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Provider 1689747222

NPI: 1689747222Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.6M

$8,595,309

Total Claims

345K

Beneficiaries

280K

1.2 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$941K
+6%
2019
$994K
-15%
2020
$849K
+36%
2021
$1.2M
+36%
2022
$1.6M
+0%
2023
$1.6M
-5%
2024
$1.5M

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 32% of total spending.

99214Top 25%

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

$2.7M

32K claims · 31.8%

Your Cost: $84.91/claim|Median: $53.41
1.6× median
99213Top 25%

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

$1.5M

27K claims · 17.9%

Your Cost: $57.04/claim|Median: $37.81
1.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$591K

8,090 claims · 6.9%

Your Cost: $73.09/claim|Median: $75.18
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$498K

7,170 claims · 5.8%

Your Cost: $69.47/claim|Median: $74.82
0.9× median
99443Top 25%

Telephone E/M by physician, 21-30 min

$396K

4,907 claims · 4.6%

Your Cost: $80.65/claim|Median: $32.55
2.5× median
99394Normal range

Preventive medicine, established patient, age 12-17

$383K

5,067 claims · 4.5%

Your Cost: $75.68/claim|Median: $80.15
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$333K

4,697 claims · 3.9%

Your Cost: $70.84/claim|Median: $69.35
1.0× median
92552Top 25%

Pure tone audiometry, air only, each ear

$266K

11K claims · 3.1%

Your Cost: $23.85/claim|Median: $12.63
1.9× median
87426Normal range

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

$185K

6,302 claims · 2.2%

Your Cost: $29.38/claim|Median: $30.04
1.0× median
87804Normal range

Influenza virus detection, rapid test

$171K

13K claims · 2.0%

Your Cost: $13.09/claim|Median: $12.59
1.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$129K

12K claims · 1.5%

Your Cost: $11.02/claim|Median: $7.18
1.5× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$114K

8,763 claims · 1.3%

Your Cost: $13.03/claim|Median: $11.48
1.1× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$94K

22K claims · 1.1%

Your Cost: $4.35/claim|Median: $3.67
1.2× median
90670Top 10%

$86K

3,031 claims · 1.0%

Your Cost: $28.39/claim|Median: $5.94
4.8× median
99212Normal range

Office/outpatient visit, low complexity

$77K

2,555 claims · 0.9%

Your Cost: $30.32/claim|Median: $25.06
1.2× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$77K

1,726 claims · 0.9%

Your Cost: $44.79/claim|Median: $22.44
2.0× median
99188Normal range

$73K

4,003 claims · 0.8%

Your Cost: $18.25/claim|Median: $12.80
1.4× median
S8301Normal range

$70K

5,734 claims · 0.8%

Your Cost: $12.27/claim|Median: $8.32
1.5× median
90651Top 25%

HPV vaccine, 9-valent

$56K

1,249 claims · 0.6%

Your Cost: $44.67/claim|Median: $8.93
5.0× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$53K

13K claims · 0.6%

Your Cost: $3.96/claim|Median: $12.70
0.3× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$37K

32K claims · 0.4%

Your Cost: $1.15/claim|Median: $17.85
0.1× median
90698Top 25%

$36K

1,862 claims · 0.4%

Your Cost: $19.12/claim|Median: $6.32
3.0× median
99401Normal range

$32K

1,841 claims · 0.4%

Your Cost: $17.44/claim|Median: $16.53
1.1× median
90716Top 10%

$31K

1,331 claims · 0.4%

Your Cost: $23.26/claim|Median: $6.18
3.8× median
90680Top 25%

$28K

1,605 claims · 0.3%

Your Cost: $17.51/claim|Median: $5.58
3.1× median
94664Normal range

$27K

2,284 claims · 0.3%

Your Cost: $11.84/claim|Median: $8.88
1.3× median
90677Top 25%

$27K

465 claims · 0.3%

Your Cost: $57.97/claim|Median: $12.96
4.5× median
Q3014Top 25%

Telehealth originating site facility fee

$27K

1,116 claims · 0.3%

Your Cost: $23.92/claim|Median: $15.37
1.6× median
90621Top 10%

$25K

658 claims · 0.3%

Your Cost: $37.51/claim|Median: $7.66
4.9× median
G2211Top 25%

$23K

3,365 claims · 0.3%

Your Cost: $6.79/claim|Median: $2.40
2.8× median
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