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Provider 1598236408

NPI: 1598236408Share
Active Billing Period:2019-05→2021-12(32 months)
Billing appears to have stoppedLast active: 2021-12

Total Paid

$12.4M

$12,387,015

Total Claims

416K

Beneficiaries

365K

1.1 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2019
$3.4M
+7%
2020
$3.7M
+43%
2021
$5.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 24% of total spending.

99214Normal range

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

$2.9M

42K claims · 23.6%

Your Cost: $69.29/claim|Median: $53.41
1.3× median
99213Normal range

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

$2.5M

49K claims · 20.2%

Your Cost: $50.53/claim|Median: $37.81
1.3× median
S0302Top 25%

$397K

12K claims · 3.2%

Your Cost: $33.50/claim|Median: $9.05
3.7× median
X5622Normal range

$312K

5,135 claims · 2.5%

Your Cost: $60.77/claim|Median: $52.61
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$305K

3,995 claims · 2.5%

Your Cost: $76.40/claim|Median: $75.18
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$276K

4,346 claims · 2.2%

Your Cost: $63.49/claim|Median: $69.35
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$239K

2,428 claims · 1.9%

Your Cost: $98.45/claim|Median: $74.09
1.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$217K

2,907 claims · 1.8%

Your Cost: $74.64/claim|Median: $74.82
1.0× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$212K

6,250 claims · 1.7%

Your Cost: $33.93/claim|Median: $17.85
1.9× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$205K

2,756 claims · 1.7%

Your Cost: $74.40/claim|Median: $47.08
1.6× median
97110Normal range

Therapeutic exercises, each 15 min

$200K

5,866 claims · 1.6%

Your Cost: $34.04/claim|Median: $24.49
1.4× median
99203Normal range

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

$166K

2,521 claims · 1.3%

Your Cost: $65.84/claim|Median: $57.85
1.1× median
90837Normal range

Psychotherapy, 60 minutes

$164K

2,206 claims · 1.3%

Your Cost: $74.25/claim|Median: $85.66
0.9× median
90471Normal range

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

$144K

9,909 claims · 1.2%

Your Cost: $14.54/claim|Median: $9.80
1.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$134K

2,760 claims · 1.1%

Your Cost: $48.53/claim|Median: $39.70
1.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$134K

1,631 claims · 1.1%

Your Cost: $81.95/claim|Median: $80.15
1.0× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$127K

3,910 claims · 1.0%

Your Cost: $32.54/claim|Median: $17.67
1.8× median
99395Normal range

Preventive medicine, established patient, age 18-39

$126K

1,485 claims · 1.0%

Your Cost: $84.55/claim|Median: $72.71
1.2× median
92004Top 25%

Ophthalmological exam, comprehensive, new patient

$123K

1,408 claims · 1.0%

Your Cost: $87.20/claim|Median: $59.72
1.5× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$118K

3,472 claims · 1.0%

Your Cost: $34.05/claim|Median: $28.46
1.2× median
82306Normal range

Vitamin D, 25 hydroxy

$103K

3,904 claims · 0.8%

Your Cost: $26.32/claim|Median: $18.18
1.4× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$98K

3,940 claims · 0.8%

Your Cost: $24.87/claim|Median: $6.93
3.6× median
99204Normal range

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

$90K

895 claims · 0.7%

Your Cost: $100.51/claim|Median: $84.03
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$87K

2,794 claims · 0.7%

Your Cost: $31.27/claim|Median: $25.06
1.2× median
99396Normal range

Preventive medicine, established patient, age 40-64

$82K

919 claims · 0.7%

Your Cost: $89.18/claim|Median: $76.06
1.2× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$81K

1,813 claims · 0.7%

Your Cost: $44.63/claim|Median: $23.99
1.9× median
36415Normal range

Collection of venous blood by venipuncture

$78K

33K claims · 0.6%

Your Cost: $2.35/claim|Median: $1.57
1.5× median
99309Top 5%

Nursing facility care, subsequent, low complexity

$78K

1,033 claims · 0.6%

Your Cost: $75.48/claim|Median: $14.00
5.4× median
80053Normal range

Comprehensive metabolic panel

$73K

9,215 claims · 0.6%

Your Cost: $7.87/claim|Median: $7.24
1.1× median
V2103Normal range

Lens, sphere-cylinder, single vision, plus or minus 4.00

$72K

2,653 claims · 0.6%

Your Cost: $27.30/claim|Median: $18.82
1.5× median
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