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Provider 1689685315

NPI: 1689685315Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.7M

$8,730,082

Total Claims

193K

Beneficiaries

183K

1.1 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+10%
2019
$1.3M
-13%
2020
$1.1M
+24%
2021
$1.4M
-2%
2022
$1.4M
-9%
2023
$1.3M
-18%
2024
$1.0M

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 37% of total spending.

99213Top 25%

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

$3.3M

57K claims · 37.2%

Your Cost: $57.04/claim|Median: $37.81
1.5× median
99214Top 25%

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

$1.2M

15K claims · 13.9%

Your Cost: $81.39/claim|Median: $53.41
1.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$600K

10K claims · 6.9%

Your Cost: $59.60/claim|Median: $69.35
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$564K

9,345 claims · 6.5%

Your Cost: $60.40/claim|Median: $75.18
0.8× median
90670Top 5%

$299K

6,944 claims · 3.4%

Your Cost: $43.07/claim|Median: $5.94
7.3× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$291K

6,372 claims · 3.3%

Your Cost: $45.64/claim|Median: $65.64
0.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$286K

4,844 claims · 3.3%

Your Cost: $58.98/claim|Median: $74.82
0.8× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$271K

6,470 claims · 3.1%

Your Cost: $41.85/claim|Median: $39.70
1.1× median
90460Top 5%

Immunization administration, first vaccine/toxoid, with counseling

$230K

4,767 claims · 2.6%

Your Cost: $48.27/claim|Median: $17.85
2.7× median
99238Top 10%

Hospital discharge day management, 30 minutes or less

$211K

3,335 claims · 2.4%

Your Cost: $63.40/claim|Median: $37.22
1.7× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$154K

6,113 claims · 1.8%

Your Cost: $25.14/claim|Median: $28.46
0.9× median
90723Top 10%

DTaP-HepB-IPV vaccine

$142K

5,716 claims · 1.6%

Your Cost: $24.81/claim|Median: $5.78
4.3× median
90648Top 10%

$140K

7,859 claims · 1.6%

Your Cost: $17.76/claim|Median: $4.08
4.4× median
90680Top 5%

$126K

5,028 claims · 1.4%

Your Cost: $25.10/claim|Median: $5.58
4.5× median
90461Top 5%

Immunization admin, additional vaccine, counseling

$119K

2,363 claims · 1.4%

Your Cost: $50.44/claim|Median: $6.93
7.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$103K

1,857 claims · 1.2%

Your Cost: $55.39/claim|Median: $80.15
0.7× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$103K

1,224 claims · 1.2%

Your Cost: $83.93/claim|Median: $62.48
1.3× median
87801Normal range

Infectious agent detection, amplified probe, multiple organisms

$102K

1,989 claims · 1.2%

Your Cost: $51.41/claim|Median: $38.79
1.3× median
90716Top 10%

$64K

2,272 claims · 0.7%

Your Cost: $28.32/claim|Median: $6.18
4.6× median
90707Top 10%

MMR vaccine

$55K

2,285 claims · 0.6%

Your Cost: $24.01/claim|Median: $5.76
4.2× median
90633Top 5%

$48K

2,354 claims · 0.5%

Your Cost: $20.30/claim|Median: $3.56
5.7× median
90686Top 10%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$47K

2,491 claims · 0.5%

Your Cost: $18.92/claim|Median: $7.18
2.6× median
90671Top 25%

$44K

1,032 claims · 0.5%

Your Cost: $43.11/claim|Median: $8.59
5.0× median
87634Normal range

$27K

568 claims · 0.3%

Your Cost: $46.75/claim|Median: $48.78
1.0× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$25K

2,791 claims · 0.3%

Your Cost: $9.13/claim|Median: $4.71
1.9× median
99173Normal range

$23K

7,172 claims · 0.3%

Your Cost: $3.16/claim|Median: $2.16
1.5× median
96110Normal range

Developmental screening, per standardized instrument

$20K

2,565 claims · 0.2%

Your Cost: $7.96/claim|Median: $9.10
0.9× median
92551Normal range

Screening audiometry, pure tone, air only

$19K

5,364 claims · 0.2%

Your Cost: $3.48/claim|Median: $6.61
0.5× median
99177Top 10%

$16K

857 claims · 0.2%

Your Cost: $18.59/claim|Median: $3.74
5.0× median
90734Top 5%

$16K

353 claims · 0.2%

Your Cost: $44.23/claim|Median: $6.40
6.9× median
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