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Provider 1619949435

NPI: 1619949435Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.1M

$13,058,122

Total Claims

303K

Beneficiaries

294K

1.0 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+3%
2019
$1.5M
-43%
2020
$876K
+163%
2021
$2.3M
-0%
2022
$2.3M
+6%
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 32% of total spending.

99213Top 25%

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

$4.1M

61K claims · 31.5%

Your Cost: $67.50/claim|Median: $37.81
1.8× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$1.9M

21K claims · 14.9%

Your Cost: $92.23/claim|Median: $69.35
1.3× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$1.9M

19K claims · 14.5%

Your Cost: $100.22/claim|Median: $75.18
1.3× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$1.3M

41K claims · 9.9%

Your Cost: $31.81/claim|Median: $17.85
1.8× median
99214Top 10%

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

$1.0M

9,732 claims · 7.9%

Your Cost: $106.40/claim|Median: $53.41
2.0× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$867K

8,474 claims · 6.6%

Your Cost: $102.35/claim|Median: $74.82
1.4× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$396K

14K claims · 3.0%

Your Cost: $28.23/claim|Median: $6.93
4.1× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$290K

2,545 claims · 2.2%

Your Cost: $114.03/claim|Median: $80.15
1.4× median
G9153Top 25%

$207K

3,742 claims · 1.6%

Your Cost: $55.41/claim|Median: $43.70
1.3× median
54150Normal range

$179K

2,311 claims · 1.4%

Your Cost: $77.49/claim|Median: $84.60
0.9× median
92552Normal range

Pure tone audiometry, air only, each ear

$164K

13K claims · 1.3%

Your Cost: $13.10/claim|Median: $12.63
1.0× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$116K

8,159 claims · 0.9%

Your Cost: $14.16/claim|Median: $11.48
1.2× median
96110Normal range

Developmental screening, per standardized instrument

$93K

12K claims · 0.7%

Your Cost: $7.94/claim|Median: $9.10
0.9× median
87428Top 10%

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

$81K

1,247 claims · 0.6%

Your Cost: $65.29/claim|Median: $39.63
1.6× median
87804Top 25%

Influenza virus detection, rapid test

$50K

2,037 claims · 0.4%

Your Cost: $24.78/claim|Median: $12.59
2.0× median
96160Top 25%

Patient-focused health risk assessment

$44K

5,397 claims · 0.3%

Your Cost: $8.10/claim|Median: $2.10
3.9× median
99381Top 25%

Preventive visit, new patient, infant (<1 yr)

$42K

423 claims · 0.3%

Your Cost: $99.08/claim|Median: $73.46
1.3× median
99188Normal range

$40K

2,510 claims · 0.3%

Your Cost: $15.85/claim|Median: $12.80
1.2× median
G0447Normal range

$34K

2,965 claims · 0.3%

Your Cost: $11.54/claim|Median: $5.19
2.2× median
96161Top 25%

$29K

3,661 claims · 0.2%

Your Cost: $7.98/claim|Median: $2.49
3.2× median
99242Normal range

Office consultation, low complexity

$29K

416 claims · 0.2%

Your Cost: $68.80/claim|Median: $57.97
1.2× median
99212Top 25%

Office/outpatient visit, low complexity

$22K

539 claims · 0.2%

Your Cost: $41.27/claim|Median: $25.06
1.6× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$21K

2,791 claims · 0.2%

Your Cost: $7.52/claim|Median: $3.67
2.0× median
85018Top 25%

$15K

6,506 claims · 0.1%

Your Cost: $2.34/claim|Median: $1.71
1.4× median
54450Normal range

$11K

198 claims · 0.1%

Your Cost: $54.72/claim|Median: $51.46
1.1× median
81003Top 25%

Urinalysis, automated without microscopy

$7K

3,208 claims · 0.1%

Your Cost: $2.32/claim|Median: $1.48
1.6× median
99177Normal range

$7K

1,602 claims · 0.1%

Your Cost: $4.47/claim|Median: $3.74
1.2× median
99499Top 10%

Unlisted evaluation and management service

$4K

53 claims · 0.0%

Your Cost: $75.00/claim|Median: $30.88
2.4× median
0071ATop 25%

$3K

74 claims · 0.0%

Your Cost: $43.30/claim|Median: $38.71
1.1× median
99051Normal range

$3K

246 claims · 0.0%

Your Cost: $12.50/claim|Median: $7.89
1.6× median
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