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Provider 1548849482

NPI: 1548849482Share
Active Billing Period:2021-11→2024-12(38 months)

Total Paid

$14.7M

$14,703,856

Total Claims

250K

Beneficiaries

234K

1.1 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2021
$860K
+433%
2022
$4.6M
+12%
2023
$5.1M
-19%
2024
$4.1M

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

$6.6M

70K claims · 44.9%

Your Cost: $94.76/claim|Median: $53.41
1.8× median
99213Top 25%

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

$1.9M

30K claims · 13.2%

Your Cost: $65.28/claim|Median: $37.81
1.7× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$1.3M

14K claims · 9.0%

Your Cost: $92.39/claim|Median: $69.35
1.3× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$1.1M

12K claims · 7.7%

Your Cost: $98.44/claim|Median: $75.18
1.3× median
90460Top 10%

Immunization administration, first vaccine/toxoid, with counseling

$936K

23K claims · 6.4%

Your Cost: $41.43/claim|Median: $17.85
2.3× median
0241UTop 25%

Proprietary lab analysis, genomic sequencing

$929K

7,128 claims · 6.3%

Your Cost: $130.40/claim|Median: $91.47
1.4× median
87637Top 25%

Respiratory virus detection, 3-5 targets, nucleic acid

$389K

2,761 claims · 2.6%

Your Cost: $141.02/claim|Median: $100.62
1.4× median
G9153Normal range

$331K

7,617 claims · 2.2%

Your Cost: $43.41/claim|Median: $43.70
1.0× median
99215Top 25%

Office/outpatient visit, high complexity

$240K

1,811 claims · 1.6%

Your Cost: $132.77/claim|Median: $74.09
1.8× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$204K

2,137 claims · 1.4%

Your Cost: $95.59/claim|Median: $74.82
1.3× median
99204Top 25%

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

$97K

740 claims · 0.7%

Your Cost: $130.47/claim|Median: $84.03
1.6× median
92587Normal range

$73K

5,307 claims · 0.5%

Your Cost: $13.68/claim|Median: $19.24
0.7× median
99051Normal range

$63K

5,554 claims · 0.4%

Your Cost: $11.34/claim|Median: $7.89
1.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$53K

4,217 claims · 0.4%

Your Cost: $12.65/claim|Median: $11.48
1.1× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$48K

553 claims · 0.3%

Your Cost: $86.02/claim|Median: $62.48
1.4× median
99177Normal range

$40K

9,760 claims · 0.3%

Your Cost: $4.14/claim|Median: $3.74
1.1× median
96110Normal range

Developmental screening, per standardized instrument

$38K

5,469 claims · 0.3%

Your Cost: $7.03/claim|Median: $9.10
0.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$37K

5,508 claims · 0.3%

Your Cost: $6.78/claim|Median: $4.71
1.4× median
99239Top 10%

Hospital discharge day management, more than 30 minutes

$35K

360 claims · 0.2%

Your Cost: $96.46/claim|Median: $43.85
2.2× median
87081Normal range

Culture screening for pathogenic organisms

$22K

3,922 claims · 0.1%

Your Cost: $5.57/claim|Median: $5.09
1.1× median
99188Normal range

$13K

824 claims · 0.1%

Your Cost: $15.70/claim|Median: $12.80
1.2× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$13K

2,176 claims · 0.1%

Your Cost: $5.91/claim|Median: $3.67
1.6× median
36415Normal range

Collection of venous blood by venipuncture

$12K

4,536 claims · 0.1%

Your Cost: $2.61/claim|Median: $1.57
1.7× median
83655Normal range

$10K

896 claims · 0.1%

Your Cost: $11.01/claim|Median: $10.49
1.0× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$9K

86 claims · 0.1%

Your Cost: $106.02/claim|Median: $80.15
1.3× median
0072ANormal range

$7K

195 claims · 0.0%

Your Cost: $37.67/claim|Median: $39.57
1.0× median
81003Top 25%

Urinalysis, automated without microscopy

$7K

3,167 claims · 0.0%

Your Cost: $2.22/claim|Median: $1.48
1.5× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$7K

68 claims · 0.0%

Your Cost: $102.14/claim|Median: $58.16
1.8× median
0071ANormal range

$6K

171 claims · 0.0%

Your Cost: $37.50/claim|Median: $38.71
1.0× median
87811Top 25%

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

$6K

144 claims · 0.0%

Your Cost: $39.03/claim|Median: $30.53
1.3× median
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