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Provider 1619966892

NPI: 1619966892Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.8M

$8,761,798

Total Claims

206K

Beneficiaries

189K

1.1 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$1.7M
-3%
2019
$1.6M
-52%
2020
$769K
+60%
2021
$1.2M
+6%
2022
$1.3M
-13%
2023
$1.1M
-7%
2024
$1.0M

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 54% of total spending.

99213Top 5%

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

$4.8M

52K claims · 54.4%

Your Cost: $92.37/claim|Median: $37.81
2.4× median
99212Top 10%

Office/outpatient visit, low complexity

$986K

17K claims · 11.3%

Your Cost: $58.68/claim|Median: $25.06
2.3× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$535K

19K claims · 6.1%

Your Cost: $27.80/claim|Median: $17.85
1.6× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$492K

4,772 claims · 5.6%

Your Cost: $103.12/claim|Median: $74.82
1.4× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$424K

3,712 claims · 4.8%

Your Cost: $114.34/claim|Median: $80.15
1.4× median
92552Top 5%

Pure tone audiometry, air only, each ear

$385K

11K claims · 4.4%

Your Cost: $35.55/claim|Median: $12.63
2.8× median
99214Top 10%

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

$295K

2,561 claims · 3.4%

Your Cost: $115.31/claim|Median: $53.41
2.2× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$198K

1,981 claims · 2.3%

Your Cost: $99.98/claim|Median: $75.18
1.3× median
99211Top 25%

Office/outpatient visit, minimal complexity

$130K

4,882 claims · 1.5%

Your Cost: $26.70/claim|Median: $12.93
2.1× median
86580Top 10%

Tuberculosis (TB) skin test

$95K

9,564 claims · 1.1%

Your Cost: $9.98/claim|Median: $4.46
2.2× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$87K

940 claims · 1.0%

Your Cost: $92.87/claim|Median: $69.35
1.3× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$79K

3,428 claims · 0.9%

Your Cost: $23.06/claim|Median: $6.93
3.3× median
99204Top 25%

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

$39K

273 claims · 0.4%

Your Cost: $141.52/claim|Median: $84.03
1.7× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$33K

278 claims · 0.4%

Your Cost: $118.94/claim|Median: $72.71
1.6× median
99203Top 10%

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

$29K

264 claims · 0.3%

Your Cost: $109.92/claim|Median: $57.85
1.9× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$21K

10K claims · 0.2%

Your Cost: $2.06/claim|Median: $12.70
0.2× median
0072ANormal range

$16K

401 claims · 0.2%

Your Cost: $39.94/claim|Median: $39.57
1.0× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$15K

1,037 claims · 0.2%

Your Cost: $14.56/claim|Median: $11.48
1.3× median
0071ANormal range

$13K

327 claims · 0.2%

Your Cost: $41.07/claim|Median: $38.71
1.1× median
0124ANormal range

$12K

330 claims · 0.1%

Your Cost: $37.36/claim|Median: $34.32
1.1× median
0073ANormal range

$11K

288 claims · 0.1%

Your Cost: $39.67/claim|Median: $40.00
1.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$10K

8,315 claims · 0.1%

Your Cost: $1.21/claim|Median: $7.18
0.2× median
0154ANormal range

$10K

241 claims · 0.1%

Your Cost: $39.89/claim|Median: $39.23
1.0× median
99173Normal range

$9K

8,097 claims · 0.1%

Your Cost: $1.16/claim|Median: $2.16
0.5× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$9K

209 claims · 0.1%

Your Cost: $41.40/claim|Median: $33.72
1.2× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$8K

197 claims · 0.1%

Your Cost: $41.53/claim|Median: $36.70
1.1× median
0003ATop 25%

COVID-19 vaccine admin, Pfizer, 3rd dose

$8K

188 claims · 0.1%

Your Cost: $41.06/claim|Median: $36.49
1.1× median
36415Normal range

Collection of venous blood by venipuncture

$5K

11K claims · 0.1%

Your Cost: $0.49/claim|Median: $1.57
0.3× median
87426Normal range

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

$5K

256 claims · 0.1%

Your Cost: $19.79/claim|Median: $30.04
0.7× median
90621Normal range

$3K

810 claims · 0.0%

Your Cost: $4.15/claim|Median: $7.66
0.5× median
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