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Provider 1548291222

NPI: 1548291222Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.2M

$12,162,278

Total Claims

501K

Beneficiaries

363K

1.4 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$724K
+45%
2019
$1.0M
+21%
2020
$1.3M
+55%
2021
$2.0M
+26%
2022
$2.5M
+25%
2023
$3.1M
-47%
2024
$1.6M

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 25% of total spending.

99213Normal range

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

$3.1M

63K claims · 25.1%

Your Cost: $48.45/claim|Median: $37.81
1.3× median
99214Normal range

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

$1.8M

28K claims · 15.1%

Your Cost: $66.27/claim|Median: $53.41
1.2× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$1.2M

111K claims · 10.2%

Your Cost: $11.14/claim|Median: $121.16
0.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$547K

6,887 claims · 4.5%

Your Cost: $79.40/claim|Median: $75.18
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$508K

6,928 claims · 4.2%

Your Cost: $73.33/claim|Median: $69.35
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$321K

4,102 claims · 2.6%

Your Cost: $78.27/claim|Median: $74.82
1.0× median
59425Normal range

Antepartum care only, 4-6 visits

$292K

6,283 claims · 2.4%

Your Cost: $46.52/claim|Median: $63.63
0.7× median
90837Normal range

Psychotherapy, 60 minutes

$277K

3,438 claims · 2.3%

Your Cost: $80.44/claim|Median: $85.66
0.9× median
90471Normal range

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

$270K

30K claims · 2.2%

Your Cost: $8.97/claim|Median: $9.80
0.9× median
D1351Normal range

Sealant, per tooth

$257K

16K claims · 2.1%

Your Cost: $15.76/claim|Median: $26.10
0.6× median
D9999Normal range

Unspecified adjunctive procedure, by report

$231K

33K claims · 1.9%

Your Cost: $6.98/claim|Median: $37.60
0.2× median
90472Normal range

Immunization administration, each additional vaccine

$217K

16K claims · 1.8%

Your Cost: $13.90/claim|Median: $11.79
1.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$215K

5,660 claims · 1.8%

Your Cost: $37.90/claim|Median: $39.70
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$167K

6,557 claims · 1.4%

Your Cost: $25.48/claim|Median: $32.07
0.8× median
59426Normal range

Antepartum care only, high risk, additional visits

$165K

2,695 claims · 1.4%

Your Cost: $61.23/claim|Median: $122.30
0.5× median
D7140Normal range

Extraction, erupted tooth or exposed root

$164K

2,776 claims · 1.4%

Your Cost: $59.15/claim|Median: $57.39
1.0× median
92004Top 25%

Ophthalmological exam, comprehensive, new patient

$162K

1,753 claims · 1.3%

Your Cost: $92.50/claim|Median: $59.72
1.5× median
D1206Normal range

Topical application of fluoride varnish

$143K

12K claims · 1.2%

Your Cost: $11.65/claim|Median: $18.12
0.6× median
98941Top 25%

Chiropractic manipulative treatment, 3-4 spinal regions

$141K

4,805 claims · 1.2%

Your Cost: $29.32/claim|Median: $20.83
1.4× median
90834Normal range

Psychotherapy, 45 minutes

$134K

2,738 claims · 1.1%

Your Cost: $48.91/claim|Median: $63.65
0.8× median
D0330Normal range

Panoramic radiographic image

$133K

3,733 claims · 1.1%

Your Cost: $35.62/claim|Median: $37.36
1.0× median
99203Normal range

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

$128K

2,466 claims · 1.1%

Your Cost: $51.87/claim|Median: $57.85
0.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$120K

2,549 claims · 1.0%

Your Cost: $47.21/claim|Median: $71.00
0.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$114K

1,598 claims · 0.9%

Your Cost: $71.37/claim|Median: $80.15
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$94K

4,096 claims · 0.8%

Your Cost: $23.03/claim|Median: $27.07
0.9× median
D0120Normal range

Periodic oral evaluation, established patient

$91K

5,862 claims · 0.7%

Your Cost: $15.48/claim|Median: $24.34
0.6× median
D1110Normal range

Prophylaxis, adult cleaning

$89K

2,740 claims · 0.7%

Your Cost: $32.49/claim|Median: $43.38
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$77K

2,549 claims · 0.6%

Your Cost: $30.11/claim|Median: $25.06
1.2× median
D0274Normal range

Bitewings, four radiographic images

$68K

3,580 claims · 0.6%

Your Cost: $18.95/claim|Median: $22.54
0.8× median
D1120Normal range

Prophylaxis, adult

$67K

3,109 claims · 0.6%

Your Cost: $21.53/claim|Median: $33.86
0.6× median
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