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Provider 1609046267

NPI: 1609046267Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.8M

$11,750,509

Total Claims

581K

Beneficiaries

518K

1.1 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+10%
2019
$1.8M
-16%
2020
$1.5M
+1%
2021
$1.5M
+21%
2022
$1.9M
-7%
2023
$1.7M
-10%
2024
$1.6M

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 23% of total spending.

99214Normal range

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

$2.7M

39K claims · 22.6%

Your Cost: $67.52/claim|Median: $53.41
1.3× median
99213Normal range

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

$1.8M

40K claims · 15.7%

Your Cost: $45.86/claim|Median: $37.81
1.2× median
90460Top 10%

Immunization administration, first vaccine/toxoid, with counseling

$1.4M

32K claims · 12.3%

Your Cost: $45.85/claim|Median: $17.85
2.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.4M

21K claims · 11.6%

Your Cost: $66.35/claim|Median: $69.35
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.1M

15K claims · 9.5%

Your Cost: $73.84/claim|Median: $75.18
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$795K

11K claims · 6.8%

Your Cost: $71.32/claim|Median: $74.82
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$370K

4,724 claims · 3.1%

Your Cost: $78.24/claim|Median: $80.15
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$246K

24K claims · 2.1%

Your Cost: $10.22/claim|Median: $11.48
0.9× median
99401Normal range

$219K

12K claims · 1.9%

Your Cost: $18.73/claim|Median: $16.53
1.1× median
96110Top 10%

Developmental screening, per standardized instrument

$197K

8,003 claims · 1.7%

Your Cost: $24.64/claim|Median: $9.10
2.7× median
96161Top 5%

$194K

13K claims · 1.6%

Your Cost: $15.06/claim|Median: $2.49
6.1× median
87428Top 25%

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

$159K

2,713 claims · 1.4%

Your Cost: $58.52/claim|Median: $39.63
1.5× median
87804Normal range

Influenza virus detection, rapid test

$151K

12K claims · 1.3%

Your Cost: $12.40/claim|Median: $12.59
1.0× median
80061Top 25%

Lipid panel

$78K

6,279 claims · 0.7%

Your Cost: $12.45/claim|Median: $8.41
1.5× median
99177Normal range

$70K

11K claims · 0.6%

Your Cost: $6.31/claim|Median: $3.74
1.7× median
83655Normal range

$64K

5,470 claims · 0.5%

Your Cost: $11.61/claim|Median: $10.49
1.1× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$59K

1,144 claims · 0.5%

Your Cost: $52.01/claim|Median: $37.22
1.4× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$59K

1,143 claims · 0.5%

Your Cost: $52.04/claim|Median: $62.48
0.8× median
96160Top 25%

Patient-focused health risk assessment

$59K

4,677 claims · 0.5%

Your Cost: $12.65/claim|Median: $2.10
6.0× median
85018Normal range

$51K

25K claims · 0.4%

Your Cost: $2.02/claim|Median: $1.71
1.2× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$44K

5,574 claims · 0.4%

Your Cost: $7.94/claim|Median: $4.71
1.7× median
36416Normal range

$44K

32K claims · 0.4%

Your Cost: $1.35/claim|Median: $1.31
1.0× median
1160FTop 10%

$42K

37K claims · 0.4%

Your Cost: $1.15/claim|Median: $0.01
114.9× median
1159FTop 10%

$42K

36K claims · 0.4%

Your Cost: $1.19/claim|Median: $0.01
119.4× median
92558Normal range

$35K

5,533 claims · 0.3%

Your Cost: $6.37/claim|Median: $6.67
1.0× median
G2211Top 25%

$30K

3,658 claims · 0.3%

Your Cost: $8.33/claim|Median: $2.40
3.5× median
92551Normal range

Screening audiometry, pure tone, air only

$30K

3,883 claims · 0.3%

Your Cost: $7.78/claim|Median: $6.61
1.2× median
87081Normal range

Culture screening for pathogenic organisms

$27K

7,766 claims · 0.2%

Your Cost: $3.47/claim|Median: $5.09
0.7× median
90471Normal range

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

$20K

1,629 claims · 0.2%

Your Cost: $12.14/claim|Median: $9.80
1.2× median
3008FNormal range

$17K

22K claims · 0.1%

Your Cost: $0.76/claim|Median: $0.06
12.7× median
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