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Provider 1538146717

NPI: 1538146717Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$7.6M

$7,642,177

Total Claims

161K

Beneficiaries

151K

1.1 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$23K
-24%
2019
$18K
+5852%
2020
$1.0M
+15%
2021
$1.2M
+47%
2022
$1.8M
+3%
2023
$1.8M
-5%
2024
$1.7M

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 31% of total spending.

99213Top 10%

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

$2.4M

28K claims · 31.4%

Your Cost: $84.88/claim|Median: $37.81
2.2× median
99214Top 5%

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

$1.5M

12K claims · 19.9%

Your Cost: $123.72/claim|Median: $53.41
2.3× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$773K

7,164 claims · 10.1%

Your Cost: $107.95/claim|Median: $75.18
1.4× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$673K

6,686 claims · 8.8%

Your Cost: $100.72/claim|Median: $69.35
1.5× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$485K

4,503 claims · 6.4%

Your Cost: $107.79/claim|Median: $74.82
1.4× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$271K

2,329 claims · 3.6%

Your Cost: $116.51/claim|Median: $80.15
1.5× median
90686Top 5%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$127K

5,664 claims · 1.7%

Your Cost: $22.41/claim|Median: $7.18
3.1× median
96110Normal range

Developmental screening, per standardized instrument

$122K

12K claims · 1.6%

Your Cost: $10.50/claim|Median: $9.10
1.2× median
90648Top 5%

$115K

5,145 claims · 1.5%

Your Cost: $22.36/claim|Median: $4.08
5.5× median
99381Top 25%

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

$103K

945 claims · 1.3%

Your Cost: $108.65/claim|Median: $73.46
1.5× median
90671Top 25%

$91K

1,761 claims · 1.2%

Your Cost: $51.60/claim|Median: $8.59
6.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$86K

7,144 claims · 1.1%

Your Cost: $12.06/claim|Median: $11.48
1.1× median
90723Top 10%

DTaP-HepB-IPV vaccine

$82K

3,663 claims · 1.1%

Your Cost: $22.47/claim|Median: $5.78
3.9× median
92551Top 25%

Screening audiometry, pure tone, air only

$76K

8,099 claims · 1.0%

Your Cost: $9.40/claim|Median: $6.61
1.4× median
90670Top 10%

$75K

3,289 claims · 1.0%

Your Cost: $22.82/claim|Median: $5.94
3.8× median
87426Top 10%

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

$56K

1,316 claims · 0.7%

Your Cost: $42.47/claim|Median: $30.04
1.4× median
87428Normal range

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

$54K

1,854 claims · 0.7%

Your Cost: $29.33/claim|Median: $39.63
0.7× median
87804Top 25%

Influenza virus detection, rapid test

$51K

2,132 claims · 0.7%

Your Cost: $24.06/claim|Median: $12.59
1.9× median
90633Top 5%

$47K

2,083 claims · 0.6%

Your Cost: $22.58/claim|Median: $3.56
6.3× median
90681Top 5%

$46K

2,052 claims · 0.6%

Your Cost: $22.64/claim|Median: $5.74
3.9× median
D1206Normal range

Topical application of fluoride varnish

$44K

2,476 claims · 0.6%

Your Cost: $17.93/claim|Median: $18.12
1.0× median
G2023Normal range

Specimen collection for COVID-19 testing

$28K

1,668 claims · 0.4%

Your Cost: $16.96/claim|Median: $17.15
1.0× median
90716Top 10%

$23K

990 claims · 0.3%

Your Cost: $22.96/claim|Median: $6.18
3.7× median
90651Top 25%

HPV vaccine, 9-valent

$23K

965 claims · 0.3%

Your Cost: $23.48/claim|Median: $8.93
2.6× median
90734Top 25%

$21K

926 claims · 0.3%

Your Cost: $22.86/claim|Median: $6.40
3.6× median
G2211Top 5%

$21K

1,291 claims · 0.3%

Your Cost: $16.19/claim|Median: $2.40
6.7× median
90700Top 5%

$21K

912 claims · 0.3%

Your Cost: $22.69/claim|Median: $4.56
5.0× median
90707Top 10%

MMR vaccine

$20K

900 claims · 0.3%

Your Cost: $22.71/claim|Median: $5.76
3.9× median
83655Normal range

$20K

1,789 claims · 0.3%

Your Cost: $11.04/claim|Median: $10.49
1.1× median
90710Top 25%

MMRV vaccine

$19K

816 claims · 0.2%

Your Cost: $22.97/claim|Median: $7.00
3.3× median
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