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Provider 1689897787

NPI: 1689897787Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.8M

$9,847,487

Total Claims

199K

Beneficiaries

183K

1.1 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$1.1M
-8%
2019
$1.0M
+22%
2020
$1.3M
+22%
2021
$1.6M
+9%
2022
$1.7M
+4%
2023
$1.8M
-24%
2024
$1.3M

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.

99214Normal range

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

$3.2M

54K claims · 32.1%

Your Cost: $58.34/claim|Median: $53.41
1.1× median
99213Normal range

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

$2.8M

63K claims · 28.1%

Your Cost: $43.98/claim|Median: $37.81
1.2× median
99204Normal range

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

$419K

4,487 claims · 4.3%

Your Cost: $93.41/claim|Median: $84.03
1.1× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$366K

10K claims · 3.7%

Your Cost: $35.91/claim|Median: $17.85
2.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$332K

4,365 claims · 3.4%

Your Cost: $76.05/claim|Median: $75.18
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$311K

4,325 claims · 3.2%

Your Cost: $71.86/claim|Median: $69.35
1.0× median
95886Top 25%

$304K

2,211 claims · 3.1%

Your Cost: $137.39/claim|Median: $67.70
2.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$226K

2,875 claims · 2.3%

Your Cost: $78.45/claim|Median: $74.82
1.0× median
95913Top 25%

$225K

938 claims · 2.3%

Your Cost: $239.41/claim|Median: $166.25
1.4× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$201K

5,532 claims · 2.0%

Your Cost: $36.25/claim|Median: $54.68
0.7× median
99203Normal range

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

$159K

2,620 claims · 1.6%

Your Cost: $60.87/claim|Median: $57.85
1.1× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$155K

4,138 claims · 1.6%

Your Cost: $37.43/claim|Median: $23.99
1.6× median
99212Normal range

Office/outpatient visit, low complexity

$107K

9,340 claims · 1.1%

Your Cost: $11.48/claim|Median: $25.06
0.5× median
43239Normal range

Upper GI endoscopy with biopsy

$100K

1,149 claims · 1.0%

Your Cost: $87.02/claim|Median: $151.68
0.6× median
95912Top 25%

$100K

498 claims · 1.0%

Your Cost: $200.43/claim|Median: $141.23
1.4× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$99K

2,305 claims · 1.0%

Your Cost: $42.92/claim|Median: $29.03
1.5× median
99215Normal range

Office/outpatient visit, high complexity

$98K

1,176 claims · 1.0%

Your Cost: $83.43/claim|Median: $74.09
1.1× median
99291Normal range

Critical care, first 30-74 minutes

$94K

711 claims · 1.0%

Your Cost: $132.78/claim|Median: $101.24
1.3× median
96110Top 10%

Developmental screening, per standardized instrument

$44K

1,831 claims · 0.4%

Your Cost: $23.76/claim|Median: $9.10
2.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$39K

431 claims · 0.4%

Your Cost: $91.60/claim|Median: $80.15
1.1× median
98941Top 5%

Chiropractic manipulative treatment, 3-4 spinal regions

$36K

1,064 claims · 0.4%

Your Cost: $33.64/claim|Median: $20.83
1.6× median
99244Top 25%

Office or other outpatient consultation, moderate complexity

$35K

240 claims · 0.4%

Your Cost: $145.92/claim|Median: $121.58
1.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$31K

2,321 claims · 0.3%

Your Cost: $13.45/claim|Median: $11.48
1.2× median
99493Top 25%

$26K

208 claims · 0.3%

Your Cost: $124.02/claim|Median: $73.13
1.7× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$24K

225 claims · 0.2%

Your Cost: $105.03/claim|Median: $111.09
0.9× median
90471Top 25%

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

$20K

1,254 claims · 0.2%

Your Cost: $16.10/claim|Median: $9.80
1.6× median
59025Normal range

Fetal non-stress test

$19K

609 claims · 0.2%

Your Cost: $31.17/claim|Median: $26.45
1.2× median
45380Normal range

Colonoscopy with biopsy

$18K

128 claims · 0.2%

Your Cost: $139.86/claim|Median: $200.68
0.7× median
92583Top 25%

$18K

399 claims · 0.2%

Your Cost: $43.89/claim|Median: $27.53
1.6× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$16K

447 claims · 0.2%

Your Cost: $35.51/claim|Median: $106.14
0.3× median
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