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Provider 1659625739

NPI: 1659625739Share
Active Billing Period:2018-01→2024-07(69 months)

Total Paid

$17.5M

$17,451,348

Total Claims

382K

Beneficiaries

332K

1.2 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$2.6M
-48%
2019
$1.4M
+138%
2020
$3.2M
+16%
2021
$3.7M
+72%
2022
$6.5M
-99%
2023
$49K
-97%
2024
$1K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 32% of total spending.

99214Normal range

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

$5.6M

80K claims · 32.2%

Your Cost: $69.81/claim|Median: $53.41
1.3× median
99213Top 25%

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

$3.8M

69K claims · 21.9%

Your Cost: $54.96/claim|Median: $37.81
1.5× median
99204Normal range

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

$1.1M

11K claims · 6.3%

Your Cost: $102.21/claim|Median: $84.03
1.2× median
S9088Normal range

Services provided in an urgent care center

$656K

28K claims · 3.8%

Your Cost: $23.65/claim|Median: $28.22
0.8× median
99203Normal range

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

$631K

9,315 claims · 3.6%

Your Cost: $67.73/claim|Median: $57.85
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$406K

5,595 claims · 2.3%

Your Cost: $72.64/claim|Median: $75.18
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$372K

5,581 claims · 2.1%

Your Cost: $66.74/claim|Median: $69.35
1.0× median
90837Normal range

Psychotherapy, 60 minutes

$313K

3,443 claims · 1.8%

Your Cost: $90.91/claim|Median: $85.66
1.1× median
88305Normal range

Surgical pathology, gross and microscopic examination

$287K

5,867 claims · 1.6%

Your Cost: $48.98/claim|Median: $35.80
1.4× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$280K

2,263 claims · 1.6%

Your Cost: $123.82/claim|Median: $100.62
1.2× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$252K

5,076 claims · 1.4%

Your Cost: $49.68/claim|Median: $23.99
2.1× median
90471Normal range

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

$202K

15K claims · 1.2%

Your Cost: $13.79/claim|Median: $9.80
1.4× median
90472Top 25%

Immunization administration, each additional vaccine

$179K

8,770 claims · 1.0%

Your Cost: $20.43/claim|Median: $11.79
1.7× median
99215Normal range

Office/outpatient visit, high complexity

$172K

2,006 claims · 1.0%

Your Cost: $85.61/claim|Median: $74.09
1.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$159K

2,051 claims · 0.9%

Your Cost: $77.66/claim|Median: $74.82
1.0× median
87880Top 5%

Streptococcus, Group A, rapid antigen detection

$130K

7,036 claims · 0.7%

Your Cost: $18.45/claim|Median: $11.48
1.6× median
59409Normal range

Vaginal delivery only

$100K

144 claims · 0.6%

Your Cost: $696.10/claim|Median: $619.91
1.1× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$95K

2,103 claims · 0.5%

Your Cost: $45.08/claim|Median: $37.22
1.2× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$91K

1,421 claims · 0.5%

Your Cost: $63.81/claim|Median: $121.16
0.5× median
74177Normal range

CT abdomen and pelvis with contrast

$88K

1,396 claims · 0.5%

Your Cost: $62.98/claim|Median: $65.76
1.0× median
90853Normal range

Group psychotherapy

$78K

3,420 claims · 0.4%

Your Cost: $22.69/claim|Median: $25.02
0.9× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$76K

911 claims · 0.4%

Your Cost: $82.95/claim|Median: $51.25
1.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$73K

885 claims · 0.4%

Your Cost: $82.64/claim|Median: $80.15
1.0× median
99291Normal range

Critical care, first 30-74 minutes

$69K

541 claims · 0.4%

Your Cost: $127.37/claim|Median: $101.24
1.3× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$69K

1,070 claims · 0.4%

Your Cost: $64.18/claim|Median: $35.30
1.8× median
87804Top 25%

Influenza virus detection, rapid test

$68K

3,543 claims · 0.4%

Your Cost: $19.29/claim|Median: $12.59
1.5× median
99223Top 25%

Initial hospital care, per day, high complexity

$68K

536 claims · 0.4%

Your Cost: $126.12/claim|Median: $67.32
1.9× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$64K

5,588 claims · 0.4%

Your Cost: $11.40/claim|Median: $7.18
1.6× median
D1351Normal range

Sealant, per tooth

$61K

2,347 claims · 0.3%

Your Cost: $25.97/claim|Median: $26.10
1.0× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$60K

1,010 claims · 0.3%

Your Cost: $59.34/claim|Median: $62.48
0.9× median
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