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Provider 1609192319

NPI: 1609192319Share
Active Billing Period:2018-02→2024-12(77 months)

Total Paid

$9.0M

$9,034,486

Total Claims

328K

Beneficiaries

285K

1.2 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$5K
+798%
2019
$44K
+247%
2020
$154K
+1054%
2021
$1.8M
+48%
2022
$2.6M
-10%
2023
$2.4M
-13%
2024
$2.1M

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 29% of total spending.

99213Normal range

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

$2.6M

74K claims · 28.9%

Your Cost: $35.12/claim|Median: $37.81
0.9× median
99051Top 5%

$1.4M

32K claims · 15.5%

Your Cost: $44.30/claim|Median: $7.89
5.6× median
87428Top 5%

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

$1.3M

18K claims · 14.2%

Your Cost: $71.56/claim|Median: $39.63
1.8× median
87811Top 25%

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

$845K

22K claims · 9.3%

Your Cost: $38.53/claim|Median: $30.53
1.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$564K

42K claims · 6.2%

Your Cost: $13.56/claim|Median: $11.48
1.2× median
87804Normal range

Influenza virus detection, rapid test

$485K

36K claims · 5.4%

Your Cost: $13.56/claim|Median: $12.59
1.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$256K

40K claims · 2.8%

Your Cost: $6.42/claim|Median: $4.71
1.4× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$237K

3,073 claims · 2.6%

Your Cost: $76.98/claim|Median: $65.64
1.2× median
87801Top 25%

Infectious agent detection, amplified probe, multiple organisms

$231K

4,091 claims · 2.6%

Your Cost: $56.47/claim|Median: $38.79
1.5× median
87426Top 25%

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

$154K

3,939 claims · 1.7%

Your Cost: $39.03/claim|Median: $30.04
1.3× median
99203Normal range

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

$138K

2,544 claims · 1.5%

Your Cost: $54.08/claim|Median: $57.85
0.9× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$114K

9,577 claims · 1.3%

Your Cost: $11.93/claim|Median: $9.56
1.2× median
74018Top 25%

$79K

3,306 claims · 0.9%

Your Cost: $23.98/claim|Median: $7.00
3.4× median
71046Top 25%

Chest X-ray, 2 views

$78K

2,902 claims · 0.9%

Your Cost: $26.87/claim|Median: $8.92
3.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$77K

1,876 claims · 0.9%

Your Cost: $41.29/claim|Median: $40.11
1.0× median
29515Normal range

$74K

1,349 claims · 0.8%

Your Cost: $55.19/claim|Median: $33.24
1.7× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$58K

4,378 claims · 0.6%

Your Cost: $13.17/claim|Median: $10.88
1.2× median
29125Normal range

$52K

1,029 claims · 0.6%

Your Cost: $50.32/claim|Median: $28.04
1.8× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$42K

1,542 claims · 0.5%

Your Cost: $26.96/claim|Median: $39.70
0.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$40K

2,780 claims · 0.4%

Your Cost: $14.53/claim|Median: $12.93
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$32K

1,343 claims · 0.3%

Your Cost: $23.51/claim|Median: $25.06
0.9× median
70250Top 25%

$26K

905 claims · 0.3%

Your Cost: $28.85/claim|Median: $9.69
3.0× median
73130Top 25%

$23K

783 claims · 0.3%

Your Cost: $29.14/claim|Median: $10.69
2.7× median
J0696Normal range

$15K

8,459 claims · 0.2%

Your Cost: $1.78/claim|Median: $1.34
1.3× median
70260Top 25%

$14K

400 claims · 0.2%

Your Cost: $35.93/claim|Median: $12.54
2.9× median
73630Top 25%

X-ray, foot, complete, minimum 3 views

$14K

584 claims · 0.2%

Your Cost: $24.45/claim|Median: $12.06
2.0× median
29105Normal range

$14K

218 claims · 0.2%

Your Cost: $62.46/claim|Median: $36.99
1.7× median
73610Top 25%

X-ray of ankle, complete, minimum three views

$13K

494 claims · 0.1%

Your Cost: $26.69/claim|Median: $13.55
2.0× median
80053Normal range

Comprehensive metabolic panel

$12K

1,428 claims · 0.1%

Your Cost: $8.66/claim|Median: $7.24
1.2× median
81002Top 25%

Urinalysis, non-automated without microscopy

$11K

3,976 claims · 0.1%

Your Cost: $2.87/claim|Median: $2.00
1.4× median
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