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Provider 1609118041

NPI: 1609118041Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$14.1M

$14,078,543

Total Claims

536K

Beneficiaries

474K

1.1 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$302K
+67%
2019
$505K
+264%
2020
$1.8M
+189%
2021
$5.3M
-13%
2022
$4.6M
-69%
2023
$1.4M
-94%
2024
$91K

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 21% of total spending.

99213Normal range

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

$3.0M

78K claims · 21.4%

Your Cost: $38.90/claim|Median: $37.81
1.0× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$2.2M

67K claims · 15.7%

Your Cost: $33.08/claim|Median: $30.53
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$2.0M

69K claims · 13.9%

Your Cost: $28.43/claim|Median: $25.06
1.1× median
99214Normal range

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

$1.1M

24K claims · 8.2%

Your Cost: $47.75/claim|Median: $53.41
0.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$805K

20K claims · 5.7%

Your Cost: $40.35/claim|Median: $39.70
1.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$770K

17K claims · 5.5%

Your Cost: $44.73/claim|Median: $40.11
1.1× median
G2023Normal range

Specimen collection for COVID-19 testing

$616K

55K claims · 4.4%

Your Cost: $11.15/claim|Median: $17.15
0.7× median
99203Normal range

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

$439K

10K claims · 3.1%

Your Cost: $42.39/claim|Median: $57.85
0.7× median
87426Normal range

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

$326K

14K claims · 2.3%

Your Cost: $23.66/claim|Median: $30.04
0.8× median
82306Normal range

Vitamin D, 25 hydroxy

$144K

6,748 claims · 1.0%

Your Cost: $21.38/claim|Median: $18.18
1.2× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$116K

3,181 claims · 0.8%

Your Cost: $36.59/claim|Median: $36.70
1.0× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$113K

3,010 claims · 0.8%

Your Cost: $37.64/claim|Median: $33.72
1.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$111K

7,086 claims · 0.8%

Your Cost: $15.64/claim|Median: $12.93
1.2× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$111K

1,026 claims · 0.8%

Your Cost: $107.73/claim|Median: $72.71
1.5× median
99204Normal range

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

$99K

1,563 claims · 0.7%

Your Cost: $63.57/claim|Median: $84.03
0.8× median
84443Normal range

Thyroid stimulating hormone (TSH)

$97K

7,843 claims · 0.7%

Your Cost: $12.36/claim|Median: $9.87
1.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$85K

6,938 claims · 0.6%

Your Cost: $12.29/claim|Median: $9.56
1.3× median
80061Normal range

Lipid panel

$80K

8,198 claims · 0.6%

Your Cost: $9.72/claim|Median: $8.41
1.2× median
0011ATop 25%

COVID-19 vaccine admin, Moderna, 1st dose

$77K

2,023 claims · 0.5%

Your Cost: $38.22/claim|Median: $25.93
1.5× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$74K

621 claims · 0.5%

Your Cost: $118.59/claim|Median: $54.68
2.2× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$73K

1,886 claims · 0.5%

Your Cost: $38.54/claim|Median: $33.85
1.1× median
86769Top 25%

Antibody, SARS-CoV-2 (COVID-19)

$64K

1,752 claims · 0.5%

Your Cost: $36.55/claim|Median: $26.94
1.4× median
80053Normal range

Comprehensive metabolic panel

$64K

7,761 claims · 0.5%

Your Cost: $8.25/claim|Median: $7.24
1.1× median
76700Normal range

Ultrasound, abdominal, complete

$61K

799 claims · 0.4%

Your Cost: $76.45/claim|Median: $50.69
1.5× median
82607Normal range

Cyanocobalamin (vitamin B-12)

$60K

5,295 claims · 0.4%

Your Cost: $11.38/claim|Median: $8.72
1.3× median
84481Normal range

$54K

4,182 claims · 0.4%

Your Cost: $13.01/claim|Median: $9.37
1.4× median
82728Normal range

Ferritin

$52K

4,999 claims · 0.4%

Your Cost: $10.48/claim|Median: $6.00
1.7× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$48K

728 claims · 0.3%

Your Cost: $66.33/claim|Median: $65.64
1.0× median
0064ANormal range

$48K

1,203 claims · 0.3%

Your Cost: $39.84/claim|Median: $34.17
1.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$47K

8,476 claims · 0.3%

Your Cost: $5.59/claim|Median: $4.71
1.2× median