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Provider 1639164833

NPI: 1639164833Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.3M

$15,261,284

Total Claims

415K

Beneficiaries

394K

1.1 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+3%
2019
$2.1M
-14%
2020
$1.8M
+36%
2021
$2.4M
+7%
2022
$2.6M
-9%
2023
$2.4M
-19%
2024
$1.9M

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 29% of total spending.

99213Normal range

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

$4.4M

86K claims · 29.1%

Your Cost: $51.95/claim|Median: $37.81
1.4× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$2.0M

56K claims · 12.8%

Your Cost: $35.07/claim|Median: $17.85
2.0× median
99214Top 25%

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

$1.7M

22K claims · 11.0%

Your Cost: $76.41/claim|Median: $53.41
1.4× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.4M

19K claims · 9.1%

Your Cost: $73.99/claim|Median: $69.35
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.3M

17K claims · 8.7%

Your Cost: $78.68/claim|Median: $75.18
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.3M

17K claims · 8.5%

Your Cost: $76.68/claim|Median: $74.82
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$1.1M

13K claims · 7.0%

Your Cost: $84.48/claim|Median: $80.15
1.1× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$733K

23K claims · 4.8%

Your Cost: $31.23/claim|Median: $6.93
4.5× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$405K

31K claims · 2.7%

Your Cost: $13.25/claim|Median: $11.48
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$345K

12K claims · 2.3%

Your Cost: $29.03/claim|Median: $25.06
1.2× median
87426Top 25%

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

$272K

7,372 claims · 1.8%

Your Cost: $36.83/claim|Median: $30.04
1.2× median
87804Normal range

Influenza virus detection, rapid test

$62K

3,956 claims · 0.4%

Your Cost: $15.63/claim|Median: $12.59
1.2× median
96110Top 25%

Developmental screening, per standardized instrument

$49K

2,100 claims · 0.3%

Your Cost: $23.20/claim|Median: $9.10
2.5× median
99215Normal range

Office/outpatient visit, high complexity

$36K

382 claims · 0.2%

Your Cost: $94.71/claim|Median: $74.09
1.3× median
0071ATop 5%

$28K

367 claims · 0.2%

Your Cost: $74.97/claim|Median: $38.71
1.9× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$25K

392 claims · 0.2%

Your Cost: $63.82/claim|Median: $62.48
1.0× median
0072ATop 5%

$20K

251 claims · 0.1%

Your Cost: $77.98/claim|Median: $39.57
2.0× median
36415Normal range

Collection of venous blood by venipuncture

$18K

7,265 claims · 0.1%

Your Cost: $2.53/claim|Median: $1.57
1.6× median
99211Normal range

Office/outpatient visit, minimal complexity

$17K

3,749 claims · 0.1%

Your Cost: $4.58/claim|Median: $12.93
0.4× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$16K

299 claims · 0.1%

Your Cost: $52.27/claim|Median: $37.22
1.4× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$14K

3,447 claims · 0.1%

Your Cost: $4.16/claim|Median: $3.67
1.1× median
99000Normal range

$13K

17K claims · 0.1%

Your Cost: $0.76/claim|Median: $2.30
0.3× median
99188Normal range

$7K

675 claims · 0.0%

Your Cost: $10.85/claim|Median: $12.80
0.8× median
95117Normal range

$6K

796 claims · 0.0%

Your Cost: $8.02/claim|Median: $8.34
1.0× median
99381Top 25%

Preventive visit, new patient, infant (<1 yr)

$6K

63 claims · 0.0%

Your Cost: $89.93/claim|Median: $73.46
1.2× median
96160Normal range

Patient-focused health risk assessment

$5K

1,974 claims · 0.0%

Your Cost: $2.68/claim|Median: $2.10
1.3× median
99383Normal range

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

$4K

47 claims · 0.0%

Your Cost: $94.34/claim|Median: $81.92
1.2× median
95004Top 5%

Percutaneous allergy skin tests, each

$4K

12 claims · 0.0%

Your Cost: $355.26/claim|Median: $134.97
2.6× median
99051Normal range

$4K

1,047 claims · 0.0%

Your Cost: $3.75/claim|Median: $7.89
0.5× median
0124ANormal range

$3K

90 claims · 0.0%

Your Cost: $37.94/claim|Median: $34.32
1.1× median
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