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Provider 1629266903

NPI: 1629266903Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.9M

$7,947,636

Total Claims

252K

Beneficiaries

200K

1.3 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$389K
+10%
2019
$426K
+39%
2020
$592K
+152%
2021
$1.5M
+21%
2022
$1.8M
-1%
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 28% of total spending.

99213Normal range

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

$2.2M

53K claims · 27.8%

Your Cost: $41.50/claim|Median: $37.81
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$771K

9,773 claims · 9.7%

Your Cost: $78.92/claim|Median: $69.35
1.1× median
99214Normal range

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

$639K

10K claims · 8.0%

Your Cost: $62.31/claim|Median: $53.41
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$636K

7,968 claims · 8.0%

Your Cost: $79.88/claim|Median: $75.18
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$567K

6,807 claims · 7.1%

Your Cost: $83.35/claim|Median: $74.82
1.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$508K

40K claims · 6.4%

Your Cost: $12.59/claim|Median: $17.85
0.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$330K

3,821 claims · 4.1%

Your Cost: $86.26/claim|Median: $80.15
1.1× median
87426Top 25%

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

$292K

7,519 claims · 3.7%

Your Cost: $38.89/claim|Median: $30.04
1.3× median
90670Top 5%

$239K

4,685 claims · 3.0%

Your Cost: $50.99/claim|Median: $5.94
8.6× median
90461Normal range

Immunization admin, additional vaccine, counseling

$201K

11K claims · 2.5%

Your Cost: $18.11/claim|Median: $6.93
2.6× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$200K

2,441 claims · 2.5%

Your Cost: $82.03/claim|Median: $62.48
1.3× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$185K

4,481 claims · 2.3%

Your Cost: $41.32/claim|Median: $39.70
1.0× median
87804Normal range

Influenza virus detection, rapid test

$132K

9,479 claims · 1.7%

Your Cost: $13.87/claim|Median: $12.59
1.1× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$130K

2,088 claims · 1.6%

Your Cost: $62.08/claim|Median: $37.22
1.7× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$118K

8,611 claims · 1.5%

Your Cost: $13.75/claim|Median: $11.48
1.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$111K

9,128 claims · 1.4%

Your Cost: $12.15/claim|Median: $9.56
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$78K

2,920 claims · 1.0%

Your Cost: $26.84/claim|Median: $25.06
1.1× median
90651Top 25%

HPV vaccine, 9-valent

$61K

1,579 claims · 0.8%

Your Cost: $38.79/claim|Median: $8.93
4.3× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$58K

702 claims · 0.7%

Your Cost: $82.35/claim|Median: $43.85
1.9× median
90681Top 10%

$50K

2,669 claims · 0.6%

Your Cost: $18.70/claim|Median: $5.74
3.3× median
90716Top 25%

$42K

2,691 claims · 0.5%

Your Cost: $15.47/claim|Median: $6.18
2.5× median
90734Top 10%

$38K

1,477 claims · 0.5%

Your Cost: $25.88/claim|Median: $6.40
4.0× median
90677Normal range

$36K

1,206 claims · 0.4%

Your Cost: $29.50/claim|Median: $12.96
2.3× median
99223Top 25%

Initial hospital care, per day, high complexity

$28K

233 claims · 0.4%

Your Cost: $119.97/claim|Median: $67.32
1.8× median
90707Normal range

MMR vaccine

$25K

2,681 claims · 0.3%

Your Cost: $9.34/claim|Median: $5.76
1.6× median
96110Normal range

Developmental screening, per standardized instrument

$23K

2,480 claims · 0.3%

Your Cost: $9.23/claim|Median: $9.10
1.0× median
90633Normal range

$19K

2,891 claims · 0.2%

Your Cost: $6.45/claim|Median: $3.56
1.8× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$18K

5,261 claims · 0.2%

Your Cost: $3.39/claim|Median: $7.18
0.5× median
99395Normal range

Preventive medicine, established patient, age 18-39

$16K

198 claims · 0.2%

Your Cost: $81.75/claim|Median: $72.71
1.1× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$16K

1,389 claims · 0.2%

Your Cost: $11.36/claim|Median: $10.88
1.0× median
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