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Provider 1588093652

NPI: 1588093652Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.2M

$13,235,530

Total Claims

227K

Beneficiaries

204K

1.1 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$194K
-72%
2019
$55K
+3725%
2020
$2.1M
+18%
2021
$2.5M
+30%
2022
$3.2M
-9%
2023
$2.9M
-18%
2024
$2.4M

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 37% of total spending.

99214Top 10%

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

$4.9M

49K claims · 37.3%

Your Cost: $100.46/claim|Median: $53.41
1.9× median
99213Top 10%

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

$3.6M

46K claims · 27.0%

Your Cost: $78.09/claim|Median: $37.81
2.1× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$857K

8,168 claims · 6.5%

Your Cost: $104.86/claim|Median: $74.82
1.4× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$813K

7,797 claims · 6.1%

Your Cost: $104.32/claim|Median: $75.18
1.4× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$763K

6,698 claims · 5.8%

Your Cost: $113.85/claim|Median: $80.15
1.4× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$569K

6,041 claims · 4.3%

Your Cost: $94.27/claim|Median: $69.35
1.4× median
99212Top 25%

Office/outpatient visit, low complexity

$313K

5,836 claims · 2.4%

Your Cost: $53.60/claim|Median: $25.06
2.1× median
99215Top 25%

Office/outpatient visit, high complexity

$191K

1,400 claims · 1.4%

Your Cost: $136.59/claim|Median: $74.09
1.8× median
90686Top 10%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$158K

7,487 claims · 1.2%

Your Cost: $21.14/claim|Median: $7.18
2.9× median
96110Normal range

Developmental screening, per standardized instrument

$120K

13K claims · 0.9%

Your Cost: $9.18/claim|Median: $9.10
1.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$91K

18K claims · 0.7%

Your Cost: $5.03/claim|Median: $3.67
1.4× median
90670Top 10%

$74K

3,226 claims · 0.6%

Your Cost: $23.02/claim|Median: $5.94
3.9× median
D1206Top 25%

Topical application of fluoride varnish

$63K

2,573 claims · 0.5%

Your Cost: $24.36/claim|Median: $18.12
1.3× median
92551Normal range

Screening audiometry, pure tone, air only

$60K

6,508 claims · 0.5%

Your Cost: $9.16/claim|Median: $6.61
1.4× median
90648Top 5%

$52K

2,427 claims · 0.4%

Your Cost: $21.54/claim|Median: $4.08
5.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$43K

3,597 claims · 0.3%

Your Cost: $11.94/claim|Median: $11.48
1.0× median
90651Top 25%

HPV vaccine, 9-valent

$41K

1,728 claims · 0.3%

Your Cost: $23.68/claim|Median: $8.93
2.7× median
90723Top 10%

DTaP-HepB-IPV vaccine

$37K

1,661 claims · 0.3%

Your Cost: $22.09/claim|Median: $5.78
3.8× median
87804Normal range

Influenza virus detection, rapid test

$33K

2,940 claims · 0.2%

Your Cost: $11.24/claim|Median: $12.59
0.9× median
90734Top 25%

$31K

1,366 claims · 0.2%

Your Cost: $22.84/claim|Median: $6.40
3.6× median
90671Top 25%

$29K

649 claims · 0.2%

Your Cost: $44.53/claim|Median: $8.59
5.2× median
87426Top 25%

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$29K

740 claims · 0.2%

Your Cost: $39.04/claim|Median: $30.04
1.3× median
90697Top 25%

$29K

845 claims · 0.2%

Your Cost: $33.85/claim|Median: $7.24
4.7× median
90710Top 25%

MMRV vaccine

$28K

1,259 claims · 0.2%

Your Cost: $22.63/claim|Median: $7.00
3.2× median
90633Top 5%

$27K

1,246 claims · 0.2%

Your Cost: $22.06/claim|Median: $3.56
6.2× median
90680Top 5%

$27K

1,222 claims · 0.2%

Your Cost: $21.76/claim|Median: $5.58
3.9× median
90677Top 25%

$22K

317 claims · 0.2%

Your Cost: $68.90/claim|Median: $12.96
5.3× median
G2211Top 5%

$19K

1,207 claims · 0.1%

Your Cost: $15.45/claim|Median: $2.40
6.4× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$18K

1,553 claims · 0.1%

Your Cost: $11.84/claim|Median: $9.70
1.2× median
99173Normal range

$17K

6,901 claims · 0.1%

Your Cost: $2.44/claim|Median: $2.16
1.1× median
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