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Provider 1528435492

NPI: 1528435492Share
Active Billing Period:2018-11→2024-12(74 months)

Total Paid

$7.6M

$7,585,824

Total Claims

154K

Beneficiaries

138K

1.1 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$300
+2913%
2019
$9K
+7019%
2020
$643K
+126%
2021
$1.5M
+10%
2022
$1.6M
+24%
2023
$2.0M
-4%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (S9083 (Global fee, urgent care centers)) accounts for 46% of total spending.

S9083Top 25%

Global fee, urgent care centers

$3.5M

27K claims · 46.4%

Your Cost: $131.15/claim|Median: $103.99
1.3× median
S9088Top 5%

Services provided in an urgent care center

$1.8M

16K claims · 23.7%

Your Cost: $113.13/claim|Median: $28.22
4.0× median
99213Normal range

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

$927K

18K claims · 12.2%

Your Cost: $50.93/claim|Median: $37.81
1.3× median
99214Normal range

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

$718K

16K claims · 9.5%

Your Cost: $44.40/claim|Median: $53.41
0.8× median
99203Normal range

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

$235K

5,065 claims · 3.1%

Your Cost: $46.31/claim|Median: $57.85
0.8× median
99204Normal range

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

$152K

3,656 claims · 2.0%

Your Cost: $41.63/claim|Median: $84.03
0.5× median
87428Normal range

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

$76K

11K claims · 1.0%

Your Cost: $6.95/claim|Median: $39.63
0.2× median
87426Normal range

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

$59K

4,799 claims · 0.8%

Your Cost: $12.20/claim|Median: $30.04
0.4× median
99212Normal range

Office/outpatient visit, low complexity

$44K

2,085 claims · 0.6%

Your Cost: $21.23/claim|Median: $25.06
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$18K

287 claims · 0.2%

Your Cost: $61.52/claim|Median: $74.09
0.8× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$15K

1,163 claims · 0.2%

Your Cost: $12.56/claim|Median: $40.11
0.3× median
86580Top 5%

Tuberculosis (TB) skin test

$5K

219 claims · 0.1%

Your Cost: $21.92/claim|Median: $4.46
4.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$3K

9,080 claims · 0.0%

Your Cost: $0.31/claim|Median: $11.48
0.0× median
71046Normal range

Chest X-ray, 2 views

$2K

3,108 claims · 0.0%

Your Cost: $0.75/claim|Median: $8.92
0.1× median
99058Normal range

$2K

227 claims · 0.0%

Your Cost: $8.50/claim|Median: $15.38
0.6× median
80047Normal range

$1K

3,537 claims · 0.0%

Your Cost: $0.34/claim|Median: $6.12
0.1× median
87804Normal range

Influenza virus detection, rapid test

$1K

3,711 claims · 0.0%

Your Cost: $0.29/claim|Median: $12.59
0.0× median
90471Normal range

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

$968

134 claims · 0.0%

Your Cost: $7.22/claim|Median: $9.80
0.7× median
29125Normal range

$877

12 claims · 0.0%

Your Cost: $73.10/claim|Median: $28.04
2.6× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$779

73 claims · 0.0%

Your Cost: $10.67/claim|Median: $7.18
1.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$730

3,822 claims · 0.0%

Your Cost: $0.19/claim|Median: $4.71
0.0× median
81002Normal range

Urinalysis, non-automated without microscopy

$661

3,191 claims · 0.0%

Your Cost: $0.21/claim|Median: $2.00
0.1× median
J0696Normal range

$467

249 claims · 0.0%

Your Cost: $1.88/claim|Median: $1.34
1.4× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$385

890 claims · 0.0%

Your Cost: $0.43/claim|Median: $9.70
0.0× median
73564Normal range

$369

521 claims · 0.0%

Your Cost: $0.71/claim|Median: $15.00
0.0× median
36415Normal range

Collection of venous blood by venipuncture

$357

4,442 claims · 0.0%

Your Cost: $0.08/claim|Median: $1.57
0.1× median
87210Normal range

$347

2,716 claims · 0.0%

Your Cost: $0.13/claim|Median: $3.65
0.0× median
81000Normal range

Urinalysis with microscopy, non-automated

$333

4,085 claims · 0.0%

Your Cost: $0.08/claim|Median: $2.51
0.0× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$329

240 claims · 0.0%

Your Cost: $1.37/claim|Median: $12.06
0.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$285

1,059 claims · 0.0%

Your Cost: $0.27/claim|Median: $9.56
0.0× median
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