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Provider 1689760076

NPI: 1689760076Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.3M

$9,275,993

Total Claims

147K

Beneficiaries

130K

1.1 claims/patient

Avg Cost/Claim

$63

Monthly Spending Trend

Yearly Spending

2018
$802K
-4%
2019
$768K
+13%
2020
$867K
+37%
2021
$1.2M
+45%
2022
$1.7M
+27%
2023
$2.2M
-20%
2024
$1.7M

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 40% of total spending.

99213Top 25%

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

$3.7M

56K claims · 40.3%

Your Cost: $66.70/claim|Median: $37.81
1.8× median
99214Top 10%

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

$1.9M

19K claims · 20.5%

Your Cost: $100.02/claim|Median: $53.41
1.9× median
92014Top 10%

Ophthalmological exam, comprehensive, established patient

$719K

7,524 claims · 7.7%

Your Cost: $95.50/claim|Median: $47.08
2.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$345K

4,164 claims · 3.7%

Your Cost: $82.82/claim|Median: $69.35
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$270K

3,287 claims · 2.9%

Your Cost: $82.26/claim|Median: $75.18
1.1× median
92015Top 10%

Determination of refractive state

$233K

9,731 claims · 2.5%

Your Cost: $23.92/claim|Median: $10.36
2.3× median
G0467Normal range

Federally qualified health center visit, mental health

$220K

8,893 claims · 2.4%

Your Cost: $24.73/claim|Median: $21.91
1.1× median
76801Top 1%

Ultrasound, pregnant uterus, single fetus, first trimester

$182K

813 claims · 2.0%

Your Cost: $223.62/claim|Median: $58.16
3.8× median
99215Top 5%

Office/outpatient visit, high complexity

$170K

976 claims · 1.8%

Your Cost: $174.64/claim|Median: $74.09
2.4× median
99212Top 25%

Office/outpatient visit, low complexity

$168K

3,563 claims · 1.8%

Your Cost: $47.19/claim|Median: $25.06
1.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$164K

1,907 claims · 1.8%

Your Cost: $86.00/claim|Median: $74.82
1.1× median
92004Top 25%

Ophthalmological exam, comprehensive, new patient

$146K

1,335 claims · 1.6%

Your Cost: $109.24/claim|Median: $59.72
1.8× median
77067Top 5%

Screening mammography, bilateral, including CAD

$98K

747 claims · 1.1%

Your Cost: $130.85/claim|Median: $39.33
3.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$86K

978 claims · 0.9%

Your Cost: $87.83/claim|Median: $80.15
1.1× median
81025Top 5%

Urine pregnancy test

$73K

5,319 claims · 0.8%

Your Cost: $13.71/claim|Median: $4.81
2.9× median
D1110Top 25%

Prophylaxis, adult cleaning

$64K

938 claims · 0.7%

Your Cost: $67.90/claim|Median: $43.38
1.6× median
V2203Normal range

$59K

1,571 claims · 0.6%

Your Cost: $37.54/claim|Median: $29.84
1.3× median
83036Top 5%

Hemoglobin A1c (glycated hemoglobin)

$51K

1,499 claims · 0.5%

Your Cost: $33.75/claim|Median: $5.50
6.1× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$50K

1,029 claims · 0.5%

Your Cost: $48.96/claim|Median: $38.23
1.3× median
99395Normal range

Preventive medicine, established patient, age 18-39

$49K

871 claims · 0.5%

Your Cost: $55.72/claim|Median: $72.71
0.8× median
V2020Normal range

Frames, purchases

$47K

2,377 claims · 0.5%

Your Cost: $19.96/claim|Median: $19.33
1.0× median
0241UTop 25%

Proprietary lab analysis, genomic sequencing

$44K

333 claims · 0.5%

Your Cost: $131.94/claim|Median: $91.47
1.4× median
D0330Top 5%

Panoramic radiographic image

$39K

413 claims · 0.4%

Your Cost: $94.03/claim|Median: $37.36
2.5× median
D0220Top 5%

Intraoral periapical radiographic image, first film

$37K

1,607 claims · 0.4%

Your Cost: $23.32/claim|Median: $10.51
2.2× median
71046Top 10%

Chest X-ray, 2 views

$27K

542 claims · 0.3%

Your Cost: $48.94/claim|Median: $8.92
5.5× median
D0230Top 5%

Intraoral, periapical radiographic image, first film

$25K

1,257 claims · 0.3%

Your Cost: $20.08/claim|Median: $7.33
2.7× median
D7140Top 5%

Extraction, erupted tooth or exposed root

$25K

212 claims · 0.3%

Your Cost: $116.98/claim|Median: $57.39
2.0× median
D0274Top 1%

Bitewings, four radiographic images

$24K

469 claims · 0.3%

Your Cost: $51.63/claim|Median: $22.54
2.3× median
99204Top 1%

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

$23K

98 claims · 0.3%

Your Cost: $236.73/claim|Median: $84.03
2.8× median
V2103Normal range

Lens, sphere-cylinder, single vision, plus or minus 4.00

$23K

1,248 claims · 0.2%

Your Cost: $18.40/claim|Median: $18.82
1.0× median
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