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Provider 1669508677

NPI: 1669508677Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.3M

$10,257,173

Total Claims

184K

Beneficiaries

163K

1.1 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-6%
2019
$1.9M
-65%
2020
$661K
+108%
2021
$1.4M
+7%
2022
$1.5M
-9%
2023
$1.3M
+10%
2024
$1.5M

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 40% of total spending.

99213Top 5%

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

$4.1M

33K claims · 39.6%

Your Cost: $123.26/claim|Median: $37.81
3.3× median
99214Top 10%

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

$1.5M

15K claims · 15.0%

Your Cost: $103.95/claim|Median: $53.41
1.9× median
90471Top 1%

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

$662K

12K claims · 6.5%

Your Cost: $57.38/claim|Median: $9.80
5.9× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$415K

2,905 claims · 4.0%

Your Cost: $142.92/claim|Median: $75.18
1.9× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$368K

2,686 claims · 3.6%

Your Cost: $136.89/claim|Median: $69.35
2.0× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$365K

2,572 claims · 3.6%

Your Cost: $141.87/claim|Median: $74.82
1.9× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$288K

2,131 claims · 2.8%

Your Cost: $134.99/claim|Median: $80.15
1.7× median
99212Top 5%

Office/outpatient visit, low complexity

$258K

2,016 claims · 2.5%

Your Cost: $127.95/claim|Median: $25.06
5.1× median
W0037Normal range

$230K

16K claims · 2.2%

Your Cost: $14.73/claim|Median: $3.00
4.9× median
D1110Top 1%

Prophylaxis, adult cleaning

$226K

1,805 claims · 2.2%

Your Cost: $125.24/claim|Median: $43.38
2.9× median
D0150Top 1%

Comprehensive oral evaluation, new or established patient

$143K

1,339 claims · 1.4%

Your Cost: $106.70/claim|Median: $32.07
3.3× median
90472Normal range

Immunization administration, each additional vaccine

$120K

6,528 claims · 1.2%

Your Cost: $18.44/claim|Median: $11.79
1.6× median
90837Top 10%

Psychotherapy, 60 minutes

$119K

906 claims · 1.2%

Your Cost: $130.88/claim|Median: $85.66
1.5× median
82962Top 1%

Blood glucose test by monitoring device

$101K

3,056 claims · 1.0%

Your Cost: $33.01/claim|Median: $1.40
23.6× median
99215Normal range

Office/outpatient visit, high complexity

$100K

936 claims · 1.0%

Your Cost: $106.39/claim|Median: $74.09
1.4× median
87880Top 1%

Streptococcus, Group A, rapid antigen detection

$97K

1,788 claims · 0.9%

Your Cost: $54.02/claim|Median: $11.48
4.7× median
99000Top 5%

$93K

4,488 claims · 0.9%

Your Cost: $20.79/claim|Median: $2.30
9.0× median
D0140Top 1%

Limited oral evaluation, problem focused

$84K

763 claims · 0.8%

Your Cost: $109.96/claim|Median: $27.07
4.1× median
99211Top 10%

Office/outpatient visit, minimal complexity

$78K

1,221 claims · 0.8%

Your Cost: $63.63/claim|Median: $12.93
4.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$71K

863 claims · 0.7%

Your Cost: $82.33/claim|Median: $71.00
1.2× median
D0120Top 1%

Periodic oral evaluation, established patient

$67K

671 claims · 0.7%

Your Cost: $99.38/claim|Median: $24.34
4.1× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$66K

551 claims · 0.6%

Your Cost: $119.12/claim|Median: $40.11
3.0× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$65K

1,916 claims · 0.6%

Your Cost: $34.01/claim|Median: $9.56
3.6× median
36415Top 10%

Collection of venous blood by venipuncture

$53K

8,442 claims · 0.5%

Your Cost: $6.28/claim|Median: $1.57
4.0× median
99203Top 5%

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

$50K

427 claims · 0.5%

Your Cost: $117.15/claim|Median: $57.85
2.0× median
81025Top 5%

Urine pregnancy test

$48K

1,229 claims · 0.5%

Your Cost: $39.14/claim|Median: $4.81
8.1× median
99381Top 10%

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

$48K

356 claims · 0.5%

Your Cost: $134.46/claim|Median: $73.46
1.8× median
D2391Normal range

Resin-based composite, one surface, posterior

$43K

668 claims · 0.4%

Your Cost: $65.01/claim|Median: $54.60
1.2× median
90474Top 1%

$43K

558 claims · 0.4%

Your Cost: $77.43/claim|Median: $8.42
9.2× median
90688Top 1%

$37K

283 claims · 0.4%

Your Cost: $129.77/claim|Median: $9.00
14.4× median
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