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Provider 1578503124

NPI: 1578503124Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.8M

$8,761,685

Total Claims

367K

Beneficiaries

348K

1.1 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$496K
+229%
2019
$1.6M
-23%
2020
$1.3M
+19%
2021
$1.5M
-14%
2022
$1.3M
+9%
2023
$1.4M
-17%
2024
$1.2M

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 27% of total spending.

99214Normal range

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

$2.3M

34K claims · 26.7%

Your Cost: $69.29/claim|Median: $53.41
1.3× median
99213Normal range

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

$1.1M

23K claims · 13.1%

Your Cost: $50.11/claim|Median: $37.81
1.3× median
S0302Top 10%

$968K

22K claims · 11.1%

Your Cost: $43.29/claim|Median: $9.05
4.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$438K

6,188 claims · 5.0%

Your Cost: $70.75/claim|Median: $75.18
0.9× median
90471Normal range

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

$365K

28K claims · 4.2%

Your Cost: $12.83/claim|Median: $9.80
1.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$364K

6,521 claims · 4.2%

Your Cost: $55.88/claim|Median: $69.35
0.8× median
X5622Normal range

$311K

8,180 claims · 3.5%

Your Cost: $37.99/claim|Median: $52.61
0.7× median
90472Normal range

Immunization administration, each additional vaccine

$247K

14K claims · 2.8%

Your Cost: $17.98/claim|Median: $11.79
1.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$242K

3,421 claims · 2.8%

Your Cost: $70.68/claim|Median: $74.82
0.9× median
36415Top 25%

Collection of venous blood by venipuncture

$139K

36K claims · 1.6%

Your Cost: $3.83/claim|Median: $1.57
2.4× median
99188Normal range

$128K

13K claims · 1.5%

Your Cost: $9.98/claim|Median: $12.80
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$121K

1,170 claims · 1.4%

Your Cost: $103.48/claim|Median: $74.09
1.4× median
90834Normal range

Psychotherapy, 45 minutes

$121K

1,970 claims · 1.4%

Your Cost: $61.41/claim|Median: $63.65
1.0× median
91320Normal range

$106K

1,366 claims · 1.2%

Your Cost: $77.44/claim|Median: $72.65
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$93K

1,239 claims · 1.1%

Your Cost: $75.02/claim|Median: $80.15
0.9× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$91K

11K claims · 1.0%

Your Cost: $8.34/claim|Median: $5.50
1.5× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$85K

4,979 claims · 1.0%

Your Cost: $17.04/claim|Median: $17.67
1.0× median
80061Normal range

Lipid panel

$76K

6,210 claims · 0.9%

Your Cost: $12.27/claim|Median: $8.41
1.5× median
90480Normal range

$68K

2,357 claims · 0.8%

Your Cost: $28.84/claim|Median: $25.29
1.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$64K

12K claims · 0.7%

Your Cost: $5.16/claim|Median: $7.18
0.7× median
92551Normal range

Screening audiometry, pure tone, air only

$62K

9,851 claims · 0.7%

Your Cost: $6.26/claim|Median: $6.61
0.9× median
80053Normal range

Comprehensive metabolic panel

$56K

6,028 claims · 0.6%

Your Cost: $9.35/claim|Median: $7.24
1.3× median
99395Normal range

Preventive medicine, established patient, age 18-39

$53K

638 claims · 0.6%

Your Cost: $83.63/claim|Median: $72.71
1.2× median
84443Normal range

Thyroid stimulating hormone (TSH)

$52K

3,504 claims · 0.6%

Your Cost: $14.79/claim|Median: $9.87
1.5× median
U0003Top 25%

Infectious disease detection (COVID-19)

$46K

600 claims · 0.5%

Your Cost: $76.79/claim|Median: $63.08
1.2× median
96110Normal range

Developmental screening, per standardized instrument

$45K

8,357 claims · 0.5%

Your Cost: $5.35/claim|Median: $9.10
0.6× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$42K

1,400 claims · 0.5%

Your Cost: $30.31/claim|Median: $24.95
1.2× median
82306Top 25%

Vitamin D, 25 hydroxy

$42K

1,588 claims · 0.5%

Your Cost: $26.69/claim|Median: $18.18
1.5× median
90682Normal range

$40K

876 claims · 0.5%

Your Cost: $46.11/claim|Median: $34.72
1.3× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$39K

1,286 claims · 0.4%

Your Cost: $30.42/claim|Median: $23.39
1.3× median
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