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Provider 1679805493

NPI: 1679805493Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.5M

$12,522,163

Total Claims

450K

Beneficiaries

386K

1.2 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+16%
2019
$1.5M
-7%
2020
$1.4M
+42%
2021
$1.9M
+22%
2022
$2.4M
-3%
2023
$2.3M
-22%
2024
$1.8M

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

$5.5M

119K claims · 44.1%

Your Cost: $46.31/claim|Median: $37.81
1.2× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$1.1M

39K claims · 8.5%

Your Cost: $27.11/claim|Median: $17.85
1.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$926K

12K claims · 7.4%

Your Cost: $76.95/claim|Median: $75.18
1.0× median
96110Top 10%

Developmental screening, per standardized instrument

$705K

29K claims · 5.6%

Your Cost: $24.52/claim|Median: $9.10
2.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$692K

9,171 claims · 5.5%

Your Cost: $75.48/claim|Median: $74.82
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$630K

9,230 claims · 5.0%

Your Cost: $68.20/claim|Median: $69.35
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$447K

15K claims · 3.6%

Your Cost: $30.79/claim|Median: $25.06
1.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$376K

7,811 claims · 3.0%

Your Cost: $48.19/claim|Median: $39.70
1.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$342K

4,151 claims · 2.7%

Your Cost: $82.37/claim|Median: $80.15
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$283K

5,053 claims · 2.3%

Your Cost: $55.92/claim|Median: $63.65
0.9× median
99214Normal range

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

$250K

3,608 claims · 2.0%

Your Cost: $69.31/claim|Median: $53.41
1.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$172K

17K claims · 1.4%

Your Cost: $9.88/claim|Median: $11.48
0.9× median
87804Normal range

Influenza virus detection, rapid test

$143K

13K claims · 1.1%

Your Cost: $11.39/claim|Median: $12.59
0.9× median
99177Normal range

$141K

22K claims · 1.1%

Your Cost: $6.40/claim|Median: $3.74
1.7× median
99381Normal range

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

$125K

1,569 claims · 1.0%

Your Cost: $79.56/claim|Median: $73.46
1.1× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$106K

14K claims · 0.8%

Your Cost: $7.32/claim|Median: $4.71
1.6× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$97K

5,957 claims · 0.8%

Your Cost: $16.34/claim|Median: $9.56
1.7× median
92558Normal range

$87K

20K claims · 0.7%

Your Cost: $4.27/claim|Median: $6.67
0.6× median
85018Normal range

$50K

24K claims · 0.4%

Your Cost: $2.11/claim|Median: $1.71
1.2× median
83655Normal range

$47K

4,221 claims · 0.4%

Your Cost: $11.03/claim|Median: $10.49
1.1× median
81003Normal range

Urinalysis, automated without microscopy

$35K

19K claims · 0.3%

Your Cost: $1.81/claim|Median: $1.48
1.2× median
96161Top 10%

$32K

2,238 claims · 0.3%

Your Cost: $14.17/claim|Median: $2.49
5.7× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$31K

2,447 claims · 0.3%

Your Cost: $12.82/claim|Median: $9.80
1.3× median
86318Top 25%

$29K

1,716 claims · 0.2%

Your Cost: $17.14/claim|Median: $11.61
1.5× median
90791Normal range

Psychiatric diagnostic evaluation

$28K

266 claims · 0.2%

Your Cost: $104.03/claim|Median: $99.21
1.0× median
99203Normal range

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

$26K

359 claims · 0.2%

Your Cost: $73.15/claim|Median: $57.85
1.3× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$19K

360 claims · 0.1%

Your Cost: $51.54/claim|Median: $40.11
1.3× median
95117Top 25%

$17K

1,384 claims · 0.1%

Your Cost: $12.10/claim|Median: $8.34
1.5× median
90651Normal range

HPV vaccine, 9-valent

$15K

1,987 claims · 0.1%

Your Cost: $7.39/claim|Median: $8.93
0.8× median
99383Normal range

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

$10K

111 claims · 0.1%

Your Cost: $93.07/claim|Median: $81.92
1.1× median
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