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Provider 1538453923

NPI: 1538453923Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.2M

$12,212,122

Total Claims

230K

Beneficiaries

211K

1.1 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$788K
+11%
2019
$876K
+5%
2020
$916K
+84%
2021
$1.7M
+47%
2022
$2.5M
+18%
2023
$2.9M
-12%
2024
$2.6M

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 45% of total spending.

99214Top 25%

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

$5.5M

60K claims · 45.1%

Your Cost: $91.62/claim|Median: $53.41
1.7× median
99213Top 25%

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

$3.0M

46K claims · 24.2%

Your Cost: $64.04/claim|Median: $37.81
1.7× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$1.0M

19K claims · 8.5%

Your Cost: $55.09/claim|Median: $35.43
1.6× median
U0003Normal range

Infectious disease detection (COVID-19)

$555K

7,556 claims · 4.5%

Your Cost: $73.42/claim|Median: $63.08
1.2× median
99212Top 25%

Office/outpatient visit, low complexity

$260K

6,517 claims · 2.1%

Your Cost: $39.86/claim|Median: $25.06
1.6× median
G0480Top 5%

Drug test, definitive, 1-7 drug classes

$216K

2,127 claims · 1.8%

Your Cost: $101.42/claim|Median: $37.56
2.7× median
99204Top 25%

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

$179K

1,281 claims · 1.5%

Your Cost: $139.98/claim|Median: $84.03
1.7× median
99203Top 25%

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

$174K

1,898 claims · 1.4%

Your Cost: $91.81/claim|Median: $57.85
1.6× median
U0005Top 25%

Infectious disease detection, COVID-19, antigen

$165K

6,962 claims · 1.4%

Your Cost: $23.71/claim|Median: $15.76
1.5× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$157K

7,968 claims · 1.3%

Your Cost: $19.64/claim|Median: $9.56
2.1× median
99211Top 25%

Office/outpatient visit, minimal complexity

$120K

6,095 claims · 1.0%

Your Cost: $19.61/claim|Median: $12.93
1.5× median
80050Normal range

General health panel

$82K

2,644 claims · 0.7%

Your Cost: $31.13/claim|Median: $25.59
1.2× median
36415Top 25%

Collection of venous blood by venipuncture

$44K

11K claims · 0.4%

Your Cost: $3.96/claim|Median: $1.57
2.5× median
80061Normal range

Lipid panel

$44K

3,699 claims · 0.4%

Your Cost: $11.88/claim|Median: $8.41
1.4× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$43K

8,594 claims · 0.4%

Your Cost: $5.01/claim|Median: $3.67
1.4× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$42K

925 claims · 0.3%

Your Cost: $45.48/claim|Median: $54.77
0.8× median
80053Normal range

Comprehensive metabolic panel

$36K

3,817 claims · 0.3%

Your Cost: $9.36/claim|Median: $7.24
1.3× median
99215Top 10%

Office/outpatient visit, high complexity

$31K

197 claims · 0.3%

Your Cost: $155.00/claim|Median: $74.09
2.1× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$30K

468 claims · 0.2%

Your Cost: $64.06/claim|Median: $40.11
1.6× median
85025Normal range

Complete blood count (CBC) with differential, automated

$25K

3,630 claims · 0.2%

Your Cost: $6.90/claim|Median: $4.71
1.5× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$22K

2,506 claims · 0.2%

Your Cost: $8.61/claim|Median: $5.50
1.6× median
99406Top 10%

$22K

1,605 claims · 0.2%

Your Cost: $13.40/claim|Median: $6.53
2.1× median
G0483Top 5%

Drug test, definitive, 22+ drug classes

$20K

93 claims · 0.2%

Your Cost: $219.71/claim|Median: $90.89
2.4× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$20K

213 claims · 0.2%

Your Cost: $93.25/claim|Median: $74.82
1.2× median
90471Top 25%

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

$20K

1,122 claims · 0.2%

Your Cost: $17.68/claim|Median: $9.80
1.8× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$19K

182 claims · 0.2%

Your Cost: $103.90/claim|Median: $72.71
1.4× median
99442Top 10%

Telephone E/M by physician, 11-20 minutes

$19K

262 claims · 0.2%

Your Cost: $71.10/claim|Median: $22.44
3.2× median
82670Top 25%

Estradiol hormone blood level test

$18K

739 claims · 0.2%

Your Cost: $24.98/claim|Median: $19.27
1.3× median
96367Normal range

$17K

834 claims · 0.1%

Your Cost: $20.24/claim|Median: $29.27
0.7× median
87804Top 10%

Influenza virus detection, rapid test

$17K

589 claims · 0.1%

Your Cost: $28.02/claim|Median: $12.59
2.2× median
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