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Provider 1639208994

NPI: 1639208994Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.6M

$9,608,020

Total Claims

238K

Beneficiaries

215K

1.1 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$17K
+18%
2019
$20K
+7077%
2020
$1.4M
+9%
2021
$1.5M
+44%
2022
$2.2M
+2%
2023
$2.3M
-3%
2024
$2.2M

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 34% of total spending.

99213Top 10%

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

$3.2M

37K claims · 33.5%

Your Cost: $86.17/claim|Median: $37.81
2.3× median
99214Top 5%

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

$2.8M

23K claims · 28.6%

Your Cost: $119.24/claim|Median: $53.41
2.2× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$580K

5,461 claims · 6.0%

Your Cost: $106.15/claim|Median: $74.82
1.4× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$500K

4,280 claims · 5.2%

Your Cost: $116.93/claim|Median: $80.15
1.5× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$444K

4,172 claims · 4.6%

Your Cost: $106.49/claim|Median: $75.18
1.4× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$314K

3,170 claims · 3.3%

Your Cost: $99.18/claim|Median: $69.35
1.4× median
96110Normal range

Developmental screening, per standardized instrument

$291K

27K claims · 3.0%

Your Cost: $10.62/claim|Median: $9.10
1.2× median
S0302Normal range

$173K

21K claims · 1.8%

Your Cost: $8.13/claim|Median: $9.05
0.9× median
99051Normal range

$165K

14K claims · 1.7%

Your Cost: $11.68/claim|Median: $7.89
1.5× median
D1206Top 25%

Topical application of fluoride varnish

$134K

5,424 claims · 1.4%

Your Cost: $24.69/claim|Median: $18.12
1.4× median
92551Normal range

Screening audiometry, pure tone, air only

$128K

14K claims · 1.3%

Your Cost: $9.33/claim|Median: $6.61
1.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$115K

9,389 claims · 1.2%

Your Cost: $12.23/claim|Median: $11.48
1.1× median
95165Top 25%

Professional services for allergen immunotherapy, per injection

$101K

388 claims · 1.1%

Your Cost: $260.67/claim|Median: $144.04
1.8× median
G2211Top 5%

$88K

5,577 claims · 0.9%

Your Cost: $15.80/claim|Median: $2.40
6.6× median
90686Top 5%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$83K

3,809 claims · 0.9%

Your Cost: $21.76/claim|Median: $7.18
3.0× median
87804Top 25%

Influenza virus detection, rapid test

$74K

4,210 claims · 0.8%

Your Cost: $17.62/claim|Median: $12.59
1.4× median
99212Top 25%

Office/outpatient visit, low complexity

$68K

1,380 claims · 0.7%

Your Cost: $49.54/claim|Median: $25.06
2.0× median
99177Normal range

$37K

7,609 claims · 0.4%

Your Cost: $4.83/claim|Median: $3.74
1.3× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$33K

274 claims · 0.3%

Your Cost: $118.88/claim|Median: $72.71
1.6× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$29K

5,543 claims · 0.3%

Your Cost: $5.14/claim|Median: $3.67
1.4× median
90670Top 10%

$24K

1,064 claims · 0.2%

Your Cost: $22.27/claim|Median: $5.94
3.7× median
90698Top 10%

$19K

829 claims · 0.2%

Your Cost: $22.50/claim|Median: $6.32
3.6× median
90680Top 5%

$18K

795 claims · 0.2%

Your Cost: $22.35/claim|Median: $5.58
4.0× median
90651Top 25%

HPV vaccine, 9-valent

$17K

749 claims · 0.2%

Your Cost: $22.85/claim|Median: $8.93
2.6× median
99173Normal range

$17K

7,548 claims · 0.2%

Your Cost: $2.23/claim|Median: $2.16
1.0× median
90671Normal range

$16K

744 claims · 0.2%

Your Cost: $22.06/claim|Median: $8.59
2.6× median
99215Top 5%

Office/outpatient visit, high complexity

$14K

80 claims · 0.1%

Your Cost: $173.03/claim|Median: $74.09
2.3× median
90697Top 25%

$13K

584 claims · 0.1%

Your Cost: $22.12/claim|Median: $7.24
3.1× median
96160Normal range

Patient-focused health risk assessment

$13K

4,269 claims · 0.1%

Your Cost: $2.99/claim|Median: $2.10
1.4× median
90633Top 5%

$12K

554 claims · 0.1%

Your Cost: $22.40/claim|Median: $3.56
6.3× median
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