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Provider 1679567838

NPI: 1679567838Share
Active Billing Period:2018-01→2024-12(80 months)

Total Paid

$9.0M

$8,971,296

Total Claims

290K

Beneficiaries

248K

1.2 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$42K
-43%
2019
$24K
+870%
2020
$231K
+516%
2021
$1.4M
+19%
2022
$1.7M
+82%
2023
$3.1M
-20%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (95165 (Professional services for allergen immunotherapy, per injection)) accounts for 22% of total spending.

95165Top 25%

Professional services for allergen immunotherapy, per injection

$1.9M

7,432 claims · 21.6%

Your Cost: $260.70/claim|Median: $144.04
1.8× median
99213Normal range

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

$1.5M

37K claims · 16.3%

Your Cost: $39.25/claim|Median: $37.81
1.0× median
99214Normal range

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

$795K

15K claims · 8.9%

Your Cost: $54.79/claim|Median: $53.41
1.0× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$673K

6,983 claims · 7.5%

Your Cost: $96.35/claim|Median: $80.15
1.2× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$633K

7,131 claims · 7.1%

Your Cost: $88.79/claim|Median: $74.82
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$606K

7,234 claims · 6.8%

Your Cost: $83.77/claim|Median: $75.18
1.1× median
95004Top 5%

Percutaneous allergy skin tests, each

$538K

1,576 claims · 6.0%

Your Cost: $341.08/claim|Median: $134.97
2.5× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$443K

40K claims · 4.9%

Your Cost: $11.18/claim|Median: $17.85
0.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$432K

5,471 claims · 4.8%

Your Cost: $78.88/claim|Median: $69.35
1.1× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$234K

16K claims · 2.6%

Your Cost: $14.25/claim|Median: $11.48
1.2× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$209K

3,970 claims · 2.3%

Your Cost: $52.64/claim|Median: $39.70
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$156K

6,087 claims · 1.7%

Your Cost: $25.67/claim|Median: $25.06
1.0× median
87804Top 25%

Influenza virus detection, rapid test

$152K

5,888 claims · 1.7%

Your Cost: $25.89/claim|Median: $12.59
2.1× median
S8301Normal range

$105K

14K claims · 1.2%

Your Cost: $7.30/claim|Median: $8.32
0.9× median
95180Top 25%

$78K

180 claims · 0.9%

Your Cost: $431.27/claim|Median: $156.79
2.8× median
99395Normal range

Preventive medicine, established patient, age 18-39

$73K

873 claims · 0.8%

Your Cost: $83.18/claim|Median: $72.71
1.1× median
99383Normal range

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

$71K

730 claims · 0.8%

Your Cost: $96.72/claim|Median: $81.92
1.2× median
99203Normal range

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

$65K

1,038 claims · 0.7%

Your Cost: $62.98/claim|Median: $57.85
1.1× median
99381Normal range

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

$65K

847 claims · 0.7%

Your Cost: $76.79/claim|Median: $73.46
1.0× median
99384Top 25%

Preventive visit, new patient, adolescent (12-17 yr)

$48K

452 claims · 0.5%

Your Cost: $106.82/claim|Median: $83.63
1.3× median
90461Normal range

Immunization admin, additional vaccine, counseling

$34K

8,784 claims · 0.4%

Your Cost: $3.88/claim|Median: $6.93
0.6× median
99382Top 25%

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

$33K

328 claims · 0.4%

Your Cost: $99.75/claim|Median: $79.89
1.2× median
96110Normal range

Developmental screening, per standardized instrument

$19K

2,720 claims · 0.2%

Your Cost: $6.83/claim|Median: $9.10
0.8× median
90472Normal range

Immunization administration, each additional vaccine

$18K

1,404 claims · 0.2%

Your Cost: $12.54/claim|Median: $11.79
1.1× median
87807Normal range

$17K

1,611 claims · 0.2%

Your Cost: $10.83/claim|Median: $10.06
1.1× median
95117Normal range

$16K

1,954 claims · 0.2%

Your Cost: $8.35/claim|Median: $8.34
1.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$15K

326 claims · 0.2%

Your Cost: $47.05/claim|Median: $40.11
1.2× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$10K

14K claims · 0.1%

Your Cost: $0.75/claim|Median: $12.70
0.1× median
95115Normal range

$7K

988 claims · 0.1%

Your Cost: $7.23/claim|Median: $6.96
1.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$6K

541 claims · 0.1%

Your Cost: $11.66/claim|Median: $9.56
1.2× median
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