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Provider 1619037975

NPI: 1619037975Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$10.7M

$10,721,154

Total Claims

171K

Beneficiaries

116K

1.5 claims/patient

Avg Cost/Claim

$63

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+5%
2019
$1.4M
+7%
2020
$1.5M
+5%
2021
$1.5M
+14%
2022
$1.7M
+7%
2023
$1.9M
-20%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (95144) accounts for 22% of total spending.

95144Normal range

$2.4M

16K claims · 22.4%

Your Cost: $152.29/claim|Median: $109.74
1.4× median
95004Top 25%

Percutaneous allergy skin tests, each

$2.1M

9,495 claims · 20.0%

Your Cost: $225.78/claim|Median: $134.97
1.7× median
99214Top 10%

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

$1.6M

13K claims · 14.5%

Your Cost: $115.48/claim|Median: $53.41
2.2× median
99213Top 10%

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

$882K

11K claims · 8.2%

Your Cost: $81.81/claim|Median: $37.81
2.2× median
99244Top 10%

Office or other outpatient consultation, moderate complexity

$785K

4,395 claims · 7.3%

Your Cost: $178.72/claim|Median: $121.58
1.5× median
94150Top 5%

$749K

27K claims · 7.0%

Your Cost: $27.48/claim|Median: $5.06
5.4× median
94010Top 25%

$358K

11K claims · 3.3%

Your Cost: $32.93/claim|Median: $18.11
1.8× median
95117Top 25%

$330K

27K claims · 3.1%

Your Cost: $12.04/claim|Median: $8.34
1.4× median
99215Top 5%

Office/outpatient visit, high complexity

$206K

1,195 claims · 1.9%

Your Cost: $172.46/claim|Median: $74.09
2.3× median
94060Top 25%

$195K

3,770 claims · 1.8%

Your Cost: $51.84/claim|Median: $25.18
2.1× median
95115Top 25%

$192K

19K claims · 1.8%

Your Cost: $10.17/claim|Median: $6.96
1.5× median
99211Top 25%

Office/outpatient visit, minimal complexity

$182K

7,740 claims · 1.7%

Your Cost: $23.55/claim|Median: $12.93
1.8× median
94375Top 25%

$177K

4,434 claims · 1.7%

Your Cost: $40.00/claim|Median: $17.23
2.3× median
99204Top 5%

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

$147K

899 claims · 1.4%

Your Cost: $162.98/claim|Median: $84.03
1.9× median
99245Top 10%

Office consultation, high complexity

$126K

555 claims · 1.2%

Your Cost: $226.18/claim|Median: $143.30
1.6× median
94664Top 25%

$65K

3,545 claims · 0.6%

Your Cost: $18.46/claim|Median: $8.88
2.1× median
99243Top 25%

Office or other outpatient consultation, low complexity

$64K

543 claims · 0.6%

Your Cost: $117.25/claim|Median: $82.43
1.4× median
95044Top 25%

$46K

140 claims · 0.4%

Your Cost: $331.86/claim|Median: $209.40
1.6× median
99205Top 10%

Office/outpatient visit, new patient, high complexity

$36K

169 claims · 0.3%

Your Cost: $215.26/claim|Median: $111.09
1.9× median
95180Top 25%

$33K

111 claims · 0.3%

Your Cost: $296.78/claim|Median: $156.79
1.9× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$29K

1,391 claims · 0.3%

Your Cost: $21.03/claim|Median: $9.56
2.2× median
99203Top 10%

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

$8K

74 claims · 0.1%

Your Cost: $105.74/claim|Median: $57.85
1.8× median
90756Top 25%

Influenza virus vaccine, quadrivalent

$1K

59 claims · 0.0%

Your Cost: $23.94/claim|Median: $14.34
1.7× median
90674Top 10%

$525

18 claims · 0.0%

Your Cost: $29.17/claim|Median: $15.16
1.9× median
90688Top 5%

$284

13 claims · 0.0%

Your Cost: $21.87/claim|Median: $9.00
2.4× median
96160Normal range

Patient-focused health risk assessment

$21

40 claims · 0.0%

Your Cost: $0.53/claim|Median: $2.10
0.3× median
4004FNormal range

$0

8,008 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
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