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Provider 1609169713

NPI: 1609169713Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.3M

$17,273,048

Total Claims

903K

Beneficiaries

775K

1.2 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+10%
2019
$2.1M
-14%
2020
$1.8M
+37%
2021
$2.5M
+13%
2022
$2.8M
+17%
2023
$3.3M
-11%
2024
$2.9M

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 23% of total spending.

99213Normal range

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

$4.0M

99K claims · 23.2%

Your Cost: $40.58/claim|Median: $37.81
1.1× median
99214Normal range

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

$3.6M

59K claims · 20.7%

Your Cost: $60.36/claim|Median: $53.41
1.1× median
90460Top 10%

Immunization administration, first vaccine/toxoid, with counseling

$1.5M

36K claims · 8.6%

Your Cost: $41.78/claim|Median: $17.85
2.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.3M

22K claims · 7.7%

Your Cost: $59.12/claim|Median: $69.35
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.2M

18K claims · 7.2%

Your Cost: $67.96/claim|Median: $75.18
0.9× median
96110Top 25%

Developmental screening, per standardized instrument

$962K

52K claims · 5.6%

Your Cost: $18.34/claim|Median: $9.10
2.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$958K

14K claims · 5.5%

Your Cost: $66.33/claim|Median: $74.82
0.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$710K

9,810 claims · 4.1%

Your Cost: $72.37/claim|Median: $80.15
0.9× median
99395Normal range

Preventive medicine, established patient, age 18-39

$676K

9,868 claims · 3.9%

Your Cost: $68.55/claim|Median: $72.71
0.9× median
J1050Top 25%

Injection, medroxyprogesterone acetate, one milligram

$452K

5,778 claims · 2.6%

Your Cost: $78.16/claim|Median: $41.92
1.9× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$350K

22K claims · 2.0%

Your Cost: $15.83/claim|Median: $9.56
1.7× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$163K

2,233 claims · 0.9%

Your Cost: $72.89/claim|Median: $74.78
1.0× median
81025Normal range

Urine pregnancy test

$145K

34K claims · 0.8%

Your Cost: $4.23/claim|Median: $4.81
0.9× median
76830Normal range

Ultrasound, transvaginal

$101K

1,801 claims · 0.6%

Your Cost: $56.26/claim|Median: $57.47
1.0× median
81003Normal range

Urinalysis, automated without microscopy

$93K

61K claims · 0.5%

Your Cost: $1.53/claim|Median: $1.48
1.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$86K

1,871 claims · 0.5%

Your Cost: $45.99/claim|Median: $37.22
1.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$78K

13K claims · 0.4%

Your Cost: $6.05/claim|Median: $4.71
1.3× median
99464Normal range

$77K

1,558 claims · 0.4%

Your Cost: $49.51/claim|Median: $59.94
0.8× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$73K

1,627 claims · 0.4%

Your Cost: $44.73/claim|Median: $62.48
0.7× median
99173Top 25%

$72K

16K claims · 0.4%

Your Cost: $4.42/claim|Median: $2.16
2.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$64K

17K claims · 0.4%

Your Cost: $3.73/claim|Median: $3.67
1.0× median
36415Normal range

Collection of venous blood by venipuncture

$60K

35K claims · 0.3%

Your Cost: $1.70/claim|Median: $1.57
1.1× median
3008FNormal range

$57K

161K claims · 0.3%

Your Cost: $0.36/claim|Median: $0.06
5.9× median
59025Normal range

Fetal non-stress test

$49K

1,844 claims · 0.3%

Your Cost: $26.76/claim|Median: $26.45
1.0× median
1160FTop 25%

$36K

64K claims · 0.2%

Your Cost: $0.57/claim|Median: $0.01
56.6× median
59400Normal range

Routine obstetric care, vaginal delivery, including postpartum

$33K

29 claims · 0.2%

Your Cost: $1,137.88/claim|Median: $1,482.45
0.8× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$30K

400 claims · 0.2%

Your Cost: $74.55/claim|Median: $81.92
0.9× median
83037Normal range

$29K

4,525 claims · 0.2%

Your Cost: $6.36/claim|Median: $4.07
1.6× median
99396Normal range

Preventive medicine, established patient, age 40-64

$27K

382 claims · 0.2%

Your Cost: $70.15/claim|Median: $76.06
0.9× median
71046Normal range

Chest X-ray, 2 views

$20K

1,226 claims · 0.1%

Your Cost: $16.42/claim|Median: $8.92
1.8× median
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