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Provider 1639504996

NPI: 1639504996Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$10.3M

$10,320,195

Total Claims

491K

Beneficiaries

402K

1.2 claims/patient

Avg Cost/Claim

$21

Monthly Spending Trend

Yearly Spending

2018
$19K
+45%
2019
$28K
+1978%
2020
$583K
+275%
2021
$2.2M
+34%
2022
$2.9M
-16%
2023
$2.5M
-14%
2024
$2.1M

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

$3.0M

86K claims · 29.3%

Your Cost: $35.31/claim|Median: $37.81
0.9× median
87811Top 25%

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

$1.8M

45K claims · 17.1%

Your Cost: $39.30/claim|Median: $30.53
1.3× median
87804Normal range

Influenza virus detection, rapid test

$949K

71K claims · 9.2%

Your Cost: $13.40/claim|Median: $12.59
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$559K

7,008 claims · 5.4%

Your Cost: $79.78/claim|Median: $74.82
1.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$534K

40K claims · 5.2%

Your Cost: $13.45/claim|Median: $11.48
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$483K

6,452 claims · 4.7%

Your Cost: $74.86/claim|Median: $75.18
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$449K

5,501 claims · 4.3%

Your Cost: $81.58/claim|Median: $80.15
1.0× median
S8301Normal range

$385K

54K claims · 3.7%

Your Cost: $7.16/claim|Median: $8.32
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$289K

3,936 claims · 2.8%

Your Cost: $73.46/claim|Median: $69.35
1.1× median
99214Normal range

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

$284K

5,476 claims · 2.8%

Your Cost: $51.89/claim|Median: $53.41
1.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$273K

26K claims · 2.6%

Your Cost: $10.49/claim|Median: $17.85
0.6× median
87426Top 10%

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

$254K

5,918 claims · 2.5%

Your Cost: $42.93/claim|Median: $30.04
1.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$218K

34K claims · 2.1%

Your Cost: $6.38/claim|Median: $4.71
1.4× median
99429Normal range

$163K

5,090 claims · 1.6%

Your Cost: $31.93/claim|Median: $28.58
1.1× median
99203Normal range

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

$93K

1,602 claims · 0.9%

Your Cost: $58.09/claim|Median: $57.85
1.0× median
87807Normal range

$79K

7,429 claims · 0.8%

Your Cost: $10.64/claim|Median: $10.06
1.1× median
87633Top 25%

Respiratory virus detection, 12-25 targets, nucleic acid

$65K

170 claims · 0.6%

Your Cost: $380.22/claim|Median: $169.17
2.2× median
96110Normal range

Developmental screening, per standardized instrument

$53K

6,796 claims · 0.5%

Your Cost: $7.82/claim|Median: $9.10
0.9× median
92567Normal range

$43K

3,487 claims · 0.4%

Your Cost: $12.34/claim|Median: $11.50
1.1× median
87428Normal range

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

$39K

754 claims · 0.4%

Your Cost: $51.77/claim|Median: $39.63
1.3× median
99395Normal range

Preventive medicine, established patient, age 18-39

$34K

419 claims · 0.3%

Your Cost: $81.00/claim|Median: $72.71
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$29K

1,267 claims · 0.3%

Your Cost: $22.78/claim|Median: $25.06
0.9× median
90461Normal range

Immunization admin, additional vaccine, counseling

$25K

3,732 claims · 0.2%

Your Cost: $6.81/claim|Median: $6.93
1.0× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$24K

625 claims · 0.2%

Your Cost: $38.78/claim|Median: $36.70
1.1× median
71046Top 25%

Chest X-ray, 2 views

$22K

843 claims · 0.2%

Your Cost: $26.42/claim|Median: $8.92
3.0× median
99051Normal range

$22K

5,418 claims · 0.2%

Your Cost: $3.99/claim|Median: $7.89
0.5× median
94010Normal range

$21K

908 claims · 0.2%

Your Cost: $23.09/claim|Median: $18.11
1.3× median
G2023Normal range

Specimen collection for COVID-19 testing

$19K

1,331 claims · 0.2%

Your Cost: $14.33/claim|Median: $17.15
0.8× median
92587Normal range

$12K

952 claims · 0.1%

Your Cost: $12.72/claim|Median: $19.24
0.7× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$12K

295 claims · 0.1%

Your Cost: $40.03/claim|Median: $40.11
1.0× median
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