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Provider 1609275205

NPI: 1609275205Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.7M

$16,738,841

Total Claims

453K

Beneficiaries

256K

1.8 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$2.7M
+13%
2019
$3.1M
+44%
2020
$4.5M
+3%
2021
$4.6M
-66%
2022
$1.5M
-87%
2023
$197K
-45%
2024
$109K

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 56% of total spending.

99213Normal range

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

$9.3M

192K claims · 55.5%

Your Cost: $48.34/claim|Median: $37.81
1.3× median
94760Top 5%

Pulse oximetry, single reading, noninvasive

$1.5M

66K claims · 9.1%

Your Cost: $23.25/claim|Median: $0.79
29.4× median
87880Top 5%

Streptococcus, Group A, rapid antigen detection

$998K

44K claims · 6.0%

Your Cost: $22.67/claim|Median: $11.48
2.0× median
G0511Top 5%

RHC/FQHC visit, psychiatric collaborative care model

$907K

11K claims · 5.4%

Your Cost: $79.08/claim|Median: $11.35
7.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$879K

19K claims · 5.2%

Your Cost: $46.45/claim|Median: $72.71
0.6× median
99396Normal range

Preventive medicine, established patient, age 40-64

$451K

11K claims · 2.7%

Your Cost: $41.45/claim|Median: $76.06
0.5× median
99214Normal range

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

$451K

8,819 claims · 2.7%

Your Cost: $51.15/claim|Median: $53.41
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$350K

9,758 claims · 2.1%

Your Cost: $35.91/claim|Median: $75.18
0.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$276K

7,300 claims · 1.6%

Your Cost: $37.76/claim|Median: $74.82
0.5× median
99394Normal range

Preventive medicine, established patient, age 12-17

$257K

6,495 claims · 1.5%

Your Cost: $39.56/claim|Median: $80.15
0.5× median
G0467Normal range

Federally qualified health center visit, mental health

$193K

7,183 claims · 1.2%

Your Cost: $26.89/claim|Median: $21.91
1.2× median
36415Top 5%

Collection of venous blood by venipuncture

$176K

16K claims · 1.1%

Your Cost: $10.93/claim|Median: $1.57
7.0× median
99490Top 5%

Chronic care management services, 20 minutes per month

$160K

2,151 claims · 1.0%

Your Cost: $74.50/claim|Median: $6.31
11.8× median
87811Normal range

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

$113K

4,243 claims · 0.7%

Your Cost: $26.68/claim|Median: $30.53
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$112K

2,309 claims · 0.7%

Your Cost: $48.69/claim|Median: $69.35
0.7× median
81000Top 1%

Urinalysis with microscopy, non-automated

$99K

4,848 claims · 0.6%

Your Cost: $20.48/claim|Median: $2.51
8.2× median
87426Normal range

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

$58K

3,273 claims · 0.3%

Your Cost: $17.74/claim|Median: $30.04
0.6× median
87804Normal range

Influenza virus detection, rapid test

$57K

14K claims · 0.3%

Your Cost: $4.17/claim|Median: $12.59
0.3× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$56K

3,213 claims · 0.3%

Your Cost: $17.47/claim|Median: $9.70
1.8× median
99203Top 25%

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

$54K

628 claims · 0.3%

Your Cost: $86.70/claim|Median: $57.85
1.5× median
99401Top 5%

$36K

936 claims · 0.2%

Your Cost: $38.16/claim|Median: $16.53
2.3× median
99212Normal range

Office/outpatient visit, low complexity

$28K

1,964 claims · 0.2%

Your Cost: $14.39/claim|Median: $25.06
0.6× median
11721Top 5%

$26K

817 claims · 0.2%

Your Cost: $31.61/claim|Median: $8.56
3.7× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$24K

3,137 claims · 0.1%

Your Cost: $7.67/claim|Median: $17.85
0.4× median
97802Top 5%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$21K

154 claims · 0.1%

Your Cost: $136.05/claim|Median: $12.70
10.7× median
90471Top 25%

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

$19K

1,271 claims · 0.1%

Your Cost: $15.00/claim|Median: $9.80
1.5× median
85018Top 5%

$19K

1,535 claims · 0.1%

Your Cost: $12.24/claim|Median: $1.71
7.2× median
83655Top 5%

$18K

1,002 claims · 0.1%

Your Cost: $17.85/claim|Median: $10.49
1.7× median
99173Top 10%

$16K

897 claims · 0.1%

Your Cost: $17.79/claim|Median: $2.16
8.2× median
97803Top 25%

Medical nutrition therapy, reassessment, group, thirty minutes

$14K

260 claims · 0.1%

Your Cost: $52.21/claim|Median: $24.33
2.1× median
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