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Provider 1578633533

NPI: 1578633533Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.6M

$7,646,262

Total Claims

226K

Beneficiaries

212K

1.1 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$580K
+33%
2019
$773K
+15%
2020
$891K
+34%
2021
$1.2M
+29%
2022
$1.5M
-10%
2023
$1.4M
-7%
2024
$1.3M

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 51% of total spending.

99213Top 5%

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

$3.9M

41K claims · 50.7%

Your Cost: $95.66/claim|Median: $37.81
2.5× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$738K

6,308 claims · 9.7%

Your Cost: $117.05/claim|Median: $80.15
1.5× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$644K

6,036 claims · 8.4%

Your Cost: $106.63/claim|Median: $74.82
1.4× median
99212Top 10%

Office/outpatient visit, low complexity

$414K

6,560 claims · 5.4%

Your Cost: $63.13/claim|Median: $25.06
2.5× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$287K

2,720 claims · 3.8%

Your Cost: $105.66/claim|Median: $75.18
1.4× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$226K

6,868 claims · 3.0%

Your Cost: $32.98/claim|Median: $17.85
1.8× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$211K

1,756 claims · 2.8%

Your Cost: $120.02/claim|Median: $72.71
1.7× median
86580Top 10%

Tuberculosis (TB) skin test

$96K

9,215 claims · 1.3%

Your Cost: $10.44/claim|Median: $4.46
2.3× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$94K

2,111 claims · 1.2%

Your Cost: $44.36/claim|Median: $39.70
1.1× median
90471Top 25%

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

$82K

4,637 claims · 1.1%

Your Cost: $17.72/claim|Median: $9.80
1.8× median
92551Normal range

Screening audiometry, pure tone, air only

$78K

8,753 claims · 1.0%

Your Cost: $8.87/claim|Median: $6.61
1.3× median
99188Normal range

$77K

5,925 claims · 1.0%

Your Cost: $12.95/claim|Median: $12.80
1.0× median
S9449Normal range

$73K

9,798 claims · 0.9%

Your Cost: $7.40/claim|Median: $0.93
8.0× median
S9451Top 25%

$63K

9,597 claims · 0.8%

Your Cost: $6.58/claim|Median: $0.35
18.8× median
G0447Top 10%

$61K

2,456 claims · 0.8%

Your Cost: $24.64/claim|Median: $5.19
4.7× median
G0438Top 5%

Annual wellness visit, first visit

$56K

345 claims · 0.7%

Your Cost: $162.34/claim|Median: $19.28
8.4× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$55K

554 claims · 0.7%

Your Cost: $99.74/claim|Median: $69.35
1.4× median
90620Top 5%

$52K

979 claims · 0.7%

Your Cost: $53.23/claim|Median: $6.49
8.2× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$51K

9,764 claims · 0.7%

Your Cost: $5.20/claim|Median: $12.70
0.4× median
G0444Normal range

Annual depression screening, fifteen minutes

$31K

4,729 claims · 0.4%

Your Cost: $6.48/claim|Median: $4.23
1.5× median
S9452Normal range

$29K

2,962 claims · 0.4%

Your Cost: $9.82/claim|Median: $6.85
1.4× median
87110Top 10%

$29K

1,585 claims · 0.4%

Your Cost: $18.15/claim|Median: $8.42
2.2× median
81000Top 25%

Urinalysis with microscopy, non-automated

$28K

8,072 claims · 0.4%

Your Cost: $3.48/claim|Median: $2.51
1.4× median
90472Top 25%

Immunization administration, each additional vaccine

$26K

1,129 claims · 0.3%

Your Cost: $22.65/claim|Median: $11.79
1.9× median
96110Normal range

Developmental screening, per standardized instrument

$23K

3,080 claims · 0.3%

Your Cost: $7.59/claim|Median: $9.10
0.8× median
H0049Normal range

$17K

1,819 claims · 0.2%

Your Cost: $9.10/claim|Median: $9.27
1.0× median
99204Top 10%

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

$16K

113 claims · 0.2%

Your Cost: $144.87/claim|Median: $84.03
1.7× median
99203Top 10%

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

$16K

141 claims · 0.2%

Your Cost: $111.49/claim|Median: $57.85
1.9× median
36410Normal range

$15K

4,260 claims · 0.2%

Your Cost: $3.52/claim|Median: $5.72
0.6× median
92587Normal range

$15K

673 claims · 0.2%

Your Cost: $22.04/claim|Median: $19.24
1.1× median
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