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Provider 1679649669

NPI: 1679649669Share
Active Billing Period:2018-01→2024-12(82 months)

Total Paid

$8.2M

$8,160,622

Total Claims

240K

Beneficiaries

219K

1.1 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$152K
+798%
2019
$1.4M
+2%
2020
$1.4M
+25%
2021
$1.7M
+6%
2022
$1.8M
-30%
2023
$1.3M
-70%
2024
$391K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 24% of total spending.

99214Top 10%

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

$2.0M

17K claims · 24.5%

Your Cost: $114.45/claim|Median: $53.41
2.1× median
99213Top 10%

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

$1.6M

20K claims · 20.2%

Your Cost: $81.84/claim|Median: $37.81
2.2× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$1.0M

8,901 claims · 12.6%

Your Cost: $115.10/claim|Median: $75.18
1.5× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$884K

8,617 claims · 10.8%

Your Cost: $102.53/claim|Median: $74.82
1.4× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$688K

6,447 claims · 8.4%

Your Cost: $106.66/claim|Median: $69.35
1.5× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$521K

17K claims · 6.4%

Your Cost: $29.87/claim|Median: $17.85
1.7× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$354K

3,279 claims · 4.3%

Your Cost: $107.83/claim|Median: $80.15
1.3× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$309K

9,072 claims · 3.8%

Your Cost: $34.05/claim|Median: $6.93
4.9× median
99188Top 25%

$147K

6,993 claims · 1.8%

Your Cost: $21.05/claim|Median: $12.80
1.6× median
99212Top 10%

Office/outpatient visit, low complexity

$112K

1,699 claims · 1.4%

Your Cost: $66.05/claim|Median: $25.06
2.6× median
99381Top 10%

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

$83K

714 claims · 1.0%

Your Cost: $116.39/claim|Median: $73.46
1.6× median
99215Top 5%

Office/outpatient visit, high complexity

$67K

383 claims · 0.8%

Your Cost: $174.01/claim|Median: $74.09
2.3× median
H0049Top 25%

$52K

2,499 claims · 0.6%

Your Cost: $20.81/claim|Median: $9.27
2.2× median
99051Normal range

$49K

7,281 claims · 0.6%

Your Cost: $6.73/claim|Median: $7.89
0.9× median
96161Top 10%

$34K

2,953 claims · 0.4%

Your Cost: $11.45/claim|Median: $2.49
4.6× median
92551Normal range

Screening audiometry, pure tone, air only

$33K

17K claims · 0.4%

Your Cost: $1.95/claim|Median: $6.61
0.3× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$20K

5,183 claims · 0.2%

Your Cost: $3.81/claim|Median: $7.18
0.5× median
87804Normal range

Influenza virus detection, rapid test

$16K

1,180 claims · 0.2%

Your Cost: $13.31/claim|Median: $12.59
1.1× median
83655Normal range

$14K

1,702 claims · 0.2%

Your Cost: $8.02/claim|Median: $10.49
0.8× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$13K

5,579 claims · 0.2%

Your Cost: $2.29/claim|Median: $3.67
0.6× median
90648Normal range

$12K

5,107 claims · 0.2%

Your Cost: $2.42/claim|Median: $4.08
0.6× median
96110Normal range

Developmental screening, per standardized instrument

$12K

5,681 claims · 0.1%

Your Cost: $2.12/claim|Median: $9.10
0.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$12K

1,160 claims · 0.1%

Your Cost: $10.22/claim|Median: $11.48
0.9× median
96160Normal range

Patient-focused health risk assessment

$9K

5,965 claims · 0.1%

Your Cost: $1.58/claim|Median: $2.10
0.8× median
90633Normal range

$6K

2,762 claims · 0.1%

Your Cost: $2.07/claim|Median: $3.56
0.6× median
99072Normal range

$5K

33K claims · 0.1%

Your Cost: $0.14/claim|Median: $0.54
0.3× median
90710Normal range

MMRV vaccine

$4K

1,127 claims · 0.1%

Your Cost: $3.98/claim|Median: $7.00
0.6× median
0072ANormal range

$4K

106 claims · 0.1%

Your Cost: $39.50/claim|Median: $39.57
1.0× median
0071ANormal range

$4K

106 claims · 0.1%

Your Cost: $39.11/claim|Median: $38.71
1.0× median
85018Top 10%

$4K

1,184 claims · 0.0%

Your Cost: $3.26/claim|Median: $1.71
1.9× median
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