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Provider 1649727447

NPI: 1649727447Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.7M

$7,714,010

Total Claims

180K

Beneficiaries

158K

1.1 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$1.1M
-14%
2019
$909K
-14%
2020
$779K
+47%
2021
$1.1M
+25%
2022
$1.4M
-2%
2023
$1.4M
-31%
2024
$976K

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 35% of total spending.

99213Top 10%

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

$2.7M

31K claims · 34.6%

Your Cost: $85.57/claim|Median: $37.81
2.3× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$1.6M

18K claims · 20.9%

Your Cost: $88.22/claim|Median: $69.35
1.3× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$1.3M

14K claims · 16.9%

Your Cost: $92.83/claim|Median: $75.18
1.2× median
99214Top 25%

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

$599K

6,320 claims · 7.8%

Your Cost: $94.79/claim|Median: $53.41
1.8× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$269K

3,573 claims · 3.5%

Your Cost: $75.24/claim|Median: $62.48
1.2× median
96110Top 5%

Developmental screening, per standardized instrument

$223K

5,747 claims · 2.9%

Your Cost: $38.78/claim|Median: $9.10
4.3× median
96161Top 5%

$222K

7,167 claims · 2.9%

Your Cost: $31.03/claim|Median: $2.49
12.5× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$217K

3,711 claims · 2.8%

Your Cost: $58.47/claim|Median: $37.22
1.6× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$151K

14K claims · 2.0%

Your Cost: $10.72/claim|Median: $17.85
0.6× median
99212Top 10%

Office/outpatient visit, low complexity

$119K

1,434 claims · 1.5%

Your Cost: $83.16/claim|Median: $25.06
3.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$63K

737 claims · 0.8%

Your Cost: $85.33/claim|Median: $74.82
1.1× median
99462Normal range

$57K

1,712 claims · 0.7%

Your Cost: $33.18/claim|Median: $27.49
1.2× median
99173Top 5%

$28K

1,089 claims · 0.4%

Your Cost: $25.92/claim|Median: $2.16
12.0× median
92551Top 5%

Screening audiometry, pure tone, air only

$22K

676 claims · 0.3%

Your Cost: $32.09/claim|Median: $6.61
4.9× median
90471Normal range

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

$20K

3,391 claims · 0.3%

Your Cost: $5.80/claim|Median: $9.80
0.6× median
87804Normal range

Influenza virus detection, rapid test

$18K

1,094 claims · 0.2%

Your Cost: $16.47/claim|Median: $12.59
1.3× median
90472Normal range

Immunization administration, each additional vaccine

$13K

1,680 claims · 0.2%

Your Cost: $7.59/claim|Median: $11.79
0.6× median
96127Top 5%

Brief emotional/behavioral assessment, per standardized instrument

$12K

267 claims · 0.2%

Your Cost: $45.19/claim|Median: $3.67
12.3× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$12K

629 claims · 0.2%

Your Cost: $18.94/claim|Median: $106.70
0.2× median
87430Top 25%

$10K

702 claims · 0.1%

Your Cost: $14.21/claim|Median: $9.41
1.5× median
99394Normal range

Preventive medicine, established patient, age 12-17

$8K

99 claims · 0.1%

Your Cost: $85.13/claim|Median: $80.15
1.1× median
92587Normal range

$7K

810 claims · 0.1%

Your Cost: $8.63/claim|Median: $19.24
0.4× median
85027Top 25%

Complete blood count (CBC), automated

$7K

880 claims · 0.1%

Your Cost: $7.54/claim|Median: $3.72
2.0× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$6K

393 claims · 0.1%

Your Cost: $16.43/claim|Median: $10.88
1.5× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$6K

645 claims · 0.1%

Your Cost: $9.51/claim|Median: $11.48
0.8× median
83655Top 25%

$6K

407 claims · 0.1%

Your Cost: $13.53/claim|Median: $10.49
1.3× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$5K

613 claims · 0.1%

Your Cost: $8.18/claim|Median: $4.71
1.7× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$5K

4,119 claims · 0.1%

Your Cost: $1.16/claim|Median: $7.18
0.2× median
J0561Normal range

$4K

193 claims · 0.1%

Your Cost: $22.03/claim|Median: $96.49
0.2× median
99221Top 25%

Initial hospital care, straightforward/low

$3K

51 claims · 0.0%

Your Cost: $64.40/claim|Median: $39.96
1.6× median
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