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Provider 1578753075

NPI: 1578753075Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.6M

$11,596,354

Total Claims

582K

Beneficiaries

575K

1.0 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+18%
2019
$1.5M
+15%
2020
$1.7M
+7%
2021
$1.8M
-13%
2022
$1.6M
+14%
2023
$1.8M
+2%
2024
$1.9M

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 25% of total spending.

99213Top 25%

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

$2.9M

44K claims · 25.3%

Your Cost: $67.17/claim|Median: $37.81
1.8× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$1.5M

44K claims · 13.1%

Your Cost: $34.54/claim|Median: $17.85
1.9× median
99212Top 25%

Office/outpatient visit, low complexity

$1.5M

37K claims · 12.7%

Your Cost: $39.50/claim|Median: $25.06
1.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$943K

17K claims · 8.1%

Your Cost: $56.20/claim|Median: $75.18
0.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$934K

18K claims · 8.1%

Your Cost: $52.61/claim|Median: $74.82
0.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$647K

12K claims · 5.6%

Your Cost: $53.72/claim|Median: $69.35
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$641K

11K claims · 5.5%

Your Cost: $56.27/claim|Median: $80.15
0.7× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$562K

16K claims · 4.8%

Your Cost: $35.87/claim|Median: $6.93
5.2× median
G0447Normal range

$264K

32K claims · 2.3%

Your Cost: $8.32/claim|Median: $5.19
1.6× median
92587Normal range

$255K

16K claims · 2.2%

Your Cost: $15.60/claim|Median: $19.24
0.8× median
92551Normal range

Screening audiometry, pure tone, air only

$199K

22K claims · 1.7%

Your Cost: $9.01/claim|Median: $6.61
1.4× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$187K

3,747 claims · 1.6%

Your Cost: $49.99/claim|Median: $22.44
2.2× median
96110Normal range

Developmental screening, per standardized instrument

$184K

25K claims · 1.6%

Your Cost: $7.43/claim|Median: $9.10
0.8× median
99173Top 25%

$176K

29K claims · 1.5%

Your Cost: $6.10/claim|Median: $2.16
2.8× median
99214Top 25%

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

$169K

1,731 claims · 1.5%

Your Cost: $97.81/claim|Median: $53.41
1.8× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$70K

1,107 claims · 0.6%

Your Cost: $63.29/claim|Median: $73.46
0.9× median
99211Normal range

Office/outpatient visit, minimal complexity

$61K

3,879 claims · 0.5%

Your Cost: $15.65/claim|Median: $12.93
1.2× median
81000Top 25%

Urinalysis with microscopy, non-automated

$58K

17K claims · 0.5%

Your Cost: $3.40/claim|Median: $2.51
1.4× median
G8510Normal range

$51K

12K claims · 0.4%

Your Cost: $4.34/claim|Median: $1.96
2.2× median
81003Top 25%

Urinalysis, automated without microscopy

$31K

14K claims · 0.3%

Your Cost: $2.16/claim|Median: $1.48
1.5× median
83655Normal range

$28K

2,481 claims · 0.2%

Your Cost: $11.25/claim|Median: $10.49
1.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$26K

2,313 claims · 0.2%

Your Cost: $11.06/claim|Median: $11.48
1.0× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$23K

33K claims · 0.2%

Your Cost: $0.70/claim|Median: $12.70
0.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$19K

3,404 claims · 0.2%

Your Cost: $5.46/claim|Median: $4.71
1.2× median
0072ANormal range

$17K

460 claims · 0.1%

Your Cost: $37.74/claim|Median: $39.57
1.0× median
87804Normal range

Influenza virus detection, rapid test

$17K

1,158 claims · 0.1%

Your Cost: $14.53/claim|Median: $12.59
1.2× median
0071ANormal range

$16K

438 claims · 0.1%

Your Cost: $36.35/claim|Median: $38.71
0.9× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$15K

11K claims · 0.1%

Your Cost: $1.33/claim|Median: $3.67
0.4× median
99051Normal range

$12K

8,453 claims · 0.1%

Your Cost: $1.36/claim|Median: $7.89
0.2× median
99395Normal range

Preventive medicine, established patient, age 18-39

$9K

176 claims · 0.1%

Your Cost: $52.25/claim|Median: $72.71
0.7× median
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