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Provider 1538466107

NPI: 1538466107Share
Active Billing Period:2018-02→2024-12(83 months)

Total Paid

$9.5M

$9,478,827

Total Claims

160K

Beneficiaries

148K

1.1 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$580K
-8%
2019
$533K
+14%
2020
$609K
+67%
2021
$1.0M
+70%
2022
$1.7M
+55%
2023
$2.7M
-13%
2024
$2.3M

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 50% of total spending.

99214Normal range

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

$4.7M

70K claims · 49.7%

Your Cost: $67.00/claim|Median: $53.41
1.3× median
99204Normal range

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

$3.3M

43K claims · 34.6%

Your Cost: $75.46/claim|Median: $84.03
0.9× median
99213Top 25%

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

$496K

7,422 claims · 5.2%

Your Cost: $66.79/claim|Median: $37.81
1.8× median
99203Normal range

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

$297K

4,123 claims · 3.1%

Your Cost: $72.15/claim|Median: $57.85
1.2× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$195K

5,797 claims · 2.1%

Your Cost: $33.58/claim|Median: $30.53
1.1× median
99070Top 25%

$158K

4,754 claims · 1.7%

Your Cost: $33.18/claim|Median: $8.08
4.1× median
99211Top 5%

Office/outpatient visit, minimal complexity

$121K

1,502 claims · 1.3%

Your Cost: $80.77/claim|Median: $12.93
6.2× median
S9088Top 5%

Services provided in an urgent care center

$90K

909 claims · 1.0%

Your Cost: $99.13/claim|Median: $28.22
3.5× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$27K

2,077 claims · 0.3%

Your Cost: $13.17/claim|Median: $9.56
1.4× median
87804Normal range

Influenza virus detection, rapid test

$27K

5,844 claims · 0.3%

Your Cost: $4.62/claim|Median: $12.59
0.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$18K

4,810 claims · 0.2%

Your Cost: $3.68/claim|Median: $11.48
0.3× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$7K

178 claims · 0.1%

Your Cost: $39.89/claim|Median: $36.70
1.1× median
87426Normal range

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

$5K

203 claims · 0.1%

Your Cost: $26.97/claim|Median: $30.04
0.9× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$5K

138 claims · 0.1%

Your Cost: $39.43/claim|Median: $33.72
1.2× median
71046Top 25%

Chest X-ray, 2 views

$5K

262 claims · 0.0%

Your Cost: $17.80/claim|Median: $8.92
2.0× median
99212Top 5%

Office/outpatient visit, low complexity

$4K

43 claims · 0.0%

Your Cost: $99.07/claim|Median: $25.06
4.0× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$4K

44 claims · 0.0%

Your Cost: $84.15/claim|Median: $40.11
2.1× median
0004ANormal range

$4K

89 claims · 0.0%

Your Cost: $39.55/claim|Median: $35.62
1.1× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$3K

76 claims · 0.0%

Your Cost: $39.74/claim|Median: $33.85
1.2× median
0064ANormal range

$3K

74 claims · 0.0%

Your Cost: $39.39/claim|Median: $34.17
1.2× median
81025Normal range

Urine pregnancy test

$2K

1,288 claims · 0.0%

Your Cost: $1.60/claim|Median: $4.81
0.3× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$2K

55 claims · 0.0%

Your Cost: $33.44/claim|Median: $25.93
1.3× median
81003Normal range

Urinalysis, automated without microscopy

$2K

2,590 claims · 0.0%

Your Cost: $0.68/claim|Median: $1.48
0.5× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$2K

15 claims · 0.0%

Your Cost: $104.60/claim|Median: $97.61
1.1× median
81002Normal range

Urinalysis, non-automated without microscopy

$1K

1,115 claims · 0.0%

Your Cost: $1.23/claim|Median: $2.00
0.6× median
99215Normal range

Office/outpatient visit, high complexity

$1K

14 claims · 0.0%

Your Cost: $89.50/claim|Median: $74.09
1.2× median
99072Normal range

$1K

983 claims · 0.0%

Your Cost: $1.15/claim|Median: $0.54
2.1× median
J1885Top 25%

Injection, ketorolac tromethamine, fifteen milligrams

$1K

203 claims · 0.0%

Your Cost: $4.94/claim|Median: $0.91
5.4× median
99000Normal range

$958

1,414 claims · 0.0%

Your Cost: $0.68/claim|Median: $2.30
0.3× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$873

179 claims · 0.0%

Your Cost: $4.88/claim|Median: $10.88
0.4× median
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