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Provider 1588847107

NPI: 1588847107Share
Active Billing Period:2018-01→2024-12(80 months)

Total Paid

$8.5M

$8,486,014

Total Claims

396K

Beneficiaries

303K

1.3 claims/patient

Avg Cost/Claim

$21

Monthly Spending Trend

Yearly Spending

2018
$10K
+60%
2019
$16K
+1247%
2020
$221K
+557%
2021
$1.5M
+44%
2022
$2.1M
+11%
2023
$2.3M
+2%
2024
$2.4M

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 33% of total spending.

99213Normal range

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

$2.8M

81K claims · 33.4%

Your Cost: $34.85/claim|Median: $37.81
0.9× median
87811Top 25%

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

$1.4M

36K claims · 16.5%

Your Cost: $38.41/claim|Median: $30.53
1.3× median
87804Normal range

Influenza virus detection, rapid test

$913K

69K claims · 10.8%

Your Cost: $13.33/claim|Median: $12.59
1.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$610K

46K claims · 7.2%

Your Cost: $13.36/claim|Median: $11.48
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$400K

5,550 claims · 4.7%

Your Cost: $71.99/claim|Median: $75.18
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$389K

5,149 claims · 4.6%

Your Cost: $75.64/claim|Median: $74.82
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$306K

3,923 claims · 3.6%

Your Cost: $77.93/claim|Median: $80.15
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$263K

11K claims · 3.1%

Your Cost: $23.04/claim|Median: $25.06
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$225K

3,188 claims · 2.7%

Your Cost: $70.62/claim|Median: $69.35
1.0× median
99214Normal range

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

$113K

2,320 claims · 1.3%

Your Cost: $48.85/claim|Median: $53.41
0.9× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$104K

11K claims · 1.2%

Your Cost: $9.37/claim|Median: $17.85
0.5× median
S8301Top 25%

$87K

4,297 claims · 1.0%

Your Cost: $20.17/claim|Median: $8.32
2.4× median
96110Normal range

Developmental screening, per standardized instrument

$75K

9,498 claims · 0.9%

Your Cost: $7.87/claim|Median: $9.10
0.9× median
31000Normal range

$62K

614 claims · 0.7%

Your Cost: $101.66/claim|Median: $99.30
1.0× median
90471Normal range

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

$53K

4,373 claims · 0.6%

Your Cost: $12.22/claim|Median: $9.80
1.2× median
99381Normal range

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

$51K

721 claims · 0.6%

Your Cost: $71.34/claim|Median: $73.46
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$39K

6,190 claims · 0.5%

Your Cost: $6.33/claim|Median: $4.71
1.3× median
87426Top 10%

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

$39K

891 claims · 0.5%

Your Cost: $43.90/claim|Median: $30.04
1.5× median
99000Top 25%

$39K

4,223 claims · 0.5%

Your Cost: $9.15/claim|Median: $2.30
4.0× median
86580Top 25%

Tuberculosis (TB) skin test

$38K

5,044 claims · 0.4%

Your Cost: $7.51/claim|Median: $4.46
1.7× median
99429Normal range

$37K

1,153 claims · 0.4%

Your Cost: $31.86/claim|Median: $28.58
1.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$36K

2,826 claims · 0.4%

Your Cost: $12.62/claim|Median: $12.93
1.0× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$30K

358 claims · 0.4%

Your Cost: $84.04/claim|Median: $81.92
1.0× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$26K

2,200 claims · 0.3%

Your Cost: $12.01/claim|Median: $10.88
1.1× median
90472Normal range

Immunization administration, each additional vaccine

$26K

2,768 claims · 0.3%

Your Cost: $9.44/claim|Median: $11.79
0.8× median
99382Normal range

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

$25K

291 claims · 0.3%

Your Cost: $85.71/claim|Median: $79.89
1.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$25K

328 claims · 0.3%

Your Cost: $75.68/claim|Median: $72.71
1.0× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$20K

639 claims · 0.2%

Your Cost: $30.64/claim|Median: $28.46
1.1× median
85027Normal range

Complete blood count (CBC), automated

$19K

3,849 claims · 0.2%

Your Cost: $4.87/claim|Median: $3.72
1.3× median
99051Normal range

$19K

4,368 claims · 0.2%

Your Cost: $4.28/claim|Median: $7.89
0.5× median
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