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Provider 1669793758

NPI: 1669793758Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.9M

$8,935,809

Total Claims

367K

Beneficiaries

299K

1.2 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$19K
+75%
2019
$32K
+1122%
2020
$396K
+440%
2021
$2.1M
+7%
2022
$2.3M
-4%
2023
$2.2M
-14%
2024
$1.9M

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 26% of total spending.

99213Normal range

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

$2.3M

67K claims · 26.2%

Your Cost: $35.10/claim|Median: $37.81
0.9× median
99214Normal range

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

$1.4M

28K claims · 15.6%

Your Cost: $49.65/claim|Median: $53.41
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$764K

9,851 claims · 8.5%

Your Cost: $77.55/claim|Median: $75.18
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$666K

8,799 claims · 7.4%

Your Cost: $75.65/claim|Median: $69.35
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$564K

6,871 claims · 6.3%

Your Cost: $82.12/claim|Median: $74.82
1.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$518K

49K claims · 5.8%

Your Cost: $10.47/claim|Median: $17.85
0.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$386K

4,432 claims · 4.3%

Your Cost: $87.17/claim|Median: $80.15
1.1× median
99429Normal range

$333K

10K claims · 3.7%

Your Cost: $31.86/claim|Median: $28.58
1.1× median
87811Top 25%

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

$258K

6,650 claims · 2.9%

Your Cost: $38.77/claim|Median: $30.53
1.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$218K

16K claims · 2.4%

Your Cost: $13.25/claim|Median: $11.48
1.2× median
87804Normal range

Influenza virus detection, rapid test

$199K

12K claims · 2.2%

Your Cost: $17.18/claim|Median: $12.59
1.4× median
99381Normal range

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

$154K

2,452 claims · 1.7%

Your Cost: $62.98/claim|Median: $73.46
0.9× median
96110Normal range

Developmental screening, per standardized instrument

$101K

13K claims · 1.1%

Your Cost: $7.95/claim|Median: $9.10
0.9× median
87428Top 10%

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$89K

1,284 claims · 1.0%

Your Cost: $69.66/claim|Median: $39.63
1.8× median
69210Top 25%

$81K

2,217 claims · 0.9%

Your Cost: $36.73/claim|Median: $21.74
1.7× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$79K

1,025 claims · 0.9%

Your Cost: $76.69/claim|Median: $65.64
1.2× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$75K

2,085 claims · 0.8%

Your Cost: $35.74/claim|Median: $22.44
1.6× median
90461Normal range

Immunization admin, additional vaccine, counseling

$70K

20K claims · 0.8%

Your Cost: $3.56/claim|Median: $6.93
0.5× median
87807Normal range

$59K

5,639 claims · 0.7%

Your Cost: $10.50/claim|Median: $10.06
1.0× median
17110Top 25%

Destruction of benign lesions, up to fourteen

$58K

692 claims · 0.7%

Your Cost: $84.38/claim|Median: $59.25
1.4× median
94010Normal range

$48K

2,009 claims · 0.5%

Your Cost: $23.77/claim|Median: $18.11
1.3× median
99383Normal range

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

$44K

510 claims · 0.5%

Your Cost: $86.80/claim|Median: $81.92
1.1× median
87634Normal range

$44K

765 claims · 0.5%

Your Cost: $57.65/claim|Median: $48.78
1.2× median
92551Normal range

Screening audiometry, pure tone, air only

$42K

7,121 claims · 0.5%

Your Cost: $5.88/claim|Median: $6.61
0.9× median
87426Top 25%

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$38K

1,046 claims · 0.4%

Your Cost: $36.56/claim|Median: $30.04
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$38K

477 claims · 0.4%

Your Cost: $79.23/claim|Median: $74.09
1.1× median
99203Normal range

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

$35K

634 claims · 0.4%

Your Cost: $55.32/claim|Median: $57.85
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$32K

1,371 claims · 0.4%

Your Cost: $23.49/claim|Median: $25.06
0.9× median
99382Normal range

Preventive visit, new patient, early childhood (1-4 yr)

$25K

292 claims · 0.3%

Your Cost: $84.56/claim|Median: $79.89
1.1× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$24K

1,668 claims · 0.3%

Your Cost: $14.15/claim|Median: $10.88
1.3× median
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