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Provider 1578593588

NPI: 1578593588Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$8.0M

$8,032,468

Total Claims

212K

Beneficiaries

199K

1.1 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$851K
+42%
2019
$1.2M
+32%
2020
$1.6M
-2%
2021
$1.6M
-29%
2022
$1.1M
-12%
2023
$985K
-29%
2024
$699K

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 35% of total spending.

99213Top 25%

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

$2.8M

41K claims · 34.8%

Your Cost: $68.84/claim|Median: $37.81
1.8× median
99214Top 25%

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

$1.8M

22K claims · 22.3%

Your Cost: $82.66/claim|Median: $53.41
1.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$716K

10K claims · 8.9%

Your Cost: $70.21/claim|Median: $69.35
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$592K

8,419 claims · 7.4%

Your Cost: $70.35/claim|Median: $75.18
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$486K

7,192 claims · 6.1%

Your Cost: $67.61/claim|Median: $74.82
0.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$332K

4,981 claims · 4.1%

Your Cost: $66.66/claim|Median: $80.15
0.8× median
99173Top 5%

$173K

6,054 claims · 2.2%

Your Cost: $28.58/claim|Median: $2.16
13.2× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$167K

1,619 claims · 2.1%

Your Cost: $103.06/claim|Median: $76.06
1.4× median
99212Top 25%

Office/outpatient visit, low complexity

$150K

2,888 claims · 1.9%

Your Cost: $51.78/claim|Median: $25.06
2.1× median
99000Top 25%

$144K

16K claims · 1.8%

Your Cost: $9.22/claim|Median: $2.30
4.0× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$121K

1,002 claims · 1.5%

Your Cost: $120.84/claim|Median: $72.71
1.7× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$93K

9,024 claims · 1.2%

Your Cost: $10.28/claim|Median: $7.18
1.4× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$72K

15K claims · 0.9%

Your Cost: $4.67/claim|Median: $17.85
0.3× median
90648Top 25%

$36K

3,129 claims · 0.5%

Your Cost: $11.64/claim|Median: $4.08
2.9× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$32K

1,761 claims · 0.4%

Your Cost: $18.41/claim|Median: $23.39
0.8× median
90670Normal range

$29K

2,627 claims · 0.4%

Your Cost: $11.15/claim|Median: $5.94
1.9× median
36416Top 5%

$26K

1,079 claims · 0.3%

Your Cost: $24.17/claim|Median: $1.31
18.4× median
36415Top 25%

Collection of venous blood by venipuncture

$25K

8,871 claims · 0.3%

Your Cost: $2.83/claim|Median: $1.57
1.8× median
80053Normal range

Comprehensive metabolic panel

$25K

2,823 claims · 0.3%

Your Cost: $8.81/claim|Median: $7.24
1.2× median
90723Top 25%

DTaP-HepB-IPV vaccine

$24K

1,842 claims · 0.3%

Your Cost: $13.18/claim|Median: $5.78
2.3× median
90680Top 25%

$23K

1,653 claims · 0.3%

Your Cost: $13.64/claim|Median: $5.58
2.4× median
80061Normal range

Lipid panel

$15K

2,887 claims · 0.2%

Your Cost: $5.08/claim|Median: $8.41
0.6× median
90633Top 10%

$14K

879 claims · 0.2%

Your Cost: $15.74/claim|Median: $3.56
4.4× median
99406Top 5%

$14K

564 claims · 0.2%

Your Cost: $24.02/claim|Median: $6.53
3.7× median
83655Top 10%

$12K

781 claims · 0.1%

Your Cost: $15.03/claim|Median: $10.49
1.4× median
87800Normal range

$12K

497 claims · 0.1%

Your Cost: $23.27/claim|Median: $29.47
0.8× median
90651Normal range

HPV vaccine, 9-valent

$12K

799 claims · 0.1%

Your Cost: $14.42/claim|Median: $8.93
1.6× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$11K

1,247 claims · 0.1%

Your Cost: $8.75/claim|Median: $24.95
0.4× median
85027Normal range

Complete blood count (CBC), automated

$10K

5,172 claims · 0.1%

Your Cost: $1.88/claim|Median: $3.72
0.5× median
90715Top 25%

Tdap vaccine

$9K

422 claims · 0.1%

Your Cost: $21.24/claim|Median: $10.32
2.1× median
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