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Provider 1679593107

NPI: 1679593107Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.4M

$18,357,078

Total Claims

404K

Beneficiaries

383K

1.1 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$2.8M
-9%
2019
$2.5M
-9%
2020
$2.3M
+29%
2021
$3.0M
-1%
2022
$2.9M
-16%
2023
$2.5M
-1%
2024
$2.4M

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 30% of total spending.

99213Top 25%

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

$5.6M

83K claims · 30.4%

Your Cost: $67.53/claim|Median: $37.81
1.8× median
99214Top 10%

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

$4.5M

44K claims · 24.4%

Your Cost: $101.25/claim|Median: $53.41
1.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.2M

16K claims · 6.4%

Your Cost: $74.60/claim|Median: $75.18
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$929K

13K claims · 5.1%

Your Cost: $73.22/claim|Median: $69.35
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$902K

12K claims · 4.9%

Your Cost: $76.84/claim|Median: $74.82
1.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$783K

19K claims · 4.3%

Your Cost: $41.62/claim|Median: $39.70
1.0× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$638K

14K claims · 3.5%

Your Cost: $44.50/claim|Median: $65.64
0.7× median
90670Top 5%

$423K

9,020 claims · 2.3%

Your Cost: $46.92/claim|Median: $5.94
7.9× median
90460Top 1%

Immunization administration, first vaccine/toxoid, with counseling

$420K

7,039 claims · 2.3%

Your Cost: $59.72/claim|Median: $17.85
3.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$331K

3,716 claims · 1.8%

Your Cost: $88.95/claim|Median: $80.15
1.1× median
90698Top 5%

$323K

9,677 claims · 1.8%

Your Cost: $33.37/claim|Median: $6.32
5.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$232K

19K claims · 1.3%

Your Cost: $12.18/claim|Median: $11.48
1.1× median
90461Top 5%

Immunization admin, additional vaccine, counseling

$226K

3,739 claims · 1.2%

Your Cost: $60.36/claim|Median: $6.93
8.7× median
87634Normal range

$181K

4,039 claims · 1.0%

Your Cost: $44.73/claim|Median: $48.78
0.9× median
90686Top 10%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$154K

8,197 claims · 0.8%

Your Cost: $18.78/claim|Median: $7.18
2.6× median
90651Top 5%

HPV vaccine, 9-valent

$147K

846 claims · 0.8%

Your Cost: $174.17/claim|Median: $8.93
19.5× median
90716Top 5%

$144K

1,796 claims · 0.8%

Your Cost: $79.92/claim|Median: $6.18
12.9× median
90680Top 5%

$138K

4,046 claims · 0.8%

Your Cost: $34.09/claim|Median: $5.58
6.1× median
87804Normal range

Influenza virus detection, rapid test

$100K

6,195 claims · 0.5%

Your Cost: $16.21/claim|Median: $12.59
1.3× median
90707Top 5%

MMR vaccine

$89K

1,790 claims · 0.5%

Your Cost: $49.51/claim|Median: $5.76
8.6× median
85027Normal range

Complete blood count (CBC), automated

$87K

19K claims · 0.5%

Your Cost: $4.72/claim|Median: $3.72
1.3× median
87811Normal range

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

$87K

3,405 claims · 0.5%

Your Cost: $25.60/claim|Median: $30.53
0.8× median
99177Top 10%

$83K

4,943 claims · 0.5%

Your Cost: $16.71/claim|Median: $3.74
4.5× median
99173Normal range

$64K

20K claims · 0.4%

Your Cost: $3.29/claim|Median: $2.16
1.5× median
99212Normal range

Office/outpatient visit, low complexity

$57K

2,322 claims · 0.3%

Your Cost: $24.61/claim|Median: $25.06
1.0× median
87070Top 25%

Bacterial culture, any source except blood or urine

$50K

5,304 claims · 0.3%

Your Cost: $9.37/claim|Median: $5.89
1.6× median
90633Top 5%

$49K

1,959 claims · 0.3%

Your Cost: $24.84/claim|Median: $3.56
7.0× median
90734Top 1%

$47K

460 claims · 0.3%

Your Cost: $101.12/claim|Median: $6.40
15.8× median
90677Top 25%

$46K

547 claims · 0.3%

Your Cost: $84.67/claim|Median: $12.96
6.5× median
96110Top 25%

Developmental screening, per standardized instrument

$41K

2,531 claims · 0.2%

Your Cost: $16.06/claim|Median: $9.10
1.8× median
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