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Provider 1689852071

NPI: 1689852071Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.3M

$17,316,827

Total Claims

721K

Beneficiaries

665K

1.1 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+150%
2019
$3.4M
-7%
2020
$3.1M
-11%
2021
$2.8M
-24%
2022
$2.1M
+16%
2023
$2.5M
-17%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (S0302) accounts for 21% of total spending.

S0302Top 10%

$3.6M

71K claims · 20.8%

Your Cost: $50.81/claim|Median: $9.05
5.6× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$3.4M

134K claims · 19.8%

Your Cost: $25.61/claim|Median: $17.67
1.4× median
99213Normal range

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

$2.3M

64K claims · 13.4%

Your Cost: $36.08/claim|Median: $37.81
1.0× median
99214Normal range

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

$1.3M

25K claims · 7.8%

Your Cost: $52.86/claim|Median: $53.41
1.0× median
X5622Normal range

$1.1M

24K claims · 6.1%

Your Cost: $43.41/claim|Median: $52.61
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$988K

23K claims · 5.7%

Your Cost: $43.69/claim|Median: $75.18
0.6× median
99393Normal range

Preventive medicine, established patient, age 5-11

$899K

22K claims · 5.2%

Your Cost: $41.07/claim|Median: $74.82
0.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$590K

15K claims · 3.4%

Your Cost: $38.28/claim|Median: $69.35
0.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$569K

13K claims · 3.3%

Your Cost: $45.05/claim|Median: $80.15
0.6× median
S0281Normal range

$394K

15K claims · 2.3%

Your Cost: $26.49/claim|Median: $92.97
0.3× median
99215Normal range

Office/outpatient visit, high complexity

$354K

4,740 claims · 2.0%

Your Cost: $74.64/claim|Median: $74.09
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$271K

14K claims · 1.6%

Your Cost: $19.61/claim|Median: $25.06
0.8× median
99188Normal range

$249K

33K claims · 1.4%

Your Cost: $7.45/claim|Median: $12.80
0.6× median
92551Normal range

Screening audiometry, pure tone, air only

$236K

45K claims · 1.4%

Your Cost: $5.22/claim|Median: $6.61
0.8× median
96110Normal range

Developmental screening, per standardized instrument

$183K

35K claims · 1.1%

Your Cost: $5.29/claim|Median: $9.10
0.6× median
90472Normal range

Immunization administration, each additional vaccine

$167K

16K claims · 1.0%

Your Cost: $10.36/claim|Median: $11.79
0.9× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$163K

11K claims · 0.9%

Your Cost: $15.04/claim|Median: $17.85
0.8× median
90471Normal range

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

$129K

17K claims · 0.7%

Your Cost: $7.38/claim|Median: $9.80
0.8× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$97K

2,327 claims · 0.6%

Your Cost: $41.87/claim|Median: $73.46
0.6× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$54K

19K claims · 0.3%

Your Cost: $2.89/claim|Median: $3.67
0.8× median
99173Normal range

$52K

48K claims · 0.3%

Your Cost: $1.07/claim|Median: $2.16
0.5× median
99395Normal range

Preventive medicine, established patient, age 18-39

$27K

468 claims · 0.2%

Your Cost: $58.16/claim|Median: $72.71
0.8× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$25K

566 claims · 0.1%

Your Cost: $43.96/claim|Median: $81.92
0.5× median
90474Normal range

$19K

3,375 claims · 0.1%

Your Cost: $5.56/claim|Median: $8.42
0.7× median
S0280Normal range

Medical home program, comprehensive care management

$14K

961 claims · 0.1%

Your Cost: $14.70/claim|Median: $48.38
0.3× median
99382Normal range

Preventive visit, new patient, early childhood (1-4 yr)

$13K

308 claims · 0.1%

Your Cost: $41.74/claim|Median: $79.89
0.5× median
99203Normal range

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

$12K

269 claims · 0.1%

Your Cost: $44.59/claim|Median: $57.85
0.8× median
90670Normal range

$10K

6,778 claims · 0.1%

Your Cost: $1.42/claim|Median: $5.94
0.2× median
90651Normal range

HPV vaccine, 9-valent

$9K

3,567 claims · 0.1%

Your Cost: $2.61/claim|Median: $8.93
0.3× median
90461Normal range

Immunization admin, additional vaccine, counseling

$5K

1,330 claims · 0.0%

Your Cost: $3.54/claim|Median: $6.93
0.5× median
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