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Provider 1588635171

NPI: 1588635171Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.5M

$8,467,544

Total Claims

164K

Beneficiaries

159K

1.0 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018
$240K
+171%
2019
$649K
+9%
2020
$708K
+34%
2021
$950K
+79%
2022
$1.7M
+18%
2023
$2.0M
+11%
2024
$2.2M

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 49% of total spending.

99213Top 10%

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

$4.2M

54K claims · 49.2%

Your Cost: $77.42/claim|Median: $37.81
2.0× median
90460Top 5%

Immunization administration, first vaccine/toxoid, with counseling

$2.0M

40K claims · 23.4%

Your Cost: $49.93/claim|Median: $17.85
2.8× median
99214Top 10%

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

$1.2M

11K claims · 14.6%

Your Cost: $112.42/claim|Median: $53.41
2.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$309K

5,228 claims · 3.7%

Your Cost: $59.12/claim|Median: $75.18
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$220K

3,927 claims · 2.6%

Your Cost: $55.90/claim|Median: $69.35
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$109K

1,871 claims · 1.3%

Your Cost: $58.27/claim|Median: $74.82
0.8× median
90677Top 10%

$71K

373 claims · 0.8%

Your Cost: $189.23/claim|Median: $12.96
14.6× median
92587Normal range

$63K

3,096 claims · 0.7%

Your Cost: $20.30/claim|Median: $19.24
1.1× median
99072Top 25%

$30K

5,689 claims · 0.4%

Your Cost: $5.33/claim|Median: $0.54
9.9× median
90697Top 5%

$25K

229 claims · 0.3%

Your Cost: $110.81/claim|Median: $7.24
15.3× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$24K

690 claims · 0.3%

Your Cost: $34.45/claim|Median: $30.53
1.1× median
99203Normal range

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

$22K

304 claims · 0.3%

Your Cost: $70.73/claim|Median: $57.85
1.2× median
99215Top 10%

Office/outpatient visit, high complexity

$20K

131 claims · 0.2%

Your Cost: $151.54/claim|Median: $74.09
2.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$19K

283 claims · 0.2%

Your Cost: $67.99/claim|Median: $80.15
0.8× median
91321Top 5%

$19K

157 claims · 0.2%

Your Cost: $120.47/claim|Median: $16.72
7.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$12K

951 claims · 0.1%

Your Cost: $13.09/claim|Median: $11.48
1.1× median
99212Top 25%

Office/outpatient visit, low complexity

$12K

318 claims · 0.1%

Your Cost: $38.13/claim|Median: $25.06
1.5× median
99381Normal range

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

$12K

316 claims · 0.1%

Your Cost: $36.84/claim|Median: $73.46
0.5× median
83655Normal range

$10K

895 claims · 0.1%

Your Cost: $11.37/claim|Median: $10.49
1.1× median
90671Top 5%

$9K

41 claims · 0.1%

Your Cost: $220.39/claim|Median: $8.59
25.7× median
90670Normal range

$9K

1,014 claims · 0.1%

Your Cost: $8.87/claim|Median: $5.94
1.5× median
99173Normal range

$9K

3,635 claims · 0.1%

Your Cost: $2.44/claim|Median: $2.16
1.1× median
0072ANormal range

$8K

201 claims · 0.1%

Your Cost: $39.66/claim|Median: $39.57
1.0× median
0071ANormal range

$8K

194 claims · 0.1%

Your Cost: $39.61/claim|Median: $38.71
1.0× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$7K

126 claims · 0.1%

Your Cost: $57.36/claim|Median: $40.11
1.4× median
90480Top 25%

$7K

179 claims · 0.1%

Your Cost: $38.53/claim|Median: $25.29
1.5× median
99050Normal range

$7K

1,695 claims · 0.1%

Your Cost: $4.05/claim|Median: $11.81
0.3× median
87804Normal range

Influenza virus detection, rapid test

$5K

377 claims · 0.1%

Your Cost: $14.55/claim|Median: $12.59
1.2× median
99382Normal range

Preventive visit, new patient, early childhood (1-4 yr)

$5K

73 claims · 0.1%

Your Cost: $65.73/claim|Median: $79.89
0.8× median
90461Normal range

Immunization admin, additional vaccine, counseling

$4K

240 claims · 0.1%

Your Cost: $18.67/claim|Median: $6.93
2.7× median
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