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Provider 1689635237

NPI: 1689635237Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.6M

$15,592,672

Total Claims

718K

Beneficiaries

530K

1.4 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+39%
2019
$2.4M
-30%
2020
$1.7M
+38%
2021
$2.3M
+18%
2022
$2.7M
-1%
2023
$2.7M
-22%
2024
$2.1M

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 20% of total spending.

99214Normal range

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

$3.1M

46K claims · 20.1%

Your Cost: $67.97/claim|Median: $53.41
1.3× median
99213Normal range

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

$2.3M

45K claims · 14.9%

Your Cost: $51.20/claim|Median: $37.81
1.4× median
99199Normal range

Unlisted special service, procedure, or report

$1.4M

225K claims · 8.9%

Your Cost: $6.17/claim|Median: $5.39
1.1× median
95004Top 25%

Percutaneous allergy skin tests, each

$1.1M

5,016 claims · 7.3%

Your Cost: $226.00/claim|Median: $134.97
1.7× median
95165Normal range

Professional services for allergen immunotherapy, per injection

$812K

4,151 claims · 5.2%

Your Cost: $195.67/claim|Median: $144.04
1.4× median
87426Normal range

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

$633K

20K claims · 4.1%

Your Cost: $32.26/claim|Median: $30.04
1.1× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$600K

9,980 claims · 3.8%

Your Cost: $60.11/claim|Median: $35.43
1.7× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$521K

5,383 claims · 3.3%

Your Cost: $96.88/claim|Median: $80.15
1.2× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$386K

4,298 claims · 2.5%

Your Cost: $89.90/claim|Median: $74.82
1.2× median
99204Top 25%

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

$308K

2,489 claims · 2.0%

Your Cost: $123.76/claim|Median: $84.03
1.5× median
83013Top 25%

$290K

4,242 claims · 1.9%

Your Cost: $68.39/claim|Median: $46.17
1.5× median
99203Top 25%

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

$235K

2,789 claims · 1.5%

Your Cost: $84.10/claim|Median: $57.85
1.5× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$232K

3,709 claims · 1.5%

Your Cost: $62.46/claim|Median: $40.11
1.6× median
99212Normal range

Office/outpatient visit, low complexity

$223K

6,173 claims · 1.4%

Your Cost: $36.14/claim|Median: $25.06
1.4× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$192K

24K claims · 1.2%

Your Cost: $8.02/claim|Median: $4.71
1.7× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$182K

15K claims · 1.2%

Your Cost: $12.26/claim|Median: $11.48
1.1× median
87804Normal range

Influenza virus detection, rapid test

$173K

14K claims · 1.1%

Your Cost: $12.07/claim|Median: $12.59
1.0× median
99051Top 25%

$169K

8,204 claims · 1.1%

Your Cost: $20.60/claim|Median: $7.89
2.6× median
90471Top 25%

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

$160K

9,861 claims · 1.0%

Your Cost: $16.24/claim|Median: $9.80
1.7× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$153K

1,531 claims · 1.0%

Your Cost: $99.87/claim|Median: $54.68
1.8× median
90472Top 10%

Immunization administration, each additional vaccine

$142K

4,415 claims · 0.9%

Your Cost: $32.09/claim|Median: $11.79
2.7× median
99215Normal range

Office/outpatient visit, high complexity

$141K

1,668 claims · 0.9%

Your Cost: $84.59/claim|Median: $74.09
1.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$104K

9,663 claims · 0.7%

Your Cost: $10.76/claim|Median: $9.56
1.1× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$99K

1,069 claims · 0.6%

Your Cost: $92.33/claim|Median: $75.18
1.2× median
94060Normal range

$95K

3,104 claims · 0.6%

Your Cost: $30.54/claim|Median: $25.18
1.2× median
80053Normal range

Comprehensive metabolic panel

$86K

10K claims · 0.6%

Your Cost: $8.27/claim|Median: $7.24
1.1× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$83K

1,603 claims · 0.5%

Your Cost: $52.06/claim|Median: $65.64
0.8× median
99490Normal range

Chronic care management services, 20 minutes per month

$81K

11K claims · 0.5%

Your Cost: $7.37/claim|Median: $6.31
1.2× median
76700Normal range

Ultrasound, abdominal, complete

$81K

1,251 claims · 0.5%

Your Cost: $64.52/claim|Median: $50.69
1.3× median
86003Top 5%

Allergen specific IgE blood test, each allergen

$67K

416 claims · 0.4%

Your Cost: $161.56/claim|Median: $40.67
4.0× median
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