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Provider 1629502810

NPI: 1629502810Share
Active Billing Period:2018-02→2024-12(83 months)

Total Paid

$17.7M

$17,700,475

Total Claims

430K

Beneficiaries

350K

1.2 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$76K
+364%
2019
$352K
+68%
2020
$591K
+390%
2021
$2.9M
+64%
2022
$4.8M
+11%
2023
$5.3M
-29%
2024
$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 37% of total spending.

99214Top 25%

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

$6.6M

86K claims · 37.4%

Your Cost: $76.66/claim|Median: $53.41
1.4× median
99213Normal range

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

$4.2M

78K claims · 23.6%

Your Cost: $53.46/claim|Median: $37.81
1.4× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$2.5M

83K claims · 14.0%

Your Cost: $29.78/claim|Median: $30.53
1.0× median
99204Normal range

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

$1.7M

18K claims · 9.4%

Your Cost: $90.63/claim|Median: $84.03
1.1× median
87804Top 25%

Influenza virus detection, rapid test

$1.4M

65K claims · 7.9%

Your Cost: $21.71/claim|Median: $12.59
1.7× median
99203Normal range

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

$598K

9,693 claims · 3.4%

Your Cost: $61.66/claim|Median: $57.85
1.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$388K

35K claims · 2.2%

Your Cost: $10.99/claim|Median: $11.48
1.0× median
81025Top 25%

Urine pregnancy test

$66K

9,822 claims · 0.4%

Your Cost: $6.73/claim|Median: $4.81
1.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$62K

1,643 claims · 0.4%

Your Cost: $37.76/claim|Median: $39.70
1.0× median
87426Normal range

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

$59K

1,901 claims · 0.3%

Your Cost: $30.93/claim|Median: $30.04
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$57K

2,586 claims · 0.3%

Your Cost: $21.87/claim|Median: $25.06
0.9× median
81002Normal range

Urinalysis, non-automated without microscopy

$46K

18K claims · 0.3%

Your Cost: $2.59/claim|Median: $2.00
1.3× median
87807Normal range

$43K

5,657 claims · 0.2%

Your Cost: $7.52/claim|Median: $10.06
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$11K

120 claims · 0.1%

Your Cost: $95.67/claim|Median: $74.09
1.3× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$9K

190 claims · 0.1%

Your Cost: $47.30/claim|Median: $40.11
1.2× median
36415Top 25%

Collection of venous blood by venipuncture

$7K

2,393 claims · 0.0%

Your Cost: $3.12/claim|Median: $1.57
2.0× median
99000Normal range

$6K

3,553 claims · 0.0%

Your Cost: $1.67/claim|Median: $2.30
0.7× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$3K

465 claims · 0.0%

Your Cost: $5.92/claim|Median: $9.56
0.6× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$2K

13 claims · 0.0%

Your Cost: $171.78/claim|Median: $111.09
1.5× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$1K

29 claims · 0.0%

Your Cost: $50.42/claim|Median: $83.63
0.6× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$1K

30 claims · 0.0%

Your Cost: $38.48/claim|Median: $34.62
1.1× median
99383Normal range

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

$762

14 claims · 0.0%

Your Cost: $54.46/claim|Median: $81.92
0.7× median
87905Top 10%

$211

16 claims · 0.0%

Your Cost: $13.18/claim|Median: $9.68
1.4× median
87808Normal range

$210

16 claims · 0.0%

Your Cost: $13.14/claim|Median: $9.35
1.4× median
99441Normal range

Telephone E/M by physician, 5-10 min

$84

15 claims · 0.0%

Your Cost: $5.59/claim|Median: $13.30
0.4× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$82

117 claims · 0.0%

Your Cost: $0.70/claim|Median: $0.79
0.9× median
99051Normal range

$48

3,151 claims · 0.0%

Your Cost: $0.02/claim|Median: $7.89
0.0× median
36416Normal range

$29

13 claims · 0.0%

Your Cost: $2.22/claim|Median: $1.31
1.7× median
S9088Normal range

Services provided in an urgent care center

$0

4,805 claims · 0.0%

Your Cost: $0.00/claim|Median: $28.22
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