|Median: $53.41
2.5× median
90471Top 25%

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

$214K

12K claims · 1.9%

Your Cost: $17.38/claim|Median: $9.80
1.8× median
90750Top 5%

$149K

753 claims · 1.3%

Your Cost: $197.47/claim|Median: $96.16
2.1× median
90674Top 25%

$126K

4,348 claims · 1.1%

Your Cost: $29.01/claim|Median: $15.16
1.9× median
H0049Normal range

$122K

12K claims · 1.1%

Your Cost: $10.14/claim|Median: $9.27
1.1× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$98K

856 claims · 0.9%

Your Cost: $113.96/claim|Median: $80.15
1.4× median
87428Normal range

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

$75K

1,514 claims · 0.7%

Your Cost: $49.78/claim|Median: $39.63
1.3× median
G0444Normal range

Annual depression screening, fifteen minutes

$72K

13K claims · 0.7%

Your Cost: $5.49/claim|Median: $4.23
1.3× median
G8510Normal range

$71K

12K claims · 0.6%

Your Cost: $5.92/claim|Median: $1.96
3.0× median
83013Top 25%

$70K

1,097 claims · 0.6%

Your Cost: $63.65/claim|Median: $46.17
1.4× median
99442Top 10%

Telephone E/M by physician, 11-20 minutes

$69K

865 claims · 0.6%

Your Cost: $80.29/claim|Median: $22.44
3.6× median
3074FTop 25%

$62K

32K claims · 0.6%

Your Cost: $1.91/claim|Median: $0.11
17.3× median
3078FTop 25%

$59K

31K claims · 0.5%

Your Cost: $1.89/claim|Median: $0.08
23.7× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$57K

2,613 claims · 0.5%

Your Cost: $21.65/claim|Median: $17.85
1.2× median
90472Top 25%

Immunization administration, each additional vaccine

$53K

2,012 claims · 0.5%

Your Cost: $26.41/claim|Median: $11.79
2.2× median
87426Normal range

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

$47K

1,660 claims · 0.4%

Your Cost: $28.39/claim|Median: $30.04
0.9× median
99050Normal range

$44K

13K claims · 0.4%

Your Cost: $3.34/claim|Median: $11.81
0.3× median
90715Top 10%

Tdap vaccine

$38K

1,027 claims · 0.3%

Your Cost: $36.78/claim|Median: $10.32
3.6× median
82274Normal range

$32K

2,261 claims · 0.3%

Your Cost: $14.37/claim|Median: $12.83
1.1× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$32K

2,195 claims · 0.3%

Your Cost: $14.48/claim|Median: $7.18
2.0× median
0011ATop 10%

COVID-19 vaccine admin, Moderna, 1st dose

$26K

628 claims · 0.2%

Your Cost: $41.94/claim|Median: $25.93
1.6× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$26K

615 claims · 0.2%

Your Cost: $42.05/claim|Median: $33.85
1.2× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$26K

2,570 claims · 0.2%

Your Cost: $10.01/claim|Median: $9.70
1.0× median
90688Top 25%

$23K

1,254 claims · 0.2%

Your Cost: $18.22/claim|Median: $9.00
2.0× median
90679Top 10%

$17K

55 claims · 0.2%

Your Cost: $305.40/claim|Median: $46.34
6.6× median
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