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Provider 1568787448

NPI: 1568787448Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.9M

$13,865,368

Total Claims

880K

Beneficiaries

754K

1.2 claims/patient

Avg Cost/Claim

$16

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+8%
2019
$1.7M
-19%
2020
$1.4M
+41%
2021
$2.0M
+9%
2022
$2.2M
+12%
2023
$2.4M
+2%
2024
$2.5M

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 40% of total spending.

99214Normal range

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

$5.5M

153K claims · 39.7%

Your Cost: $35.95/claim|Median: $53.41
0.7× median
99213Normal range

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

$2.4M

88K claims · 17.0%

Your Cost: $26.84/claim|Median: $37.81
0.7× median
97110Normal range

Therapeutic exercises, each 15 min

$512K

24K claims · 3.7%

Your Cost: $21.52/claim|Median: $24.49
0.9× median
84443Normal range

Thyroid stimulating hormone (TSH)

$307K

23K claims · 2.2%

Your Cost: $13.60/claim|Median: $9.87
1.4× median
80061Normal range

Lipid panel

$301K

28K claims · 2.2%

Your Cost: $10.58/claim|Median: $8.41
1.3× median
80053Normal range

Comprehensive metabolic panel

$289K

34K claims · 2.1%

Your Cost: $8.60/claim|Median: $7.24
1.2× median
82306Normal range

Vitamin D, 25 hydroxy

$289K

12K claims · 2.1%

Your Cost: $23.38/claim|Median: $18.18
1.3× median
99203Normal range

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

$281K

6,662 claims · 2.0%

Your Cost: $42.20/claim|Median: $57.85
0.7× median
90834Normal range

Psychotherapy, 45 minutes

$268K

10K claims · 1.9%

Your Cost: $26.30/claim|Median: $63.65
0.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$238K

37K claims · 1.7%

Your Cost: $6.40/claim|Median: $4.71
1.4× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$190K

26K claims · 1.4%

Your Cost: $7.22/claim|Median: $5.50
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$178K

4,232 claims · 1.3%

Your Cost: $42.00/claim|Median: $74.09
0.6× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$174K

14K claims · 1.3%

Your Cost: $12.05/claim|Median: $7.18
1.7× median
80050Normal range

General health panel

$139K

3,929 claims · 1.0%

Your Cost: $35.33/claim|Median: $25.59
1.4× median
80048Normal range

Basic metabolic panel

$133K

18K claims · 1.0%

Your Cost: $7.32/claim|Median: $5.78
1.3× median
85027Normal range

Complete blood count (CBC), automated

$133K

25K claims · 1.0%

Your Cost: $5.41/claim|Median: $3.72
1.5× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$129K

2,025 claims · 0.9%

Your Cost: $63.46/claim|Median: $58.55
1.1× median
97140Normal range

Manual therapy techniques, per 15 minutes

$118K

5,644 claims · 0.9%

Your Cost: $20.93/claim|Median: $16.79
1.2× median
91322Top 25%

$104K

848 claims · 0.8%

Your Cost: $123.21/claim|Median: $76.28
1.6× median
77067Top 25%

Screening mammography, bilateral, including CAD

$104K

1,065 claims · 0.8%

Your Cost: $97.65/claim|Median: $39.33
2.5× median
99204Normal range

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

$90K

1,320 claims · 0.7%

Your Cost: $68.52/claim|Median: $84.03
0.8× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$89K

2,555 claims · 0.6%

Your Cost: $34.75/claim|Median: $36.70
0.9× median
99284Normal range

Emergency dept visit, high complexity

$88K

2,908 claims · 0.6%

Your Cost: $30.27/claim|Median: $69.51
0.4× median
87210Normal range

$81K

17K claims · 0.6%

Your Cost: $4.66/claim|Median: $3.65
1.3× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$79K

2,616 claims · 0.6%

Your Cost: $30.18/claim|Median: $33.72
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$75K

1,356 claims · 0.5%

Your Cost: $55.65/claim|Median: $69.35
0.8× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$71K

5,353 claims · 0.5%

Your Cost: $13.25/claim|Median: $11.48
1.2× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$58K

504 claims · 0.4%

Your Cost: $115.67/claim|Median: $97.61
1.2× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$54K

725 claims · 0.4%

Your Cost: $74.96/claim|Median: $47.65
1.6× median
81001Normal range

Urinalysis, automated, with microscopy

$48K

17K claims · 0.3%

Your Cost: $2.78/claim|Median: $2.03
1.4× median
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