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Provider 1558433250

NPI: 1558433250Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.6M

$9,620,488

Total Claims

417K

Beneficiaries

387K

1.1 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$18K
+3%
2019
$18K
+3505%
2020
$663K
+190%
2021
$1.9M
+43%
2022
$2.7M
-21%
2023
$2.2M
-4%
2024
$2.1M

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

$2.4M

68K claims · 24.6%

Your Cost: $34.68/claim|Median: $37.81
0.9× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$1.5M

19K claims · 15.8%

Your Cost: $78.46/claim|Median: $65.64
1.2× median
87635Top 25%

COVID-19 SARS-CoV-2 amplified probe detection

$1.0M

20K claims · 10.4%

Your Cost: $49.81/claim|Median: $39.70
1.3× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$565K

19K claims · 5.9%

Your Cost: $29.10/claim|Median: $28.46
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$485K

5,952 claims · 5.0%

Your Cost: $81.55/claim|Median: $74.82
1.1× median
87634Normal range

$484K

8,332 claims · 5.0%

Your Cost: $58.10/claim|Median: $48.78
1.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$480K

5,529 claims · 5.0%

Your Cost: $86.79/claim|Median: $80.15
1.1× median
99214Normal range

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

$437K

8,968 claims · 4.5%

Your Cost: $48.70/claim|Median: $53.41
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$348K

15K claims · 3.6%

Your Cost: $23.86/claim|Median: $25.06
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$346K

4,459 claims · 3.6%

Your Cost: $77.58/claim|Median: $75.18
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$182K

30K claims · 1.9%

Your Cost: $6.08/claim|Median: $4.71
1.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$154K

2,048 claims · 1.6%

Your Cost: $75.24/claim|Median: $69.35
1.1× median
99000Top 25%

$147K

15K claims · 1.5%

Your Cost: $10.12/claim|Median: $2.30
4.4× median
90471Normal range

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

$137K

13K claims · 1.4%

Your Cost: $10.71/claim|Median: $9.80
1.1× median
90472Normal range

Immunization administration, each additional vaccine

$122K

14K claims · 1.3%

Your Cost: $8.91/claim|Median: $11.79
0.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$75K

6,459 claims · 0.8%

Your Cost: $11.57/claim|Median: $9.56
1.2× median
99050Normal range

$74K

5,024 claims · 0.8%

Your Cost: $14.77/claim|Median: $11.81
1.3× median
99203Normal range

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

$74K

1,309 claims · 0.8%

Your Cost: $56.46/claim|Median: $57.85
1.0× median
80053Normal range

Comprehensive metabolic panel

$63K

8,674 claims · 0.7%

Your Cost: $7.30/claim|Median: $7.24
1.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$61K

784 claims · 0.6%

Your Cost: $77.75/claim|Median: $72.71
1.1× median
87804Normal range

Influenza virus detection, rapid test

$46K

3,383 claims · 0.5%

Your Cost: $13.69/claim|Median: $12.59
1.1× median
80061Normal range

Lipid panel

$44K

4,499 claims · 0.5%

Your Cost: $9.82/claim|Median: $8.41
1.2× median
71046Top 25%

Chest X-ray, 2 views

$44K

1,811 claims · 0.5%

Your Cost: $24.15/claim|Median: $8.92
2.7× median
87811Normal range

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

$42K

1,153 claims · 0.4%

Your Cost: $36.66/claim|Median: $30.53
1.2× median
80050Normal range

General health panel

$27K

897 claims · 0.3%

Your Cost: $30.43/claim|Median: $25.59
1.2× median
96110Normal range

Developmental screening, per standardized instrument

$26K

3,181 claims · 0.3%

Your Cost: $8.32/claim|Median: $9.10
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$24K

1,789 claims · 0.3%

Your Cost: $13.65/claim|Median: $11.48
1.2× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$22K

1,686 claims · 0.2%

Your Cost: $12.97/claim|Median: $10.88
1.2× median
81003Normal range

Urinalysis, automated without microscopy

$19K

11K claims · 0.2%

Your Cost: $1.68/claim|Median: $1.48
1.1× median
92567Normal range

$15K

1,288 claims · 0.2%

Your Cost: $11.85/claim|Median: $11.50
1.0× median
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