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Provider 1629022868

NPI: 1629022868Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.0M

$13,036,126

Total Claims

479K

Beneficiaries

412K

1.2 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$494K
+256%
2019
$1.8M
-9%
2020
$1.6M
+24%
2021
$2.0M
+13%
2022
$2.2M
+21%
2023
$2.7M
-16%
2024
$2.3M

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 37% of total spending.

99213Normal range

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

$4.8M

103K claims · 36.9%

Your Cost: $46.71/claim|Median: $37.81
1.2× median
99214Normal range

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

$2.1M

41K claims · 16.3%

Your Cost: $51.92/claim|Median: $53.41
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$840K

12K claims · 6.4%

Your Cost: $69.44/claim|Median: $69.35
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$697K

9,157 claims · 5.3%

Your Cost: $76.14/claim|Median: $75.18
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$502K

6,610 claims · 3.9%

Your Cost: $76.00/claim|Median: $74.82
1.0× median
87428Normal range

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

$457K

12K claims · 3.5%

Your Cost: $39.21/claim|Median: $39.63
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$308K

3,775 claims · 2.4%

Your Cost: $81.55/claim|Median: $80.15
1.0× median
99203Normal range

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

$299K

4,840 claims · 2.3%

Your Cost: $61.81/claim|Median: $57.85
1.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$283K

6,245 claims · 2.2%

Your Cost: $45.30/claim|Median: $54.68
0.8× median
93010Normal range

Electrocardiogram, interpretation and report only

$244K

55K claims · 1.9%

Your Cost: $4.42/claim|Median: $5.60
0.8× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$220K

609 claims · 1.7%

Your Cost: $361.26/claim|Median: $233.73
1.5× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$216K

2,006 claims · 1.7%

Your Cost: $107.62/claim|Median: $100.62
1.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$168K

13K claims · 1.3%

Your Cost: $13.00/claim|Median: $11.48
1.1× median
99204Normal range

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

$137K

1,445 claims · 1.1%

Your Cost: $94.73/claim|Median: $84.03
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$121K

1,746 claims · 0.9%

Your Cost: $69.24/claim|Median: $74.09
0.9× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$105K

14K claims · 0.8%

Your Cost: $7.50/claim|Median: $4.71
1.6× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$100K

14K claims · 0.8%

Your Cost: $7.30/claim|Median: $9.70
0.8× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$86K

1,538 claims · 0.7%

Your Cost: $55.89/claim|Median: $62.48
0.9× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$82K

197 claims · 0.6%

Your Cost: $417.27/claim|Median: $255.03
1.6× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$82K

1,832 claims · 0.6%

Your Cost: $44.73/claim|Median: $37.22
1.2× median
90648Top 25%

$75K

7,120 claims · 0.6%

Your Cost: $10.51/claim|Median: $4.08
2.6× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$73K

1,245 claims · 0.6%

Your Cost: $58.48/claim|Median: $22.44
2.6× median
95117Normal range

$64K

8,854 claims · 0.5%

Your Cost: $7.28/claim|Median: $8.34
0.9× median
90670Normal range

$55K

4,529 claims · 0.4%

Your Cost: $12.18/claim|Median: $5.94
2.0× median
90723Normal range

DTaP-HepB-IPV vaccine

$52K

4,778 claims · 0.4%

Your Cost: $10.97/claim|Median: $5.78
1.9× median
83655Normal range

$52K

4,435 claims · 0.4%

Your Cost: $11.64/claim|Median: $10.49
1.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$46K

3,997 claims · 0.3%

Your Cost: $11.40/claim|Median: $7.18
1.6× median
99212Normal range

Office/outpatient visit, low complexity

$45K

1,587 claims · 0.3%

Your Cost: $28.42/claim|Median: $25.06
1.1× median
99291Normal range

Critical care, first 30-74 minutes

$43K

698 claims · 0.3%

Your Cost: $60.94/claim|Median: $101.24
0.6× median
36415Normal range

Collection of venous blood by venipuncture

$41K

27K claims · 0.3%

Your Cost: $1.51/claim|Median: $1.57
1.0× median
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