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Provider 1598144768

NPI: 1598144768Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.6M

$11,573,131

Total Claims

500K

Beneficiaries

431K

1.2 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$80K
+38%
2019
$110K
+341%
2020
$487K
+406%
2021
$2.5M
+11%
2022
$2.7M
+10%
2023
$3.0M
-10%
2024
$2.7M

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 26% of total spending.

99213Normal range

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

$3.1M

90K claims · 26.5%

Your Cost: $34.11/claim|Median: $37.81
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.3M

16K claims · 11.0%

Your Cost: $78.37/claim|Median: $74.82
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.2M

16K claims · 10.4%

Your Cost: $73.80/claim|Median: $75.18
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$1.1M

13K claims · 9.3%

Your Cost: $84.72/claim|Median: $80.15
1.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$830K

80K claims · 7.2%

Your Cost: $10.32/claim|Median: $17.85
0.6× median
99214Normal range

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

$734K

15K claims · 6.3%

Your Cost: $48.72/claim|Median: $53.41
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$716K

10K claims · 6.2%

Your Cost: $71.33/claim|Median: $69.35
1.0× median
99429Normal range

$504K

16K claims · 4.4%

Your Cost: $31.34/claim|Median: $28.58
1.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$339K

25K claims · 2.9%

Your Cost: $13.50/claim|Median: $11.48
1.2× median
96110Normal range

Developmental screening, per standardized instrument

$233K

30K claims · 2.0%

Your Cost: $7.82/claim|Median: $9.10
0.9× median
87426Top 25%

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

$211K

5,044 claims · 1.8%

Your Cost: $41.92/claim|Median: $30.04
1.4× median
99212Normal range

Office/outpatient visit, low complexity

$161K

6,881 claims · 1.4%

Your Cost: $23.46/claim|Median: $25.06
0.9× median
87804Normal range

Influenza virus detection, rapid test

$157K

12K claims · 1.4%

Your Cost: $13.45/claim|Median: $12.59
1.1× median
99050Normal range

$135K

10K claims · 1.2%

Your Cost: $13.11/claim|Median: $11.81
1.1× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$124K

4,338 claims · 1.1%

Your Cost: $28.61/claim|Median: $28.46
1.0× median
99383Normal range

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

$111K

1,331 claims · 1.0%

Your Cost: $83.55/claim|Median: $81.92
1.0× median
90461Normal range

Immunization admin, additional vaccine, counseling

$89K

19K claims · 0.8%

Your Cost: $4.71/claim|Median: $6.93
0.7× median
99381Normal range

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

$84K

1,197 claims · 0.7%

Your Cost: $69.87/claim|Median: $73.46
1.0× median
99384Normal range

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

$69K

759 claims · 0.6%

Your Cost: $91.05/claim|Median: $83.63
1.1× median
83655Normal range

$68K

6,711 claims · 0.6%

Your Cost: $10.12/claim|Median: $10.49
1.0× median
99382Normal range

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

$56K

667 claims · 0.5%

Your Cost: $84.03/claim|Median: $79.89
1.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$36K

439 claims · 0.3%

Your Cost: $83.09/claim|Median: $72.71
1.1× median
96160Normal range

Patient-focused health risk assessment

$32K

16K claims · 0.3%

Your Cost: $2.04/claim|Median: $2.10
1.0× median
99000Top 25%

$30K

3,262 claims · 0.3%

Your Cost: $9.07/claim|Median: $2.30
3.9× median
99203Normal range

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

$28K

506 claims · 0.2%

Your Cost: $55.52/claim|Median: $57.85
1.0× median
G8510Top 25%

$23K

2,413 claims · 0.2%

Your Cost: $9.71/claim|Median: $1.96
5.0× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$21K

290 claims · 0.2%

Your Cost: $71.20/claim|Median: $62.48
1.1× median
0071ANormal range

$18K

482 claims · 0.2%

Your Cost: $38.10/claim|Median: $38.71
1.0× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$17K

448 claims · 0.1%

Your Cost: $36.94/claim|Median: $33.72
1.1× median
87807Normal range

$15K

1,391 claims · 0.1%

Your Cost: $10.54/claim|Median: $10.06
1.0× median
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