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Provider 1548507080

NPI: 1548507080Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.4M

$8,395,326

Total Claims

180K

Beneficiaries

146K

1.2 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+16%
2019
$1.4M
-35%
2020
$893K
+28%
2021
$1.1M
+15%
2022
$1.3M
+11%
2023
$1.5M
-30%
2024
$1.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (99205 (Office/outpatient visit, new patient, high complexity)) accounts for 32% of total spending.

99205Normal range

Office/outpatient visit, new patient, high complexity

$2.7M

26K claims · 32.3%

Your Cost: $106.06/claim|Median: $111.09
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$2.4M

28K claims · 29.1%

Your Cost: $88.17/claim|Median: $74.09
1.2× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$1.3M

34K claims · 15.1%

Your Cost: $37.43/claim|Median: $23.39
1.6× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$1.3M

34K claims · 15.1%

Your Cost: $37.27/claim|Median: $24.95
1.5× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$357K

16K claims · 4.2%

Your Cost: $22.71/claim|Median: $18.03
1.3× median
86592Top 25%

$83K

20K claims · 1.0%

Your Cost: $4.19/claim|Median: $3.35
1.3× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$79K

3,261 claims · 0.9%

Your Cost: $24.12/claim|Median: $21.08
1.1× median
86803Normal range

Hepatitis C antibody

$55K

4,143 claims · 0.7%

Your Cost: $13.31/claim|Median: $10.17
1.3× median
86703Top 25%

$51K

3,383 claims · 0.6%

Your Cost: $15.17/claim|Median: $10.37
1.5× median
86780Top 25%

$35K

2,241 claims · 0.4%

Your Cost: $15.70/claim|Median: $9.83
1.6× median
87210Normal range

$33K

7,030 claims · 0.4%

Your Cost: $4.68/claim|Median: $3.65
1.3× median
86593Top 10%

$10K

1,954 claims · 0.1%

Your Cost: $4.92/claim|Median: $2.84
1.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$546

220 claims · 0.0%

Your Cost: $2.48/claim|Median: $12.93
0.2× median
81025Normal range

Urine pregnancy test

$289

84 claims · 0.0%

Your Cost: $3.44/claim|Median: $4.81
0.7× median
J0696Normal range

$58

526 claims · 0.0%

Your Cost: $0.11/claim|Median: $1.34
0.1× median
J0561Normal range

$44

308 claims · 0.0%

Your Cost: $0.14/claim|Median: $96.49
0.0× median
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