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Provider 1558428953

NPI: 1558428953Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.9M

$10,883,988

Total Claims

217K

Beneficiaries

190K

1.1 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$992K
+37%
2019
$1.4M
+10%
2020
$1.5M
+4%
2021
$1.5M
+28%
2022
$2.0M
-0%
2023
$2.0M
-22%
2024
$1.5M

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 34% of total spending.

99214Top 25%

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

$3.8M

45K claims · 34.5%

Your Cost: $82.71/claim|Median: $53.41
1.5× median
99213Top 25%

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

$3.0M

50K claims · 27.2%

Your Cost: $59.28/claim|Median: $37.81
1.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$671K

9,128 claims · 6.2%

Your Cost: $73.46/claim|Median: $75.18
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$607K

8,385 claims · 5.6%

Your Cost: $72.38/claim|Median: $74.82
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$504K

7,619 claims · 4.6%

Your Cost: $66.20/claim|Median: $69.35
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$485K

6,293 claims · 4.5%

Your Cost: $77.12/claim|Median: $80.15
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$291K

8,292 claims · 2.7%

Your Cost: $35.11/claim|Median: $25.06
1.4× median
90649Top 5%

$249K

3,469 claims · 2.3%

Your Cost: $71.82/claim|Median: $6.42
11.2× median
90670Top 25%

$125K

6,139 claims · 1.1%

Your Cost: $20.38/claim|Median: $5.94
3.4× median
90700Top 25%

$102K

9,401 claims · 0.9%

Your Cost: $10.85/claim|Median: $4.56
2.4× median
99381Normal range

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

$100K

1,685 claims · 0.9%

Your Cost: $59.38/claim|Median: $73.46
0.8× median
90716Top 25%

$95K

4,363 claims · 0.9%

Your Cost: $21.79/claim|Median: $6.18
3.5× median
90713Top 25%

Poliovirus vaccine (IPV)

$94K

7,918 claims · 0.9%

Your Cost: $11.84/claim|Median: $5.41
2.2× median
90677Top 25%

$78K

833 claims · 0.7%

Your Cost: $93.71/claim|Median: $12.96
7.2× median
90680Top 25%

$76K

4,521 claims · 0.7%

Your Cost: $16.81/claim|Median: $5.58
3.0× median
90648Top 25%

$72K

7,014 claims · 0.7%

Your Cost: $10.25/claim|Median: $4.08
2.5× median
90707Top 25%

MMR vaccine

$70K

4,195 claims · 0.6%

Your Cost: $16.60/claim|Median: $5.76
2.9× median
90633Top 25%

$63K

5,149 claims · 0.6%

Your Cost: $12.15/claim|Median: $3.56
3.4× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$62K

835 claims · 0.6%

Your Cost: $74.22/claim|Median: $81.92
0.9× median
90733Top 25%

$57K

1,344 claims · 0.5%

Your Cost: $42.69/claim|Median: $9.55
4.5× median
90744Top 25%

$53K

4,595 claims · 0.5%

Your Cost: $11.45/claim|Median: $5.00
2.3× median
90658Normal range

$49K

4,619 claims · 0.4%

Your Cost: $10.60/claim|Median: $8.96
1.2× median
99203Normal range

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

$46K

650 claims · 0.4%

Your Cost: $71.37/claim|Median: $57.85
1.2× median
90734Top 10%

$40K

1,408 claims · 0.4%

Your Cost: $28.24/claim|Median: $6.40
4.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$30K

3,023 claims · 0.3%

Your Cost: $9.81/claim|Median: $11.48
0.9× median
90715Normal range

Tdap vaccine

$24K

1,910 claims · 0.2%

Your Cost: $12.76/claim|Median: $10.32
1.2× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$23K

2,072 claims · 0.2%

Your Cost: $11.20/claim|Median: $10.88
1.0× median
90621Top 10%

$15K

433 claims · 0.1%

Your Cost: $35.58/claim|Median: $7.66
4.6× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$14K

168 claims · 0.1%

Your Cost: $82.92/claim|Median: $83.63
1.0× median
0071ANormal range

$12K

299 claims · 0.1%

Your Cost: $38.65/claim|Median: $38.71
1.0× median
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