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Provider 1679672562

NPI: 1679672562Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$8.4M

$8,368,112

Total Claims

1.1M

Beneficiaries

940K

1.2 claims/patient

Avg Cost/Claim

$7

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+19%
2019
$1.3M
-20%
2020
$1.0M
+26%
2021
$1.3M
+2%
2022
$1.3M
+1%
2023
$1.3M
-19%
2024
$1.1M

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 44% of total spending.

99213Normal range

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

$3.7M

108K claims · 43.7%

Your Cost: $34.03/claim|Median: $37.81
0.9× median
99214Normal range

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

$2.4M

57K claims · 28.7%

Your Cost: $42.27/claim|Median: $53.41
0.8× median
90834Normal range

Psychotherapy, 45 minutes

$217K

7,196 claims · 2.6%

Your Cost: $30.10/claim|Median: $63.65
0.5× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$195K

24K claims · 2.3%

Your Cost: $8.17/claim|Median: $17.85
0.5× median
87811Normal range

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

$180K

4,999 claims · 2.2%

Your Cost: $36.02/claim|Median: $30.53
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$170K

2,591 claims · 2.0%

Your Cost: $65.62/claim|Median: $75.18
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$168K

2,536 claims · 2.0%

Your Cost: $66.15/claim|Median: $74.82
0.9× median
87804Normal range

Influenza virus detection, rapid test

$148K

14K claims · 1.8%

Your Cost: $10.89/claim|Median: $12.59
0.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$126K

1,861 claims · 1.5%

Your Cost: $67.63/claim|Median: $80.15
0.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$118K

19K claims · 1.4%

Your Cost: $6.21/claim|Median: $4.71
1.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$89K

1,523 claims · 1.1%

Your Cost: $58.39/claim|Median: $69.35
0.8× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$73K

7,189 claims · 0.9%

Your Cost: $10.19/claim|Median: $11.48
0.9× median
87426Normal range

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

$69K

2,294 claims · 0.8%

Your Cost: $30.25/claim|Median: $30.04
1.0× median
3008FNormal range

$54K

191K claims · 0.7%

Your Cost: $0.29/claim|Median: $0.06
4.8× median
1159FTop 25%

$51K

76K claims · 0.6%

Your Cost: $0.68/claim|Median: $0.01
68.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$44K

8,753 claims · 0.5%

Your Cost: $5.03/claim|Median: $9.56
0.5× median
3074FNormal range

$42K

128K claims · 0.5%

Your Cost: $0.33/claim|Median: $0.11
3.0× median
1160FTop 10%

$41K

58K claims · 0.5%

Your Cost: $0.71/claim|Median: $0.01
70.8× median
3078FNormal range

$40K

117K claims · 0.5%

Your Cost: $0.34/claim|Median: $0.08
4.3× median
99212Normal range

Office/outpatient visit, low complexity

$38K

1,792 claims · 0.5%

Your Cost: $21.46/claim|Median: $25.06
0.9× median
1126FTop 25%

$37K

63K claims · 0.4%

Your Cost: $0.59/claim|Median: $0.02
29.6× median
92551Normal range

Screening audiometry, pure tone, air only

$34K

5,042 claims · 0.4%

Your Cost: $6.70/claim|Median: $6.61
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$33K

602 claims · 0.4%

Your Cost: $54.88/claim|Median: $74.09
0.7× median
36415Normal range

Collection of venous blood by venipuncture

$32K

27K claims · 0.4%

Your Cost: $1.18/claim|Median: $1.57
0.8× median
99384Normal range

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

$27K

285 claims · 0.3%

Your Cost: $95.36/claim|Median: $83.63
1.1× median
1125FTop 25%

$26K

44K claims · 0.3%

Your Cost: $0.59/claim|Median: $0.03
19.7× median
90832Normal range

Psychotherapy, 30 minutes

$23K

1,028 claims · 0.3%

Your Cost: $22.24/claim|Median: $41.28
0.5× median
3079FNormal range

$23K

45K claims · 0.3%

Your Cost: $0.50/claim|Median: $0.12
4.1× median
90853Normal range

Group psychotherapy

$22K

880 claims · 0.3%

Your Cost: $25.23/claim|Median: $25.02
1.0× median
1158FNormal range

$21K

23K claims · 0.3%

Your Cost: $0.91/claim|Median: $0.13
7.0× median