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Provider 1528233103

NPI: 1528233103Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.0M

$14,048,685

Total Claims

388K

Beneficiaries

355K

1.1 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+23%
2019
$1.8M
-8%
2020
$1.7M
+25%
2021
$2.1M
+4%
2022
$2.2M
+6%
2023
$2.3M
+5%
2024
$2.4M

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 30% of total spending.

99214Top 25%

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

$4.2M

45K claims · 29.6%

Your Cost: $92.24/claim|Median: $53.41
1.7× median
99213Top 25%

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

$3.1M

54K claims · 22.0%

Your Cost: $57.10/claim|Median: $37.81
1.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.2M

17K claims · 8.8%

Your Cost: $71.31/claim|Median: $69.35
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.2M

17K claims · 8.6%

Your Cost: $69.67/claim|Median: $75.18
0.9× median
90670Top 5%

$543K

12K claims · 3.9%

Your Cost: $45.97/claim|Median: $5.94
7.7× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$477K

33K claims · 3.4%

Your Cost: $14.49/claim|Median: $17.85
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$403K

5,479 claims · 2.9%

Your Cost: $73.55/claim|Median: $74.82
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$317K

27K claims · 2.3%

Your Cost: $11.58/claim|Median: $11.48
1.0× median
90723Top 5%

DTaP-HepB-IPV vaccine

$278K

9,024 claims · 2.0%

Your Cost: $30.85/claim|Median: $5.78
5.3× median
90680Top 5%

$270K

8,506 claims · 1.9%

Your Cost: $31.78/claim|Median: $5.58
5.7× median
90461Normal range

Immunization admin, additional vaccine, counseling

$246K

23K claims · 1.8%

Your Cost: $10.63/claim|Median: $6.93
1.5× median
90648Top 10%

$219K

13K claims · 1.6%

Your Cost: $16.70/claim|Median: $4.08
4.1× median
87804Normal range

Influenza virus detection, rapid test

$208K

14K claims · 1.5%

Your Cost: $14.43/claim|Median: $12.59
1.1× median
90716Top 5%

$168K

2,760 claims · 1.2%

Your Cost: $60.88/claim|Median: $6.18
9.9× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$147K

8,394 claims · 1.0%

Your Cost: $17.48/claim|Median: $7.18
2.4× median
90671Top 25%

$125K

2,203 claims · 0.9%

Your Cost: $56.88/claim|Median: $8.59
6.6× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$122K

15K claims · 0.9%

Your Cost: $8.29/claim|Median: $4.71
1.8× median
90707Top 5%

MMR vaccine

$108K

2,761 claims · 0.8%

Your Cost: $38.99/claim|Median: $5.76
6.8× median
87426Normal range

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

$82K

3,473 claims · 0.6%

Your Cost: $23.58/claim|Median: $30.04
0.8× median
90633Top 5%

$80K

3,545 claims · 0.6%

Your Cost: $22.68/claim|Median: $3.56
6.4× median
90651Top 5%

HPV vaccine, 9-valent

$68K

291 claims · 0.5%

Your Cost: $235.23/claim|Median: $8.93
26.3× median
99177Top 10%

$43K

2,411 claims · 0.3%

Your Cost: $17.68/claim|Median: $3.74
4.7× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$41K

382 claims · 0.3%

Your Cost: $107.25/claim|Median: $80.15
1.3× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$38K

432 claims · 0.3%

Your Cost: $88.28/claim|Median: $100.62
0.9× median
0241UTop 25%

Proprietary lab analysis, genomic sequencing

$33K

248 claims · 0.2%

Your Cost: $134.00/claim|Median: $91.47
1.5× median
87807Normal range

$31K

3,129 claims · 0.2%

Your Cost: $10.02/claim|Median: $10.06
1.0× median
96110Normal range

Developmental screening, per standardized instrument

$30K

3,080 claims · 0.2%

Your Cost: $9.78/claim|Median: $9.10
1.1× median
90734Top 1%

$28K

222 claims · 0.2%

Your Cost: $127.46/claim|Median: $6.40
19.9× median
90661Top 25%

$27K

964 claims · 0.2%

Your Cost: $27.73/claim|Median: $14.37
1.9× median
98966Normal range

$26K

3,161 claims · 0.2%

Your Cost: $8.36/claim|Median: $6.84
1.2× median
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