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Provider 1598953721

NPI: 1598953721Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.3M

$13,252,083

Total Claims

192K

Beneficiaries

167K

1.2 claims/patient

Avg Cost/Claim

$69

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+30%
2019
$1.7M
-1%
2020
$1.7M
+55%
2021
$2.6M
-10%
2022
$2.3M
-8%
2023
$2.1M
-23%
2024
$1.6M

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 51% of total spending.

99213Top 5%

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

$6.8M

73K claims · 51.5%

Your Cost: $93.36/claim|Median: $37.81
2.5× median
99214Top 5%

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

$3.8M

29K claims · 28.6%

Your Cost: $132.68/claim|Median: $53.41
2.5× median
99396Top 10%

Preventive medicine, established patient, age 40-64

$827K

6,739 claims · 6.2%

Your Cost: $122.76/claim|Median: $76.06
1.6× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$460K

4,027 claims · 3.5%

Your Cost: $114.17/claim|Median: $72.71
1.6× median
99212Top 10%

Office/outpatient visit, low complexity

$298K

4,843 claims · 2.2%

Your Cost: $61.56/claim|Median: $25.06
2.5× median
90471Top 25%

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

$180K

10K claims · 1.4%

Your Cost: $17.85/claim|Median: $9.80
1.8× median
H0049Normal range

$150K

10K claims · 1.1%

Your Cost: $14.39/claim|Median: $9.27
1.6× median
G0444Top 10%

Annual depression screening, fifteen minutes

$133K

9,218 claims · 1.0%

Your Cost: $14.48/claim|Median: $4.23
3.4× median
90674Top 25%

$129K

4,588 claims · 1.0%

Your Cost: $28.21/claim|Median: $15.16
1.9× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$64K

4,163 claims · 0.5%

Your Cost: $15.33/claim|Median: $9.70
1.6× median
99401Normal range

$55K

2,698 claims · 0.4%

Your Cost: $20.47/claim|Median: $16.53
1.2× median
90756Top 10%

Influenza virus vaccine, quadrivalent

$54K

1,940 claims · 0.4%

Your Cost: $27.93/claim|Median: $14.34
1.9× median
99203Top 5%

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

$44K

362 claims · 0.3%

Your Cost: $120.54/claim|Median: $57.85
2.1× median
90688Top 10%

$40K

2,111 claims · 0.3%

Your Cost: $19.06/claim|Median: $9.00
2.1× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$35K

830 claims · 0.3%

Your Cost: $41.64/claim|Median: $33.85
1.2× median
0011ATop 25%

COVID-19 vaccine admin, Moderna, 1st dose

$33K

852 claims · 0.2%

Your Cost: $38.50/claim|Median: $25.93
1.5× median
94664Top 25%

$20K

1,170 claims · 0.2%

Your Cost: $17.16/claim|Median: $8.88
1.9× median
0134ANormal range

$19K

496 claims · 0.1%

Your Cost: $38.13/claim|Median: $33.54
1.1× median
90661Top 5%

$18K

503 claims · 0.1%

Your Cost: $36.40/claim|Median: $14.37
2.5× median
G0101Top 25%

Cervical/vaginal cancer screening; pelvic exam

$14K

409 claims · 0.1%

Your Cost: $33.81/claim|Median: $21.28
1.6× median
0064ATop 25%

$13K

320 claims · 0.1%

Your Cost: $41.39/claim|Median: $34.17
1.2× median
G0008Normal range

$9K

1,449 claims · 0.1%

Your Cost: $6.36/claim|Median: $2.54
2.5× median
0013ATop 25%

$9K

209 claims · 0.1%

Your Cost: $41.73/claim|Median: $35.38
1.2× median
36415Normal range

Collection of venous blood by venipuncture

$8K

6,088 claims · 0.1%

Your Cost: $1.30/claim|Median: $1.57
0.8× median
99215Top 5%

Office/outpatient visit, high complexity

$6K

32 claims · 0.0%

Your Cost: $175.11/claim|Median: $74.09
2.4× median
99406Top 25%

$5K

381 claims · 0.0%

Your Cost: $12.91/claim|Median: $6.53
2.0× median
91313

$5K

492 claims · 0.0%

90658Normal range

$4K

403 claims · 0.0%

Your Cost: $10.53/claim|Median: $8.96
1.2× median
86580Top 25%

Tuberculosis (TB) skin test

$2K

293 claims · 0.0%

Your Cost: $8.31/claim|Median: $4.46
1.9× median
99204Top 5%

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

$2K

12 claims · 0.0%

Your Cost: $189.27/claim|Median: $84.03
2.3× median
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