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Provider 1639257215

NPI: 1639257215Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.7M

$10,735,982

Total Claims

535K

Beneficiaries

472K

1.1 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+3%
2019
$1.6M
-15%
2020
$1.4M
+22%
2021
$1.7M
-8%
2022
$1.6M
-3%
2023
$1.5M
-11%
2024
$1.4M

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 25% of total spending.

99213Normal range

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

$2.7M

62K claims · 24.9%

Your Cost: $43.49/claim|Median: $37.81
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$2.1M

76K claims · 19.2%

Your Cost: $26.96/claim|Median: $25.06
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.0M

16K claims · 9.7%

Your Cost: $64.78/claim|Median: $74.82
0.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$844K

12K claims · 7.9%

Your Cost: $70.25/claim|Median: $80.15
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$840K

13K claims · 7.8%

Your Cost: $65.41/claim|Median: $75.18
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$624K

11K claims · 5.8%

Your Cost: $59.35/claim|Median: $69.35
0.9× median
90471Normal range

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

$436K

34K claims · 4.1%

Your Cost: $12.79/claim|Median: $9.80
1.3× median
99188Top 25%

$265K

12K claims · 2.5%

Your Cost: $21.32/claim|Median: $12.80
1.7× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$261K

25K claims · 2.4%

Your Cost: $10.59/claim|Median: $11.48
0.9× median
90472Normal range

Immunization administration, each additional vaccine

$224K

19K claims · 2.1%

Your Cost: $11.79/claim|Median: $11.79
1.0× median
92551Normal range

Screening audiometry, pure tone, air only

$184K

25K claims · 1.7%

Your Cost: $7.36/claim|Median: $6.61
1.1× median
87811Normal range

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

$170K

5,509 claims · 1.6%

Your Cost: $30.92/claim|Median: $30.53
1.0× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$118K

12K claims · 1.1%

Your Cost: $9.62/claim|Median: $10.88
0.9× median
87804Normal range

Influenza virus detection, rapid test

$112K

11K claims · 1.0%

Your Cost: $10.58/claim|Median: $12.59
0.8× median
99203Normal range

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

$92K

1,400 claims · 0.9%

Your Cost: $65.74/claim|Median: $57.85
1.1× median
99050Normal range

$89K

8,308 claims · 0.8%

Your Cost: $10.66/claim|Median: $11.81
0.9× median
99051Normal range

$81K

6,396 claims · 0.8%

Your Cost: $12.66/claim|Median: $7.89
1.6× median
83655Normal range

$57K

6,002 claims · 0.5%

Your Cost: $9.53/claim|Median: $10.49
0.9× median
90474Normal range

$52K

6,381 claims · 0.5%

Your Cost: $8.20/claim|Median: $8.42
1.0× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$51K

760 claims · 0.5%

Your Cost: $67.12/claim|Median: $43.85
1.5× median
96110Normal range

Developmental screening, per standardized instrument

$44K

5,127 claims · 0.4%

Your Cost: $8.53/claim|Median: $9.10
0.9× median
99211Normal range

Office/outpatient visit, minimal complexity

$36K

2,656 claims · 0.3%

Your Cost: $13.52/claim|Median: $12.93
1.0× median
69210Normal range

$35K

1,516 claims · 0.3%

Your Cost: $23.30/claim|Median: $21.74
1.1× median
85013Normal range

$32K

15K claims · 0.3%

Your Cost: $2.04/claim|Median: $2.44
0.8× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$31K

822 claims · 0.3%

Your Cost: $38.28/claim|Median: $62.48
0.6× median
90620Normal range

$31K

4,243 claims · 0.3%

Your Cost: $7.35/claim|Median: $6.49
1.1× median
H0050Normal range

$24K

2,369 claims · 0.2%

Your Cost: $10.09/claim|Median: $46.71
0.2× median
90473Normal range

Immunization admin, intranasal, first

$21K

2,414 claims · 0.2%

Your Cost: $8.88/claim|Median: $9.17
1.0× median
81003Normal range

Urinalysis, automated without microscopy

$19K

10K claims · 0.2%

Your Cost: $1.85/claim|Median: $1.48
1.3× median
99395Normal range

Preventive medicine, established patient, age 18-39

$19K

334 claims · 0.2%

Your Cost: $57.40/claim|Median: $72.71
0.8× median
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