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Provider 1619915006

NPI: 1619915006Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.6M

$7,595,769

Total Claims

391K

Beneficiaries

371K

1.1 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+28%
2019
$1.6M
-28%
2020
$1.1M
-7%
2021
$1.0M
+12%
2022
$1.2M
-12%
2023
$1.0M
-57%
2024
$447K

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 34% of total spending.

99213Normal range

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

$2.6M

146K claims · 33.7%

Your Cost: $17.52/claim|Median: $37.81
0.5× median
99214Normal range

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

$1.2M

48K claims · 15.9%

Your Cost: $25.24/claim|Median: $53.41
0.5× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$770K

11K claims · 10.1%

Your Cost: $67.37/claim|Median: $47.08
1.4× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$404K

10K claims · 5.3%

Your Cost: $39.92/claim|Median: $69.35
0.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$328K

11K claims · 4.3%

Your Cost: $30.88/claim|Median: $75.18
0.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$297K

14K claims · 3.9%

Your Cost: $21.82/claim|Median: $74.82
0.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$221K

9,983 claims · 2.9%

Your Cost: $22.10/claim|Median: $80.15
0.3× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$205K

2,642 claims · 2.7%

Your Cost: $77.75/claim|Median: $59.72
1.3× median
92015Normal range

Determination of refractive state

$168K

16K claims · 2.2%

Your Cost: $10.27/claim|Median: $10.36
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$149K

5,625 claims · 2.0%

Your Cost: $26.54/claim|Median: $41.28
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$120K

12K claims · 1.6%

Your Cost: $10.24/claim|Median: $25.06
0.4× median
92340Normal range

Fitting of spectacles, except for aphakia

$117K

6,368 claims · 1.5%

Your Cost: $18.38/claim|Median: $19.46
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$112K

4,275 claims · 1.5%

Your Cost: $26.29/claim|Median: $63.65
0.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$106K

19K claims · 1.4%

Your Cost: $5.56/claim|Median: $7.18
0.8× median
87428Normal range

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

$99K

1,917 claims · 1.3%

Your Cost: $51.58/claim|Median: $39.63
1.3× median
87804Normal range

Influenza virus detection, rapid test

$65K

9,160 claims · 0.9%

Your Cost: $7.15/claim|Median: $12.59
0.6× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$45K

2,828 claims · 0.6%

Your Cost: $15.76/claim|Median: $22.44
0.7× median
90670Normal range

$43K

6,131 claims · 0.6%

Your Cost: $7.01/claim|Median: $5.94
1.2× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$37K

1,508 claims · 0.5%

Your Cost: $24.38/claim|Median: $36.70
0.7× median
92507Normal range

Speech/hearing/language treatment

$35K

811 claims · 0.5%

Your Cost: $42.74/claim|Median: $49.45
0.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$34K

460 claims · 0.4%

Your Cost: $72.92/claim|Median: $108.91
0.7× median
99441Normal range

Telephone E/M by physician, 5-10 min

$33K

3,601 claims · 0.4%

Your Cost: $9.23/claim|Median: $13.30
0.7× median
90688Normal range

$29K

2,280 claims · 0.4%

Your Cost: $12.51/claim|Median: $9.00
1.4× median
90697Normal range

$28K

1,852 claims · 0.4%

Your Cost: $14.88/claim|Median: $7.24
2.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$26K

374 claims · 0.3%

Your Cost: $69.08/claim|Median: $111.09
0.6× median
90680Normal range

$26K

4,310 claims · 0.3%

Your Cost: $5.99/claim|Median: $5.58
1.1× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$25K

1,563 claims · 0.3%

Your Cost: $16.25/claim|Median: $33.72
0.5× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$21K

6,481 claims · 0.3%

Your Cost: $3.25/claim|Median: $3.67
0.9× median
90671Normal range

$20K

1,431 claims · 0.3%

Your Cost: $14.23/claim|Median: $8.59
1.7× median
99215Normal range

Office/outpatient visit, high complexity

$19K

451 claims · 0.3%

Your Cost: $43.08/claim|Median: $74.09
0.6× median
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