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Provider 1568465466

NPI: 1568465466Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.7M

$8,714,847

Total Claims

400K

Beneficiaries

383K

1.0 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$159K
+273%
2019
$595K
+30%
2020
$775K
+40%
2021
$1.1M
+39%
2022
$1.5M
+32%
2023
$2.0M
+32%
2024
$2.6M

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 24% of total spending.

99214Normal range

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

$2.1M

95K claims · 24.2%

Your Cost: $22.32/claim|Median: $53.41
0.4× median
99203Normal range

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

$1.7M

24K claims · 19.5%

Your Cost: $71.67/claim|Median: $57.85
1.2× median
99213Normal range

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

$1.1M

63K claims · 12.6%

Your Cost: $17.45/claim|Median: $37.81
0.5× median
87428Top 25%

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

$751K

12K claims · 8.6%

Your Cost: $60.13/claim|Median: $39.63
1.5× median
99204Normal range

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

$549K

5,220 claims · 6.3%

Your Cost: $105.11/claim|Median: $84.03
1.3× median
G0442Top 5%

$454K

19K claims · 5.2%

Your Cost: $24.29/claim|Median: $4.91
4.9× median
G9920Top 1%

$454K

11K claims · 5.2%

Your Cost: $43.05/claim|Median: $6.56
6.6× median
U0002Top 25%

COVID-19 lab test, non-CDC, nucleic acid

$339K

6,733 claims · 3.9%

Your Cost: $50.42/claim|Median: $34.62
1.5× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$206K

4,604 claims · 2.4%

Your Cost: $44.76/claim|Median: $40.11
1.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$149K

1,181 claims · 1.7%

Your Cost: $126.17/claim|Median: $111.09
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$96K

981 claims · 1.1%

Your Cost: $97.94/claim|Median: $74.09
1.3× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$84K

821 claims · 1.0%

Your Cost: $102.91/claim|Median: $108.91
0.9× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$67K

1,520 claims · 0.8%

Your Cost: $44.08/claim|Median: $38.83
1.1× median
90674Top 5%

$60K

1,696 claims · 0.7%

Your Cost: $35.45/claim|Median: $15.16
2.3× median
G9919Top 1%

$59K

1,377 claims · 0.7%

Your Cost: $42.69/claim|Median: $8.66
4.9× median
90836Top 25%

Psychotherapy, 45 min, add-on to E/M

$38K

465 claims · 0.4%

Your Cost: $82.37/claim|Median: $56.18
1.5× median
0011ATop 25%

COVID-19 vaccine admin, Moderna, 1st dose

$36K

936 claims · 0.4%

Your Cost: $38.66/claim|Median: $25.93
1.5× median
90750Top 5%

$36K

184 claims · 0.4%

Your Cost: $193.30/claim|Median: $96.16
2.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$35K

5,054 claims · 0.4%

Your Cost: $6.85/claim|Median: $11.48
0.6× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$34K

857 claims · 0.4%

Your Cost: $39.99/claim|Median: $33.85
1.2× median
86580Normal range

Tuberculosis (TB) skin test

$30K

8,729 claims · 0.3%

Your Cost: $3.39/claim|Median: $4.46
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$29K

2,299 claims · 0.3%

Your Cost: $12.52/claim|Median: $25.06
0.5× median
90715Top 5%

Tdap vaccine

$28K

709 claims · 0.3%

Your Cost: $39.20/claim|Median: $10.32
3.8× median
81003Normal range

Urinalysis, automated without microscopy

$27K

14K claims · 0.3%

Your Cost: $1.93/claim|Median: $1.48
1.3× median
90661Top 10%

$26K

791 claims · 0.3%

Your Cost: $32.95/claim|Median: $14.37
2.3× median
87811Top 10%

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

$25K

598 claims · 0.3%

Your Cost: $41.17/claim|Median: $30.53
1.3× median
87804Normal range

Influenza virus detection, rapid test

$23K

2,784 claims · 0.3%

Your Cost: $8.29/claim|Median: $12.59
0.7× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$21K

2,490 claims · 0.2%

Your Cost: $8.44/claim|Median: $5.50
1.5× median
0064ANormal range

$21K

515 claims · 0.2%

Your Cost: $39.98/claim|Median: $34.17
1.2× median
99211Normal range

Office/outpatient visit, minimal complexity

$15K

1,497 claims · 0.2%

Your Cost: $9.92/claim|Median: $12.93
0.8× median
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