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Provider 1598086878

NPI: 1598086878Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.6M

$7,598,969

Total Claims

190K

Beneficiaries

166K

1.1 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$75K
+588%
2019
$513K
+93%
2020
$987K
+45%
2021
$1.4M
+18%
2022
$1.7M
-13%
2023
$1.5M
-3%
2024
$1.4M

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 69% of total spending.

99213Top 10%

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

$5.2M

67K claims · 68.6%

Your Cost: $77.72/claim|Median: $37.81
2.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$449K

5,780 claims · 5.9%

Your Cost: $77.61/claim|Median: $75.18
1.0× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$359K

8,973 claims · 4.7%

Your Cost: $40.04/claim|Median: $17.85
2.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$326K

4,266 claims · 4.3%

Your Cost: $76.52/claim|Median: $74.82
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$290K

3,885 claims · 3.8%

Your Cost: $74.71/claim|Median: $69.35
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$169K

1,972 claims · 2.2%

Your Cost: $85.62/claim|Median: $80.15
1.1× median
99401Normal range

$155K

7,607 claims · 2.0%

Your Cost: $20.32/claim|Median: $16.53
1.2× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$109K

1,770 claims · 1.4%

Your Cost: $61.54/claim|Median: $22.44
2.7× median
96110Normal range

Developmental screening, per standardized instrument

$89K

13K claims · 1.2%

Your Cost: $7.01/claim|Median: $9.10
0.8× median
99212Top 25%

Office/outpatient visit, low complexity

$77K

1,907 claims · 1.0%

Your Cost: $40.18/claim|Median: $25.06
1.6× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$62K

2,087 claims · 0.8%

Your Cost: $29.54/claim|Median: $6.93
4.3× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$46K

11K claims · 0.6%

Your Cost: $4.00/claim|Median: $12.70
0.3× median
99214Top 10%

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

$42K

404 claims · 0.6%

Your Cost: $104.47/claim|Median: $53.41
2.0× median
99381Normal range

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

$37K

482 claims · 0.5%

Your Cost: $75.80/claim|Median: $73.46
1.0× median
G0270Top 25%

Medical nutrition therapy, reassessment, individual

$33K

4,480 claims · 0.4%

Your Cost: $7.30/claim|Median: $1.61
4.5× median
99383Normal range

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

$29K

402 claims · 0.4%

Your Cost: $72.21/claim|Median: $81.92
0.9× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$16K

174 claims · 0.2%

Your Cost: $91.95/claim|Median: $72.71
1.3× median
S9451Normal range

$12K

4,912 claims · 0.2%

Your Cost: $2.41/claim|Median: $0.35
6.9× median
99203Top 25%

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

$12K

130 claims · 0.2%

Your Cost: $89.07/claim|Median: $57.85
1.5× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$11K

1,078 claims · 0.1%

Your Cost: $10.24/claim|Median: $11.48
0.9× median
99382Normal range

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

$11K

157 claims · 0.1%

Your Cost: $68.59/claim|Median: $79.89
0.9× median
36406Normal range

$10K

1,530 claims · 0.1%

Your Cost: $6.82/claim|Median: $8.67
0.8× median
99211Top 25%

Office/outpatient visit, minimal complexity

$9K

410 claims · 0.1%

Your Cost: $21.64/claim|Median: $12.93
1.7× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$7K

81 claims · 0.1%

Your Cost: $81.90/claim|Median: $83.63
1.0× median
36415Normal range

Collection of venous blood by venipuncture

$6K

7,477 claims · 0.1%

Your Cost: $0.80/claim|Median: $1.57
0.5× median
90670Normal range

$3K

709 claims · 0.0%

Your Cost: $4.92/claim|Median: $5.94
0.8× median
G0444Normal range

Annual depression screening, fifteen minutes

$3K

522 claims · 0.0%

Your Cost: $6.09/claim|Median: $4.23
1.4× median
87804Normal range

Influenza virus detection, rapid test

$2K

145 claims · 0.0%

Your Cost: $17.11/claim|Median: $12.59
1.4× median
90658Top 25%

$2K

139 claims · 0.0%

Your Cost: $16.26/claim|Median: $8.96
1.8× median
0038UTop 25%

$2K

535 claims · 0.0%

Your Cost: $3.41/claim|Median: $0.50
6.8× median
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