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Provider 1629263181

NPI: 1629263181Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.0M

$9,017,980

Total Claims

225K

Beneficiaries

183K

1.2 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-10%
2019
$1.2M
-20%
2020
$986K
+47%
2021
$1.4M
-0%
2022
$1.4M
-5%
2023
$1.4M
-12%
2024
$1.2M

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 39% of total spending.

99213Top 25%

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

$3.5M

62K claims · 39.2%

Your Cost: $56.73/claim|Median: $37.81
1.5× median
99214Top 25%

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

$915K

12K claims · 10.2%

Your Cost: $76.21/claim|Median: $53.41
1.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$827K

10K claims · 9.2%

Your Cost: $80.57/claim|Median: $74.82
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$668K

8,300 claims · 7.4%

Your Cost: $80.51/claim|Median: $75.18
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$618K

7,658 claims · 6.9%

Your Cost: $80.72/claim|Median: $80.15
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$573K

7,336 claims · 6.4%

Your Cost: $78.17/claim|Median: $69.35
1.1× median
99203Normal range

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

$260K

3,459 claims · 2.9%

Your Cost: $75.05/claim|Median: $57.85
1.3× median
87804Normal range

Influenza virus detection, rapid test

$173K

12K claims · 1.9%

Your Cost: $14.83/claim|Median: $12.59
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$134K

4,209 claims · 1.5%

Your Cost: $31.90/claim|Median: $25.06
1.3× median
90472Top 25%

Immunization administration, each additional vaccine

$108K

4,795 claims · 1.2%

Your Cost: $22.59/claim|Median: $11.79
1.9× median
41010Normal range

$107K

754 claims · 1.2%

Your Cost: $142.51/claim|Median: $143.34
1.0× median
90471Normal range

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

$94K

6,909 claims · 1.0%

Your Cost: $13.59/claim|Median: $9.80
1.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$86K

1,871 claims · 1.0%

Your Cost: $45.94/claim|Median: $39.70
1.2× median
71046Top 25%

Chest X-ray, 2 views

$79K

4,029 claims · 0.9%

Your Cost: $19.71/claim|Median: $8.92
2.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$71K

6,005 claims · 0.8%

Your Cost: $11.78/claim|Median: $11.48
1.0× median
17110Normal range

Destruction of benign lesions, up to fourteen

$61K

923 claims · 0.7%

Your Cost: $65.82/claim|Median: $59.25
1.1× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$57K

982 claims · 0.6%

Your Cost: $58.27/claim|Median: $62.48
0.9× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$55K

3,030 claims · 0.6%

Your Cost: $18.26/claim|Median: $9.56
1.9× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$49K

1,134 claims · 0.5%

Your Cost: $43.45/claim|Median: $37.22
1.2× median
80061Normal range

Lipid panel

$41K

4,754 claims · 0.5%

Your Cost: $8.63/claim|Median: $8.41
1.0× median
74018Top 25%

$40K

2,184 claims · 0.4%

Your Cost: $18.36/claim|Median: $7.00
2.6× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$36K

413 claims · 0.4%

Your Cost: $86.69/claim|Median: $81.92
1.1× median
40806Normal range

$34K

782 claims · 0.4%

Your Cost: $43.99/claim|Median: $32.95
1.3× median
99395Normal range

Preventive medicine, established patient, age 18-39

$34K

432 claims · 0.4%

Your Cost: $78.60/claim|Median: $72.71
1.1× median
11900Normal range

$30K

925 claims · 0.3%

Your Cost: $32.14/claim|Median: $31.25
1.0× median
17000Top 25%

$28K

636 claims · 0.3%

Your Cost: $44.81/claim|Median: $21.35
2.1× median
36416Normal range

$28K

11K claims · 0.3%

Your Cost: $2.62/claim|Median: $1.31
2.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$26K

535 claims · 0.3%

Your Cost: $47.72/claim|Median: $40.11
1.2× median
83655Normal range

$22K

2,420 claims · 0.2%

Your Cost: $9.18/claim|Median: $10.49
0.9× median
94010Normal range

$22K

953 claims · 0.2%

Your Cost: $23.19/claim|Median: $18.11
1.3× median
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