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Provider 1689779860

NPI: 1689779860Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.9M

$9,869,726

Total Claims

178K

Beneficiaries

169K

1.1 claims/patient

Avg Cost/Claim

$55

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+7%
2019
$1.4M
-5%
2020
$1.3M
+12%
2021
$1.4M
+37%
2022
$2.0M
-23%
2023
$1.5M
-34%
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 18% of total spending.

99213Top 10%

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

$1.8M

24K claims · 18.4%

Your Cost: $76.95/claim|Median: $37.81
2.0× median
99214Top 25%

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

$1.4M

15K claims · 14.1%

Your Cost: $93.12/claim|Median: $53.41
1.7× median
90460Top 10%

Immunization administration, first vaccine/toxoid, with counseling

$752K

17K claims · 7.6%

Your Cost: $44.49/claim|Median: $17.85
2.5× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$712K

5,107 claims · 7.2%

Your Cost: $139.46/claim|Median: $75.18
1.9× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$681K

5,564 claims · 6.9%

Your Cost: $122.41/claim|Median: $69.35
1.8× median
90461Top 5%

Immunization admin, additional vaccine, counseling

$514K

8,558 claims · 5.2%

Your Cost: $60.03/claim|Median: $6.93
8.7× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$466K

2,893 claims · 4.7%

Your Cost: $161.15/claim|Median: $74.82
2.2× median
90837Top 5%

Psychotherapy, 60 minutes

$394K

2,616 claims · 4.0%

Your Cost: $150.79/claim|Median: $85.66
1.8× median
99215Top 10%

Office/outpatient visit, high complexity

$334K

2,281 claims · 3.4%

Your Cost: $146.56/claim|Median: $74.09
2.0× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$252K

1,398 claims · 2.6%

Your Cost: $180.32/claim|Median: $80.15
2.2× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$235K

2,632 claims · 2.4%

Your Cost: $89.42/claim|Median: $22.44
4.0× median
96110Top 25%

Developmental screening, per standardized instrument

$219K

12K claims · 2.2%

Your Cost: $18.41/claim|Median: $9.10
2.0× median
99212Top 10%

Office/outpatient visit, low complexity

$217K

2,433 claims · 2.2%

Your Cost: $89.26/claim|Median: $25.06
3.6× median
99441Top 10%

Telephone E/M by physician, 5-10 min

$212K

4,239 claims · 2.1%

Your Cost: $49.90/claim|Median: $13.30
3.8× median
99173Top 1%

$200K

5,113 claims · 2.0%

Your Cost: $39.19/claim|Median: $2.16
18.1× median
99203Top 25%

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

$159K

1,955 claims · 1.6%

Your Cost: $81.39/claim|Median: $57.85
1.4× median
92558Top 5%

$129K

2,588 claims · 1.3%

Your Cost: $49.72/claim|Median: $6.67
7.5× median
90791Normal range

Psychiatric diagnostic evaluation

$122K

1,115 claims · 1.2%

Your Cost: $108.97/claim|Median: $99.21
1.1× median
99204Normal range

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

$88K

800 claims · 0.9%

Your Cost: $109.89/claim|Median: $84.03
1.3× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$86K

2,359 claims · 0.9%

Your Cost: $36.52/claim|Median: $36.70
1.0× median
99443Top 10%

Telephone E/M by physician, 21-30 min

$84K

815 claims · 0.8%

Your Cost: $102.66/claim|Median: $32.55
3.2× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$78K

2,552 claims · 0.8%

Your Cost: $30.72/claim|Median: $33.72
0.9× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$78K

6,589 claims · 0.8%

Your Cost: $11.80/claim|Median: $3.67
3.2× median
J1050Top 25%

Injection, medroxyprogesterone acetate, one milligram

$69K

850 claims · 0.7%

Your Cost: $81.61/claim|Median: $41.92
1.9× median
92587Normal range

$59K

2,994 claims · 0.6%

Your Cost: $19.57/claim|Median: $19.24
1.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$56K

444 claims · 0.6%

Your Cost: $125.73/claim|Median: $111.09
1.1× median
36415Top 10%

Collection of venous blood by venipuncture

$39K

6,926 claims · 0.4%

Your Cost: $5.64/claim|Median: $1.57
3.6× median
90474Top 10%

$39K

2,006 claims · 0.4%

Your Cost: $19.37/claim|Median: $8.42
2.3× median
90471Top 25%

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

$31K

1,645 claims · 0.3%

Your Cost: $18.75/claim|Median: $9.80
1.9× median
0003ANormal range

COVID-19 vaccine admin, Pfizer, 3rd dose

$29K

756 claims · 0.3%

Your Cost: $38.33/claim|Median: $36.49
1.1× median
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