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Provider 1659671808

NPI: 1659671808Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$10.1M

$10,105,490

Total Claims

217K

Beneficiaries

194K

1.1 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$468K
+84%
2019
$861K
-4%
2020
$829K
+59%
2021
$1.3M
+60%
2022
$2.1M
+15%
2023
$2.4M
-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 48% of total spending.

99213Top 5%

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

$4.8M

49K claims · 47.7%

Your Cost: $97.33/claim|Median: $37.81
2.6× median
99212Top 10%

Office/outpatient visit, low complexity

$1.3M

21K claims · 12.7%

Your Cost: $61.34/claim|Median: $25.06
2.4× median
99214Top 5%

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

$802K

5,863 claims · 7.9%

Your Cost: $136.80/claim|Median: $53.41
2.6× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$762K

7,059 claims · 7.5%

Your Cost: $107.89/claim|Median: $75.18
1.4× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$584K

18K claims · 5.8%

Your Cost: $32.46/claim|Median: $17.85
1.8× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$500K

5,048 claims · 4.9%

Your Cost: $99.09/claim|Median: $69.35
1.4× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$325K

2,989 claims · 3.2%

Your Cost: $108.60/claim|Median: $74.82
1.5× median
90461Top 10%

Immunization admin, additional vaccine, counseling

$251K

6,594 claims · 2.5%

Your Cost: $38.09/claim|Median: $6.93
5.5× median
99203Top 5%

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

$158K

1,243 claims · 1.6%

Your Cost: $127.16/claim|Median: $57.85
2.2× median
96110Normal range

Developmental screening, per standardized instrument

$96K

14K claims · 1.0%

Your Cost: $6.75/claim|Median: $9.10
0.7× median
99381Top 25%

Preventive visit, new patient, infant (<1 yr)

$89K

889 claims · 0.9%

Your Cost: $100.26/claim|Median: $73.46
1.4× median
90677Top 5%

$69K

279 claims · 0.7%

Your Cost: $248.55/claim|Median: $12.96
19.2× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$64K

533 claims · 0.6%

Your Cost: $119.71/claim|Median: $80.15
1.5× median
92551Top 25%

Screening audiometry, pure tone, air only

$63K

5,249 claims · 0.6%

Your Cost: $12.05/claim|Median: $6.61
1.8× median
G2012Normal range

Brief communication technology-based service

$43K

11K claims · 0.4%

Your Cost: $3.82/claim|Median: $8.79
0.4× median
99204Top 5%

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

$29K

152 claims · 0.3%

Your Cost: $189.03/claim|Median: $84.03
2.2× median
99460Top 10%

Initial hospital or birthing center care, newborn, per day

$23K

241 claims · 0.2%

Your Cost: $96.17/claim|Median: $62.48
1.5× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$18K

245 claims · 0.2%

Your Cost: $73.71/claim|Median: $37.22
2.0× median
99401Normal range

$16K

855 claims · 0.2%

Your Cost: $18.92/claim|Median: $16.53
1.1× median
99383Top 25%

Preventive visit, new patient, late childhood (5-11 yr)

$15K

131 claims · 0.2%

Your Cost: $117.87/claim|Median: $81.92
1.4× median
87811Normal range

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

$11K

309 claims · 0.1%

Your Cost: $36.80/claim|Median: $30.53
1.2× median
99051Normal range

$10K

5,791 claims · 0.1%

Your Cost: $1.66/claim|Median: $7.89
0.2× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$9K

109 claims · 0.1%

Your Cost: $82.20/claim|Median: $40.11
2.0× median
0072ANormal range

$7K

171 claims · 0.1%

Your Cost: $40.58/claim|Median: $39.57
1.0× median
0071ANormal range

$6K

163 claims · 0.1%

Your Cost: $38.77/claim|Median: $38.71
1.0× median
H0049Top 25%

$5K

235 claims · 0.1%

Your Cost: $21.57/claim|Median: $9.27
2.3× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$5K

6,021 claims · 0.0%

Your Cost: $0.77/claim|Median: $7.18
0.1× median
0081ANormal range

$5K

112 claims · 0.0%

Your Cost: $40.64/claim|Median: $38.21
1.1× median
0082ANormal range

$4K

93 claims · 0.0%

Your Cost: $40.15/claim|Median: $39.88
1.0× median
H0001Normal range

Alcohol and/or drug assessment

$3K

357 claims · 0.0%

Your Cost: $9.15/claim|Median: $94.22
0.1× median
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