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Provider 1669404018

NPI: 1669404018Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.0M

$17,029,055

Total Claims

2.1M

Beneficiaries

2.0M

1.0 claims/patient

Avg Cost/Claim

$8

Monthly Spending Trend

Yearly Spending

2018
$2.2M
-15%
2019
$1.9M
+13%
2020
$2.2M
+13%
2021
$2.5M
+18%
2022
$2.9M
-6%
2023
$2.7M
-2%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90460 (Immunization administration, first vaccine/toxoid, with counseling)) accounts for 31% of total spending.

90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$5.3M

167K claims · 31.2%

Your Cost: $31.83/claim|Median: $17.85
1.8× median
99213Normal range

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

$2.7M

379K claims · 15.9%

Your Cost: $7.13/claim|Median: $37.81
0.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$861K

18K claims · 5.1%

Your Cost: $48.64/claim|Median: $39.70
1.2× median
99188Top 25%

$736K

33K claims · 4.3%

Your Cost: $22.21/claim|Median: $12.80
1.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$727K

59K claims · 4.3%

Your Cost: $12.29/claim|Median: $75.18
0.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$668K

50K claims · 3.9%

Your Cost: $13.49/claim|Median: $74.82
0.2× median
87804Normal range

Influenza virus detection, rapid test

$585K

45K claims · 3.4%

Your Cost: $13.07/claim|Median: $12.59
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$560K

46K claims · 3.3%

Your Cost: $12.11/claim|Median: $69.35
0.2× median
90670Top 25%

$481K

23K claims · 2.8%

Your Cost: $20.47/claim|Median: $5.94
3.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$371K

24K claims · 2.2%

Your Cost: $15.31/claim|Median: $80.15
0.2× median
83655Normal range

$368K

36K claims · 2.2%

Your Cost: $10.22/claim|Median: $10.49
1.0× median
90716Top 10%

$362K

15K claims · 2.1%

Your Cost: $24.78/claim|Median: $6.18
4.0× median
90461Normal range

Immunization admin, additional vaccine, counseling

$321K

48K claims · 1.9%

Your Cost: $6.75/claim|Median: $6.93
1.0× median
99214Normal range

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

$306K

13K claims · 1.8%

Your Cost: $23.54/claim|Median: $53.41
0.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$220K

142K claims · 1.3%

Your Cost: $1.55/claim|Median: $11.48
0.1× median
90651Top 10%

HPV vaccine, 9-valent

$217K

3,114 claims · 1.3%

Your Cost: $69.68/claim|Median: $8.93
7.8× median
3008FNormal range

$199K

181K claims · 1.2%

Your Cost: $1.10/claim|Median: $0.06
18.4× median
90707Top 25%

MMR vaccine

$199K

12K claims · 1.2%

Your Cost: $15.93/claim|Median: $5.76
2.8× median
90700Normal range

$174K

45K claims · 1.0%

Your Cost: $3.84/claim|Median: $4.56
0.8× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$171K

36K claims · 1.0%

Your Cost: $4.72/claim|Median: $7.18
0.7× median
90713Normal range

Poliovirus vaccine (IPV)

$151K

35K claims · 0.9%

Your Cost: $4.29/claim|Median: $5.41
0.8× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$127K

2,652 claims · 0.7%

Your Cost: $47.93/claim|Median: $65.64
0.7× median
90680Normal range

$123K

18K claims · 0.7%

Your Cost: $6.86/claim|Median: $5.58
1.2× median
90734Top 10%

$115K

3,579 claims · 0.7%

Your Cost: $32.21/claim|Median: $6.40
5.0× median
90677Normal range

$107K

6,511 claims · 0.6%

Your Cost: $16.48/claim|Median: $12.96
1.3× median
90633Normal range

$93K

16K claims · 0.5%

Your Cost: $5.92/claim|Median: $3.56
1.7× median
99381Normal range

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

$93K

5,110 claims · 0.5%

Your Cost: $18.11/claim|Median: $73.46
0.2× median
90619Top 25%

$79K

2,938 claims · 0.5%

Your Cost: $27.06/claim|Median: $8.36
3.2× median
99051Normal range

$70K

148K claims · 0.4%

Your Cost: $0.48/claim|Median: $7.89
0.1× median
G0447Normal range

$69K

130K claims · 0.4%

Your Cost: $0.53/claim|Median: $5.19
0.1× median
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