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Provider 1598766735

NPI: 1598766735Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.2M

$9,234,317

Total Claims

209K

Beneficiaries

195K

1.1 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+6%
2019
$1.2M
-7%
2020
$1.1M
+27%
2021
$1.4M
+20%
2022
$1.7M
-8%
2023
$1.5M
-22%
2024
$1.2M

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 36% of total spending.

99213Top 25%

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

$3.3M

51K claims · 35.8%

Your Cost: $64.20/claim|Median: $37.81
1.7× median
99214Top 25%

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

$1.4M

15K claims · 15.3%

Your Cost: $96.45/claim|Median: $53.41
1.8× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$1.3M

14K claims · 13.7%

Your Cost: $93.30/claim|Median: $69.35
1.3× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$971K

9,788 claims · 10.5%

Your Cost: $99.20/claim|Median: $75.18
1.3× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$327K

3,403 claims · 3.5%

Your Cost: $96.09/claim|Median: $74.82
1.3× median
87502Top 25%

Influenza virus detection, reverse transcription, amplified probe

$270K

2,944 claims · 2.9%

Your Cost: $91.77/claim|Median: $65.64
1.4× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$197K

1,918 claims · 2.1%

Your Cost: $102.68/claim|Median: $80.15
1.3× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$192K

3,938 claims · 2.1%

Your Cost: $48.85/claim|Median: $39.70
1.2× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$173K

10K claims · 1.9%

Your Cost: $17.27/claim|Median: $7.18
2.4× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$137K

4,101 claims · 1.5%

Your Cost: $33.32/claim|Median: $28.46
1.2× median
90648Top 5%

$136K

7,059 claims · 1.5%

Your Cost: $19.28/claim|Median: $4.08
4.7× median
90670Top 25%

$116K

6,002 claims · 1.3%

Your Cost: $19.28/claim|Median: $5.94
3.2× median
90723Top 25%

DTaP-HepB-IPV vaccine

$95K

4,938 claims · 1.0%

Your Cost: $19.25/claim|Median: $5.78
3.3× median
36415Top 25%

Collection of venous blood by venipuncture

$57K

14K claims · 0.6%

Your Cost: $3.98/claim|Median: $1.57
2.5× median
87804Normal range

Influenza virus detection, rapid test

$45K

2,732 claims · 0.5%

Your Cost: $16.41/claim|Median: $12.59
1.3× median
90681Top 10%

$43K

2,210 claims · 0.5%

Your Cost: $19.37/claim|Median: $5.74
3.4× median
87880Top 10%

Streptococcus, Group A, rapid antigen detection

$39K

2,425 claims · 0.4%

Your Cost: $16.21/claim|Median: $11.48
1.4× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$37K

480 claims · 0.4%

Your Cost: $77.68/claim|Median: $58.55
1.3× median
90633Top 10%

$35K

1,849 claims · 0.4%

Your Cost: $19.11/claim|Median: $3.56
5.4× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$33K

426 claims · 0.4%

Your Cost: $76.50/claim|Median: $37.22
2.1× median
90716Top 25%

$30K

1,591 claims · 0.3%

Your Cost: $19.12/claim|Median: $6.18
3.1× median
85027Top 25%

Complete blood count (CBC), automated

$29K

4,689 claims · 0.3%

Your Cost: $6.18/claim|Median: $3.72
1.7× median
90707Top 25%

MMR vaccine

$27K

1,480 claims · 0.3%

Your Cost: $18.47/claim|Median: $5.76
3.2× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$27K

2,954 claims · 0.3%

Your Cost: $9.16/claim|Median: $3.67
2.5× median
99460Top 5%

Initial hospital or birthing center care, newborn, per day

$24K

200 claims · 0.3%

Your Cost: $118.54/claim|Median: $62.48
1.9× median
87430Top 25%

$21K

1,251 claims · 0.2%

Your Cost: $16.44/claim|Median: $9.41
1.7× median
93010Top 25%

Electrocardiogram, interpretation and report only

$16K

1,722 claims · 0.2%

Your Cost: $9.18/claim|Median: $5.60
1.6× median
99212Top 25%

Office/outpatient visit, low complexity

$15K

354 claims · 0.2%

Your Cost: $42.20/claim|Median: $25.06
1.7× median
83655Top 25%

$15K

1,193 claims · 0.2%

Your Cost: $12.35/claim|Median: $10.49
1.2× median
90677Normal range

$12K

1,018 claims · 0.1%

Your Cost: $11.65/claim|Median: $12.96
0.9× median
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