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Provider 1629143037

NPI: 1629143037Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$7.9M

$7,947,453

Total Claims

232K

Beneficiaries

183K

1.3 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$289K
+193%
2019
$845K
-9%
2020
$766K
+61%
2021
$1.2M
+22%
2022
$1.5M
+21%
2023
$1.8M
-18%
2024
$1.5M

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 27% of total spending.

99213Normal range

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

$2.2M

56K claims · 27.2%

Your Cost: $38.88/claim|Median: $37.81
1.0× median
99214Normal range

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

$1.9M

37K claims · 23.6%

Your Cost: $50.63/claim|Median: $53.41
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$483K

5,853 claims · 6.1%

Your Cost: $82.47/claim|Median: $69.35
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$422K

5,623 claims · 5.3%

Your Cost: $75.07/claim|Median: $74.09
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$333K

3,843 claims · 4.2%

Your Cost: $86.65/claim|Median: $75.18
1.2× median
59425Normal range

Antepartum care only, 4-6 visits

$311K

6,273 claims · 3.9%

Your Cost: $49.60/claim|Median: $63.63
0.8× median
90670Top 5%

$156K

3,288 claims · 2.0%

Your Cost: $47.30/claim|Median: $5.94
8.0× median
99203Normal range

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

$152K

3,407 claims · 1.9%

Your Cost: $44.73/claim|Median: $57.85
0.8× median
59426Normal range

Antepartum care only, high risk, additional visits

$152K

2,678 claims · 1.9%

Your Cost: $56.65/claim|Median: $122.30
0.5× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$126K

9,236 claims · 1.6%

Your Cost: $13.67/claim|Median: $9.80
1.4× median
90472Normal range

Immunization administration, each additional vaccine

$126K

11K claims · 1.6%

Your Cost: $11.40/claim|Median: $11.79
1.0× median
59409Normal range

Vaginal delivery only

$124K

212 claims · 1.6%

Your Cost: $586.01/claim|Median: $619.91
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$123K

4,813 claims · 1.6%

Your Cost: $25.61/claim|Median: $25.06
1.0× median
90837Normal range

Psychotherapy, 60 minutes

$96K

1,707 claims · 1.2%

Your Cost: $56.08/claim|Median: $85.66
0.7× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$91K

2,379 claims · 1.1%

Your Cost: $38.35/claim|Median: $37.22
1.0× median
99309Normal range

Nursing facility care, subsequent, low complexity

$88K

10K claims · 1.1%

Your Cost: $8.81/claim|Median: $14.00
0.6× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$75K

580 claims · 0.9%

Your Cost: $130.00/claim|Median: $111.09
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$72K

1,359 claims · 0.9%

Your Cost: $53.10/claim|Median: $63.65
0.8× median
99308Normal range

Nursing facility care, subsequent, straightforward

$71K

11K claims · 0.9%

Your Cost: $6.35/claim|Median: $9.79
0.6× median
59430Normal range

$58K

605 claims · 0.7%

Your Cost: $96.65/claim|Median: $80.32
1.2× median
90698Top 5%

$56K

1,900 claims · 0.7%

Your Cost: $29.25/claim|Median: $6.32
4.6× median
99204Normal range

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

$49K

722 claims · 0.6%

Your Cost: $68.30/claim|Median: $84.03
0.8× median
90680Top 25%

$48K

3,247 claims · 0.6%

Your Cost: $14.85/claim|Median: $5.58
2.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$46K

1,138 claims · 0.6%

Your Cost: $40.38/claim|Median: $39.70
1.0× median
90474Normal range

$39K

3,243 claims · 0.5%

Your Cost: $12.12/claim|Median: $8.42
1.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$37K

421 claims · 0.5%

Your Cost: $87.11/claim|Median: $74.82
1.2× median
27096Normal range

$32K

511 claims · 0.4%

Your Cost: $61.97/claim|Median: $89.16
0.7× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$29K

2,054 claims · 0.4%

Your Cost: $14.08/claim|Median: $12.06
1.2× median
90791Normal range

Psychiatric diagnostic evaluation

$28K

295 claims · 0.4%

Your Cost: $96.15/claim|Median: $99.21
1.0× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$28K

1,255 claims · 0.3%

Your Cost: $22.16/claim|Median: $29.03
0.8× median
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