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Provider 1629201264

NPI: 1629201264Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.6M

$13,572,516

Total Claims

378K

Beneficiaries

352K

1.1 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$542K
+9%
2019
$592K
+61%
2020
$953K
+290%
2021
$3.7M
-36%
2022
$2.4M
+16%
2023
$2.8M
-5%
2024
$2.6M

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 30% of total spending.

99213Top 25%

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

$4.0M

74K claims · 29.6%

Your Cost: $54.26/claim|Median: $37.81
1.4× median
99203Normal range

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

$3.1M

47K claims · 22.9%

Your Cost: $66.26/claim|Median: $57.85
1.1× median
99214Normal range

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

$2.4M

33K claims · 17.6%

Your Cost: $72.22/claim|Median: $53.41
1.4× median
99204Normal range

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

$1.6M

18K claims · 12.2%

Your Cost: $93.50/claim|Median: $84.03
1.1× median
87426Normal range

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

$1.4M

46K claims · 10.0%

Your Cost: $29.82/claim|Median: $30.04
1.0× median
M0243Top 25%

$126K

342 claims · 0.9%

Your Cost: $369.48/claim|Median: $215.21
1.7× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$121K

10K claims · 0.9%

Your Cost: $11.63/claim|Median: $11.48
1.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$106K

2,580 claims · 0.8%

Your Cost: $41.19/claim|Median: $39.70
1.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$91K

12K claims · 0.7%

Your Cost: $7.31/claim|Median: $9.56
0.8× median
87804Normal range

Influenza virus detection, rapid test

$82K

6,907 claims · 0.6%

Your Cost: $11.88/claim|Median: $12.59
0.9× median
99000Normal range

$49K

29K claims · 0.4%

Your Cost: $1.68/claim|Median: $2.30
0.7× median
99058Normal range

$43K

7,334 claims · 0.3%

Your Cost: $5.87/claim|Median: $15.38
0.4× median
12001Normal range

$40K

778 claims · 0.3%

Your Cost: $52.04/claim|Median: $64.99
0.8× median
81025Normal range

Urine pregnancy test

$39K

9,288 claims · 0.3%

Your Cost: $4.17/claim|Median: $4.81
0.9× median
M0247Top 10%

$36K

89 claims · 0.3%

Your Cost: $399.69/claim|Median: $235.71
1.7× median
81002Normal range

Urinalysis, non-automated without microscopy

$31K

13K claims · 0.2%

Your Cost: $2.35/claim|Median: $2.00
1.2× median
M0222Top 10%

$30K

97 claims · 0.2%

Your Cost: $307.64/claim|Median: $142.80
2.2× median
73130Normal range

$30K

1,573 claims · 0.2%

Your Cost: $18.96/claim|Median: $10.69
1.8× median
73620Normal range

$20K

1,290 claims · 0.1%

Your Cost: $15.35/claim|Median: $11.93
1.3× median
73600Normal range

$17K

989 claims · 0.1%

Your Cost: $17.63/claim|Median: $9.97
1.8× median
99215Normal range

Office/outpatient visit, high complexity

$16K

174 claims · 0.1%

Your Cost: $92.92/claim|Median: $74.09
1.3× median
69210Normal range

$13K

483 claims · 0.1%

Your Cost: $27.86/claim|Median: $21.74
1.3× median
71046Top 25%

Chest X-ray, 2 views

$13K

706 claims · 0.1%

Your Cost: $17.74/claim|Median: $8.92
2.0× median
90715Top 25%

Tdap vaccine

$12K

440 claims · 0.1%

Your Cost: $27.70/claim|Median: $10.32
2.7× median
86328Top 25%

$12K

333 claims · 0.1%

Your Cost: $36.33/claim|Median: $20.52
1.8× median
73110Top 25%

X-ray of wrist, complete, minimum three views

$9K

361 claims · 0.1%

Your Cost: $24.09/claim|Median: $12.64
1.9× median
29125Normal range

$9K

255 claims · 0.1%

Your Cost: $33.97/claim|Median: $28.04
1.2× median
36415Normal range

Collection of venous blood by venipuncture

$8K

4,789 claims · 0.1%

Your Cost: $1.74/claim|Median: $1.57
1.1× median
10060Normal range

Incision and drainage of abscess, simple

$8K

115 claims · 0.1%

Your Cost: $72.12/claim|Median: $75.72
1.0× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$7K

867 claims · 0.1%

Your Cost: $8.03/claim|Median: $9.70
0.8× median
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