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Provider 1578672846

NPI: 1578672846Share
Active Billing Period:2018-01→2024-12(81 months)

Total Paid

$9.7M

$9,676,716

Total Claims

90K

Beneficiaries

81K

1.1 claims/patient

Avg Cost/Claim

$107

Monthly Spending Trend

Yearly Spending

2018
$2.6M
+3%
2019
$2.7M
-74%
2020
$692K
+32%
2021
$913K
+2%
2022
$935K
+0%
2023
$939K
+1%
2024
$946K

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 46% of total spending.

99213Top 1%

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

$4.4M

26K claims · 45.9%

Your Cost: $170.05/claim|Median: $37.81
4.5× median
99214Top 5%

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

$1.0M

6,682 claims · 10.4%

Your Cost: $150.21/claim|Median: $53.41
2.8× median
90471Top 1%

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

$550K

6,677 claims · 5.7%

Your Cost: $82.32/claim|Median: $9.80
8.4× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$317K

1,724 claims · 3.3%

Your Cost: $183.99/claim|Median: $75.18
2.4× median
90686Top 1%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$249K

2,255 claims · 2.6%

Your Cost: $110.22/claim|Median: $7.18
15.4× median
81003Top 1%

Urinalysis, automated without microscopy

$247K

1,460 claims · 2.5%

Your Cost: $168.96/claim|Median: $1.48
114.2× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$232K

1,287 claims · 2.4%

Your Cost: $180.26/claim|Median: $69.35
2.6× median
36415Top 1%

Collection of venous blood by venipuncture

$220K

4,765 claims · 2.3%

Your Cost: $46.17/claim|Median: $1.57
29.4× median
87804Top 1%

Influenza virus detection, rapid test

$212K

1,217 claims · 2.2%

Your Cost: $174.61/claim|Median: $12.59
13.9× median
36416Top 1%

$210K

2,052 claims · 2.2%

Your Cost: $102.51/claim|Median: $1.31
78.3× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$177K

1,790 claims · 1.8%

Your Cost: $98.61/claim|Median: $9.56
10.3× median
87880Top 1%

Streptococcus, Group A, rapid antigen detection

$170K

976 claims · 1.8%

Your Cost: $174.66/claim|Median: $11.48
15.2× median
99212Top 5%

Office/outpatient visit, low complexity

$138K

947 claims · 1.4%

Your Cost: $145.93/claim|Median: $25.06
5.8× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$133K

711 claims · 1.4%

Your Cost: $187.06/claim|Median: $74.82
2.5× median
W0037Normal range

$127K

13K claims · 1.3%

Your Cost: $9.80/claim|Median: $3.00
3.3× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$118K

648 claims · 1.2%

Your Cost: $182.12/claim|Median: $80.15
2.3× median
85025Top 1%

Complete blood count (CBC) with differential, automated

$116K

708 claims · 1.2%

Your Cost: $163.47/claim|Median: $4.71
34.7× median
85018Top 1%

$113K

641 claims · 1.2%

Your Cost: $176.60/claim|Median: $1.71
103.3× median
81025Top 1%

Urine pregnancy test

$94K

542 claims · 1.0%

Your Cost: $173.49/claim|Median: $4.81
36.1× median
83655Top 1%

$90K

504 claims · 0.9%

Your Cost: $178.66/claim|Median: $10.49
17.0× median
80053Top 1%

Comprehensive metabolic panel

$86K

527 claims · 0.9%

Your Cost: $163.47/claim|Median: $7.24
22.6× median
90472Top 25%

Immunization administration, each additional vaccine

$79K

3,601 claims · 0.8%

Your Cost: $21.89/claim|Median: $11.79
1.9× median
99000Top 1%

$67K

402 claims · 0.7%

Your Cost: $167.72/claim|Median: $2.30
72.9× median
99188Top 1%

$65K

541 claims · 0.7%

Your Cost: $120.31/claim|Median: $12.80
9.4× median
90670Top 10%

$57K

1,694 claims · 0.6%

Your Cost: $33.40/claim|Median: $5.94
5.6× median
87807Top 1%

$39K

227 claims · 0.4%

Your Cost: $171.55/claim|Median: $10.06
17.1× median
90474Top 1%

$37K

414 claims · 0.4%

Your Cost: $90.48/claim|Median: $8.42
10.7× median
99203Top 5%

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

$36K

218 claims · 0.4%

Your Cost: $165.53/claim|Median: $57.85
2.9× median
83036Top 1%

Hemoglobin A1c (glycated hemoglobin)

$29K

193 claims · 0.3%

Your Cost: $150.93/claim|Median: $5.50
27.4× median
90832Top 5%

Psychotherapy, 30 minutes

$28K

159 claims · 0.3%

Your Cost: $176.61/claim|Median: $41.28
4.3× median
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