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Provider 1558635235

NPI: 1558635235Share
Active Billing Period:2020-01→2024-12(60 months)

Total Paid

$9.5M

$9,470,604

Total Claims

258K

Beneficiaries

213K

1.2 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2020
$1.4M
+27%
2021
$1.8M
+24%
2022
$2.2M
+1%
2023
$2.3M
-24%
2024
$1.7M

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 30% of total spending.

99213Top 10%

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

$2.9M

37K claims · 30.4%

Your Cost: $78.05/claim|Median: $37.81
2.1× median
99214Top 10%

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

$1.6M

14K claims · 16.9%

Your Cost: $110.68/claim|Median: $53.41
2.1× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$777K

8,524 claims · 8.2%

Your Cost: $91.13/claim|Median: $75.18
1.2× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$774K

8,177 claims · 8.2%

Your Cost: $94.63/claim|Median: $74.82
1.3× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$665K

6,311 claims · 7.0%

Your Cost: $105.33/claim|Median: $80.15
1.3× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$401K

4,661 claims · 4.2%

Your Cost: $85.96/claim|Median: $69.35
1.2× median
99215Top 10%

Office/outpatient visit, high complexity

$398K

2,444 claims · 4.2%

Your Cost: $163.04/claim|Median: $74.09
2.2× median
99212Top 25%

Office/outpatient visit, low complexity

$212K

4,560 claims · 2.2%

Your Cost: $46.58/claim|Median: $25.06
1.9× median
92551Normal range

Screening audiometry, pure tone, air only

$151K

18K claims · 1.6%

Your Cost: $8.46/claim|Median: $6.61
1.3× median
90686Top 10%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$140K

7,332 claims · 1.5%

Your Cost: $19.11/claim|Median: $7.18
2.7× median
96110Normal range

Developmental screening, per standardized instrument

$123K

16K claims · 1.3%

Your Cost: $7.56/claim|Median: $9.10
0.8× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$121K

1,072 claims · 1.3%

Your Cost: $112.69/claim|Median: $72.71
1.5× median
99401Normal range

$77K

15K claims · 0.8%

Your Cost: $5.03/claim|Median: $16.53
0.3× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$75K

10K claims · 0.8%

Your Cost: $7.45/claim|Median: $24.33
0.3× median
90670Top 25%

$71K

3,692 claims · 0.8%

Your Cost: $19.35/claim|Median: $5.94
3.3× median
90651Top 25%

HPV vaccine, 9-valent

$66K

3,018 claims · 0.7%

Your Cost: $21.83/claim|Median: $8.93
2.4× median
90698Top 25%

$61K

3,345 claims · 0.6%

Your Cost: $18.17/claim|Median: $6.32
2.9× median
90633Top 10%

$56K

3,019 claims · 0.6%

Your Cost: $18.70/claim|Median: $3.56
5.3× median
90710Top 25%

MMRV vaccine

$45K

2,351 claims · 0.5%

Your Cost: $19.11/claim|Median: $7.00
2.7× median
99173Normal range

$41K

18K claims · 0.4%

Your Cost: $2.27/claim|Median: $2.16
1.1× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$38K

9,879 claims · 0.4%

Your Cost: $3.87/claim|Median: $3.67
1.1× median
90677Top 25%

$36K

674 claims · 0.4%

Your Cost: $54.01/claim|Median: $12.96
4.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$35K

3,207 claims · 0.4%

Your Cost: $11.02/claim|Median: $11.48
1.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$35K

3,463 claims · 0.4%

Your Cost: $10.07/claim|Median: $17.85
0.6× median
90681Top 10%

$33K

1,755 claims · 0.3%

Your Cost: $18.85/claim|Median: $5.74
3.3× median
90715Normal range

Tdap vaccine

$31K

1,575 claims · 0.3%

Your Cost: $19.57/claim|Median: $10.32
1.9× median
W7000Normal range

$30K

6,799 claims · 0.3%

Your Cost: $4.48/claim|Median: $4.87
0.9× median
90744Top 10%

$30K

1,646 claims · 0.3%

Your Cost: $18.01/claim|Median: $5.00
3.6× median
90734Top 25%

$29K

1,456 claims · 0.3%

Your Cost: $19.89/claim|Median: $6.40
3.1× median
96160Normal range

Patient-focused health risk assessment

$29K

12K claims · 0.3%

Your Cost: $2.37/claim|Median: $2.10
1.1× median
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