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Provider 1639306731

NPI: 1639306731Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$15.2M

$15,221,563

Total Claims

210K

Beneficiaries

157K

1.3 claims/patient

Avg Cost/Claim

$73

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-2%
2019
$2.0M
+19%
2020
$2.4M
+12%
2021
$2.7M
-4%
2022
$2.6M
+1%
2023
$2.6M
-60%
2024
$1.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (95165 (Professional services for allergen immunotherapy, per injection)) accounts for 28% of total spending.

95165Normal range

Professional services for allergen immunotherapy, per injection

$4.3M

21K claims · 27.9%

Your Cost: $198.23/claim|Median: $144.04
1.4× median
99214Normal range

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

$3.6M

57K claims · 23.7%

Your Cost: $63.25/claim|Median: $53.41
1.2× median
95144Normal range

$2.5M

22K claims · 16.6%

Your Cost: $115.24/claim|Median: $109.74
1.1× median
99213Normal range

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

$2.0M

42K claims · 13.0%

Your Cost: $47.27/claim|Median: $37.81
1.3× median
95004Top 25%

Percutaneous allergy skin tests, each

$1.6M

7,483 claims · 10.4%

Your Cost: $211.12/claim|Median: $134.97
1.6× median
99203Normal range

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

$422K

6,583 claims · 2.8%

Your Cost: $64.14/claim|Median: $57.85
1.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$124K

9,481 claims · 0.8%

Your Cost: $13.09/claim|Median: $9.56
1.4× median
99395Normal range

Preventive medicine, established patient, age 18-39

$114K

1,464 claims · 0.7%

Your Cost: $77.73/claim|Median: $72.71
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$100K

1,242 claims · 0.7%

Your Cost: $80.74/claim|Median: $80.15
1.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$90K

3,143 claims · 0.6%

Your Cost: $28.49/claim|Median: $17.85
1.6× median
99396Normal range

Preventive medicine, established patient, age 40-64

$64K

767 claims · 0.4%

Your Cost: $83.03/claim|Median: $76.06
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$56K

784 claims · 0.4%

Your Cost: $71.77/claim|Median: $74.82
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$47K

707 claims · 0.3%

Your Cost: $66.23/claim|Median: $74.09
0.9× median
95117Normal range

$45K

5,682 claims · 0.3%

Your Cost: $7.90/claim|Median: $8.34
0.9× median
87811Normal range

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

$30K

875 claims · 0.2%

Your Cost: $33.86/claim|Median: $30.53
1.1× median
90471Top 25%

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

$19K

1,038 claims · 0.1%

Your Cost: $18.54/claim|Median: $9.80
1.9× median
81002Normal range

Urinalysis, non-automated without microscopy

$18K

7,101 claims · 0.1%

Your Cost: $2.60/claim|Median: $2.00
1.3× median
87804Top 25%

Influenza virus detection, rapid test

$17K

754 claims · 0.1%

Your Cost: $22.68/claim|Median: $12.59
1.8× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$16K

1,427 claims · 0.1%

Your Cost: $11.19/claim|Median: $11.48
1.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$15K

2,152 claims · 0.1%

Your Cost: $7.14/claim|Median: $7.18
1.0× median
99204Normal range

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

$14K

146 claims · 0.1%

Your Cost: $93.71/claim|Median: $84.03
1.1× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$10K

347 claims · 0.1%

Your Cost: $29.60/claim|Median: $25.93
1.1× median
81025Normal range

Urine pregnancy test

$9K

1,494 claims · 0.1%

Your Cost: $5.89/claim|Median: $4.81
1.2× median
71046Top 25%

Chest X-ray, 2 views

$9K

455 claims · 0.1%

Your Cost: $19.28/claim|Median: $8.92
2.2× median
99212Normal range

Office/outpatient visit, low complexity

$8K

311 claims · 0.1%

Your Cost: $27.05/claim|Median: $25.06
1.1× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$7K

219 claims · 0.0%

Your Cost: $33.73/claim|Median: $29.03
1.2× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$7K

188 claims · 0.0%

Your Cost: $37.30/claim|Median: $33.85
1.1× median
J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

$5K

3,447 claims · 0.0%

Your Cost: $1.56/claim|Median: $0.91
1.7× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$5K

448 claims · 0.0%

Your Cost: $11.48/claim|Median: $9.70
1.2× median
0064ANormal range

$5K

138 claims · 0.0%

Your Cost: $35.78/claim|Median: $34.17
1.0× median