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Provider 1568693554

NPI: 1568693554Share
Active Billing Period:2018-07→2024-12(56 months)

Total Paid

$9.4M

$9,440,890

Total Claims

197K

Beneficiaries

179K

1.1 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$0
2019
$222
+248138%
2020
$552K
+353%
2021
$2.5M
+21%
2022
$3.0M
-21%
2023
$2.4M
-59%
2024
$981K

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.

99213Top 25%

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

$2.4M

39K claims · 24.9%

Your Cost: $60.53/claim|Median: $37.81
1.6× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$1.6M

43K claims · 17.5%

Your Cost: $38.18/claim|Median: $17.85
2.1× median
99214Normal range

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

$1.6M

24K claims · 16.8%

Your Cost: $67.34/claim|Median: $53.41
1.3× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$1.5M

15K claims · 16.1%

Your Cost: $102.67/claim|Median: $75.18
1.4× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.1M

14K claims · 11.9%

Your Cost: $80.97/claim|Median: $69.35
1.2× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$462K

4,735 claims · 4.9%

Your Cost: $97.56/claim|Median: $74.82
1.3× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$328K

14K claims · 3.5%

Your Cost: $23.06/claim|Median: $6.93
3.3× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$185K

1,773 claims · 2.0%

Your Cost: $104.21/claim|Median: $80.15
1.3× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$69K

676 claims · 0.7%

Your Cost: $102.78/claim|Median: $91.47
1.1× median
0240UNormal range

$43K

389 claims · 0.5%

Your Cost: $110.47/claim|Median: $89.76
1.2× median
99188Top 25%

$29K

1,495 claims · 0.3%

Your Cost: $19.64/claim|Median: $12.80
1.5× median
87426Normal range

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

$19K

810 claims · 0.2%

Your Cost: $23.26/claim|Median: $30.04
0.8× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$15K

1,417 claims · 0.2%

Your Cost: $10.63/claim|Median: $11.48
0.9× median
87428Normal range

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

$12K

321 claims · 0.1%

Your Cost: $37.93/claim|Median: $39.63
1.0× median
83655Normal range

$8K

977 claims · 0.1%

Your Cost: $8.30/claim|Median: $10.49
0.8× median
99212Top 25%

Office/outpatient visit, low complexity

$5K

114 claims · 0.1%

Your Cost: $44.17/claim|Median: $25.06
1.8× median
96110Normal range

Developmental screening, per standardized instrument

$5K

1,529 claims · 0.0%

Your Cost: $2.99/claim|Median: $9.10
0.3× median
92552Normal range

Pure tone audiometry, air only, each ear

$4K

304 claims · 0.0%

Your Cost: $14.60/claim|Median: $12.63
1.2× median
87804Normal range

Influenza virus detection, rapid test

$3K

282 claims · 0.0%

Your Cost: $11.28/claim|Median: $12.59
0.9× median
85018Normal range

$3K

1,582 claims · 0.0%

Your Cost: $1.60/claim|Median: $1.71
0.9× median
99203Normal range

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

$2K

87 claims · 0.0%

Your Cost: $23.52/claim|Median: $57.85
0.4× median
99204Normal range

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

$1K

161 claims · 0.0%

Your Cost: $8.89/claim|Median: $84.03
0.1× median
96161Normal range

$1K

803 claims · 0.0%

Your Cost: $1.73/claim|Median: $2.49
0.7× median
99233Normal range

Subsequent hospital care, per day, high complexity

$1K

84 claims · 0.0%

Your Cost: $14.93/claim|Median: $35.30
0.4× median
99381Normal range

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

$1K

20 claims · 0.0%

Your Cost: $61.39/claim|Median: $73.46
0.8× median
H1000Normal range

Prenatal care, at-risk assessment

$1K

20 claims · 0.0%

Your Cost: $57.39/claim|Median: $50.36
1.1× median
90656Normal range

$1K

449 claims · 0.0%

Your Cost: $2.45/claim|Median: $8.67
0.3× median
90670Normal range

$998

4,940 claims · 0.0%

Your Cost: $0.20/claim|Median: $5.94
0.0× median
93010Normal range

Electrocardiogram, interpretation and report only

$927

333 claims · 0.0%

Your Cost: $2.78/claim|Median: $5.60
0.5× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$852

4,801 claims · 0.0%

Your Cost: $0.18/claim|Median: $7.18
0.0× median
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