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Provider 1598139883

NPI: 1598139883Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.1M

$13,126,899

Total Claims

406K

Beneficiaries

365K

1.1 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+36%
2019
$1.4M
-3%
2020
$1.4M
+83%
2021
$2.5M
+13%
2022
$2.9M
-13%
2023
$2.5M
-48%
2024
$1.3M

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 21% of total spending.

99213Normal range

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

$2.7M

63K claims · 20.9%

Your Cost: $43.40/claim|Median: $37.81
1.1× median
96110Top 5%

Developmental screening, per standardized instrument

$1.7M

24K claims · 13.1%

Your Cost: $70.26/claim|Median: $9.10
7.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$911K

15K claims · 6.9%

Your Cost: $59.06/claim|Median: $75.18
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$810K

12K claims · 6.2%

Your Cost: $66.42/claim|Median: $69.35
1.0× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$744K

25K claims · 5.7%

Your Cost: $29.98/claim|Median: $12.70
2.4× median
G9920Top 25%

$411K

15K claims · 3.1%

Your Cost: $28.25/claim|Median: $6.56
4.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$411K

6,006 claims · 3.1%

Your Cost: $68.35/claim|Median: $74.82
0.9× median
90670Top 5%

$394K

11K claims · 3.0%

Your Cost: $35.48/claim|Median: $5.94
6.0× median
99214Normal range

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

$353K

6,098 claims · 2.7%

Your Cost: $57.96/claim|Median: $53.41
1.1× median
87811Top 25%

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

$347K

8,611 claims · 2.6%

Your Cost: $40.30/claim|Median: $30.53
1.3× median
99204Top 25%

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

$299K

2,169 claims · 2.3%

Your Cost: $137.90/claim|Median: $84.03
1.6× median
92552Normal range

Pure tone audiometry, air only, each ear

$244K

14K claims · 1.9%

Your Cost: $17.50/claim|Median: $12.63
1.4× median
99211Normal range

Office/outpatient visit, minimal complexity

$231K

14K claims · 1.8%

Your Cost: $16.61/claim|Median: $12.93
1.3× median
99222Normal range

Initial hospital care, per day, moderate complexity

$225K

3,844 claims · 1.7%

Your Cost: $58.65/claim|Median: $51.25
1.1× median
99188Normal range

$192K

10K claims · 1.5%

Your Cost: $18.40/claim|Median: $12.80
1.4× median
87633Top 25%

Respiratory virus detection, 12-25 targets, nucleic acid

$176K

531 claims · 1.3%

Your Cost: $332.18/claim|Median: $169.17
2.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$167K

2,094 claims · 1.3%

Your Cost: $79.86/claim|Median: $80.15
1.0× median
90723Top 25%

DTaP-HepB-IPV vaccine

$163K

9,298 claims · 1.2%

Your Cost: $17.50/claim|Median: $5.78
3.0× median
90716Top 10%

$155K

5,132 claims · 1.2%

Your Cost: $30.25/claim|Median: $6.18
4.9× median
90680Top 25%

$150K

8,617 claims · 1.1%

Your Cost: $17.40/claim|Median: $5.58
3.1× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$143K

4,164 claims · 1.1%

Your Cost: $34.27/claim|Median: $23.99
1.4× median
90648Top 25%

$129K

12K claims · 1.0%

Your Cost: $10.92/claim|Median: $4.08
2.7× median
99212Normal range

Office/outpatient visit, low complexity

$127K

4,947 claims · 1.0%

Your Cost: $25.68/claim|Median: $25.06
1.0× median
90707Top 10%

MMR vaccine

$122K

5,054 claims · 0.9%

Your Cost: $24.12/claim|Median: $5.76
4.2× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$122K

4,179 claims · 0.9%

Your Cost: $29.14/claim|Median: $37.22
0.8× median
83655Normal range

$118K

11K claims · 0.9%

Your Cost: $10.85/claim|Median: $10.49
1.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$112K

9,613 claims · 0.9%

Your Cost: $11.65/claim|Median: $7.18
1.6× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$95K

2,547 claims · 0.7%

Your Cost: $37.40/claim|Median: $62.48
0.6× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$94K

1,220 claims · 0.7%

Your Cost: $76.93/claim|Median: $65.64
1.2× median
90633Top 25%

$86K

5,860 claims · 0.7%

Your Cost: $14.70/claim|Median: $3.56
4.1× median
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