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Provider 1558316109

NPI: 1558316109Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.6M

$17,625,221

Total Claims

645K

Beneficiaries

616K

1.0 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$177K
+26%
2019
$223K
+395%
2020
$1.1M
+295%
2021
$4.4M
-7%
2022
$4.1M
-0%
2023
$4.0M
-9%
2024
$3.7M

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 21% of total spending.

99214Normal range

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

$3.6M

78K claims · 20.6%

Your Cost: $46.33/claim|Median: $53.41
0.9× median
99213Normal range

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

$3.1M

93K claims · 17.8%

Your Cost: $33.61/claim|Median: $37.81
0.9× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$2.9M

26K claims · 16.2%

Your Cost: $108.43/claim|Median: $75.18
1.4× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$2.1M

21K claims · 11.8%

Your Cost: $100.03/claim|Median: $69.35
1.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.5M

23K claims · 8.4%

Your Cost: $63.51/claim|Median: $74.82
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$1.1M

16K claims · 6.0%

Your Cost: $67.95/claim|Median: $80.15
0.8× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$484K

40K claims · 2.7%

Your Cost: $12.22/claim|Median: $17.85
0.7× median
92551Top 10%

Screening audiometry, pure tone, air only

$433K

32K claims · 2.5%

Your Cost: $13.38/claim|Median: $6.61
2.0× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$254K

2,778 claims · 1.4%

Your Cost: $91.46/claim|Median: $72.71
1.3× median
99188Normal range

$198K

11K claims · 1.1%

Your Cost: $18.58/claim|Median: $12.80
1.5× median
87428Top 25%

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

$148K

2,485 claims · 0.8%

Your Cost: $59.55/claim|Median: $39.63
1.5× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$128K

22K claims · 0.7%

Your Cost: $5.77/claim|Median: $7.18
0.8× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$122K

1,789 claims · 0.7%

Your Cost: $68.05/claim|Median: $73.46
0.9× median
90734Top 10%

$103K

3,704 claims · 0.6%

Your Cost: $27.89/claim|Median: $6.40
4.4× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$94K

1,643 claims · 0.5%

Your Cost: $56.97/claim|Median: $76.22
0.7× median
99177Top 25%

$93K

10K claims · 0.5%

Your Cost: $9.24/claim|Median: $3.74
2.5× median
90471Normal range

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

$91K

9,957 claims · 0.5%

Your Cost: $9.16/claim|Median: $9.80
0.9× median
99173Normal range

$79K

32K claims · 0.4%

Your Cost: $2.49/claim|Median: $2.16
1.2× median
96110Normal range

Developmental screening, per standardized instrument

$69K

13K claims · 0.4%

Your Cost: $5.52/claim|Median: $9.10
0.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$68K

7,127 claims · 0.4%

Your Cost: $9.56/claim|Median: $11.48
0.8× median
99204Normal range

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

$66K

874 claims · 0.4%

Your Cost: $76.02/claim|Median: $84.03
0.9× median
90461Normal range

Immunization admin, additional vaccine, counseling

$66K

9,052 claims · 0.4%

Your Cost: $7.31/claim|Median: $6.93
1.1× median
36415Top 25%

Collection of venous blood by venipuncture

$65K

22K claims · 0.4%

Your Cost: $2.95/claim|Median: $1.57
1.9× median
99396Normal range

Preventive medicine, established patient, age 40-64

$63K

1,176 claims · 0.4%

Your Cost: $53.19/claim|Median: $76.06
0.7× median
90651Normal range

HPV vaccine, 9-valent

$57K

6,377 claims · 0.3%

Your Cost: $8.95/claim|Median: $8.93
1.0× median
87426Normal range

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

$57K

2,680 claims · 0.3%

Your Cost: $21.19/claim|Median: $30.04
0.7× median
90670Normal range

$54K

12K claims · 0.3%

Your Cost: $4.49/claim|Median: $5.94
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$53K

2,410 claims · 0.3%

Your Cost: $22.11/claim|Median: $25.06
0.9× median
90715Normal range

Tdap vaccine

$40K

5,363 claims · 0.2%

Your Cost: $7.55/claim|Median: $10.32
0.7× median
90698Normal range

$38K

8,036 claims · 0.2%

Your Cost: $4.70/claim|Median: $6.32
0.7× median
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