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Provider 1609833490

NPI: 1609833490Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.6M

$8,647,069

Total Claims

398K

Beneficiaries

289K

1.4 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$861K
+14%
2019
$985K
-8%
2020
$905K
+48%
2021
$1.3M
+24%
2022
$1.7M
-10%
2023
$1.5M
-5%
2024
$1.4M

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 28% of total spending.

99213Top 25%

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

$2.4M

42K claims · 28.2%

Your Cost: $58.39/claim|Median: $37.81
1.5× median
99214Top 25%

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

$1.5M

16K claims · 16.8%

Your Cost: $89.39/claim|Median: $53.41
1.7× median
99199Normal range

Unlisted special service, procedure, or report

$1.2M

218K claims · 14.0%

Your Cost: $5.54/claim|Median: $5.39
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$496K

5,946 claims · 5.7%

Your Cost: $83.40/claim|Median: $75.18
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$436K

5,355 claims · 5.0%

Your Cost: $81.40/claim|Median: $69.35
1.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$428K

4,914 claims · 5.0%

Your Cost: $87.20/claim|Median: $74.82
1.2× median
90471Top 10%

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

$343K

17K claims · 4.0%

Your Cost: $20.08/claim|Median: $9.80
2.0× median
87637Top 25%

Respiratory virus detection, 3-5 targets, nucleic acid

$341K

2,522 claims · 3.9%

Your Cost: $135.29/claim|Median: $100.62
1.3× median
90472Top 5%

Immunization administration, each additional vaccine

$331K

8,930 claims · 3.8%

Your Cost: $37.11/claim|Median: $11.79
3.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$229K

2,420 claims · 2.6%

Your Cost: $94.52/claim|Median: $80.15
1.2× median
90837Normal range

Psychotherapy, 60 minutes

$216K

2,686 claims · 2.5%

Your Cost: $80.53/claim|Median: $85.66
0.9× median
99051Top 10%

$97K

3,746 claims · 1.1%

Your Cost: $25.89/claim|Median: $7.89
3.3× median
96110Normal range

Developmental screening, per standardized instrument

$87K

9,689 claims · 1.0%

Your Cost: $8.96/claim|Median: $9.10
1.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$84K

2,470 claims · 1.0%

Your Cost: $33.99/claim|Median: $57.30
0.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$62K

4,561 claims · 0.7%

Your Cost: $13.61/claim|Median: $11.48
1.2× median
87804Normal range

Influenza virus detection, rapid test

$54K

3,940 claims · 0.6%

Your Cost: $13.61/claim|Median: $12.59
1.1× median
99212Top 25%

Office/outpatient visit, low complexity

$51K

1,280 claims · 0.6%

Your Cost: $39.56/claim|Median: $25.06
1.6× median
87635Top 25%

COVID-19 SARS-CoV-2 amplified probe detection

$37K

759 claims · 0.4%

Your Cost: $49.09/claim|Median: $39.70
1.2× median
D1206Normal range

Topical application of fluoride varnish

$37K

2,467 claims · 0.4%

Your Cost: $15.04/claim|Median: $18.12
0.8× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$31K

332 claims · 0.4%

Your Cost: $92.09/claim|Median: $108.91
0.8× median
87426Top 25%

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

$27K

748 claims · 0.3%

Your Cost: $36.46/claim|Median: $30.04
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$26K

493 claims · 0.3%

Your Cost: $52.19/claim|Median: $63.65
0.8× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$23K

3,221 claims · 0.3%

Your Cost: $7.28/claim|Median: $3.67
2.0× median
90651Top 25%

HPV vaccine, 9-valent

$18K

628 claims · 0.2%

Your Cost: $28.27/claim|Median: $8.93
3.2× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$17K

275 claims · 0.2%

Your Cost: $60.57/claim|Median: $37.22
1.6× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$10K

126 claims · 0.1%

Your Cost: $82.88/claim|Median: $62.48
1.3× median
87428Normal range

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

$10K

222 claims · 0.1%

Your Cost: $45.26/claim|Median: $39.63
1.1× median
96161Normal range

$8K

2,292 claims · 0.1%

Your Cost: $3.58/claim|Median: $2.49
1.4× median
90734Top 25%

$7K

453 claims · 0.1%

Your Cost: $16.39/claim|Median: $6.40
2.6× median
99211Top 25%

Office/outpatient visit, minimal complexity

$7K

342 claims · 0.1%

Your Cost: $20.36/claim|Median: $12.93
1.6× median
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