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Provider 1699747303

NPI: 1699747303Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.8M

$15,806,388

Total Claims

939K

Beneficiaries

865K

1.1 claims/patient

Avg Cost/Claim

$17

Monthly Spending Trend

Yearly Spending

2018
$1.9M
-0%
2019
$1.9M
-6%
2020
$1.8M
+239%
2021
$5.9M
-43%
2022
$3.4M
-85%
2023
$506K
-1%
2024
$504K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (87426 (SARS-CoV-2 COVID-19 antigen detection, immunoassay)) accounts for 20% of total spending.

87426Normal range

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

$3.1M

96K claims · 19.7%

Your Cost: $32.36/claim|Median: $30.04
1.1× median
99214Normal range

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

$2.7M

45K claims · 17.3%

Your Cost: $60.88/claim|Median: $53.41
1.1× median
99213Normal range

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

$2.0M

51K claims · 12.9%

Your Cost: $39.64/claim|Median: $37.81
1.0× median
99203Normal range

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

$1.7M

33K claims · 10.9%

Your Cost: $52.20/claim|Median: $57.85
0.9× median
99211Normal range

Office/outpatient visit, minimal complexity

$1.6M

123K claims · 10.4%

Your Cost: $13.35/claim|Median: $12.93
1.0× median
G2023Normal range

Specimen collection for COVID-19 testing

$1.3M

61K claims · 8.2%

Your Cost: $21.37/claim|Median: $17.15
1.2× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$732K

21K claims · 4.6%

Your Cost: $35.17/claim|Median: $40.11
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$307K

13K claims · 1.9%

Your Cost: $24.14/claim|Median: $25.06
1.0× median
90471Top 25%

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

$260K

16K claims · 1.6%

Your Cost: $16.37/claim|Median: $9.80
1.7× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$210K

18K claims · 1.3%

Your Cost: $11.50/claim|Median: $11.48
1.0× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$192K

9,951 claims · 1.2%

Your Cost: $19.27/claim|Median: $28.46
0.7× median
99204Normal range

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

$180K

2,280 claims · 1.1%

Your Cost: $79.08/claim|Median: $84.03
0.9× median
87804Normal range

Influenza virus detection, rapid test

$151K

13K claims · 1.0%

Your Cost: $11.51/claim|Median: $12.59
0.9× median
90674Normal range

$107K

4,900 claims · 0.7%

Your Cost: $21.77/claim|Median: $15.16
1.4× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$95K

1,675 claims · 0.6%

Your Cost: $56.83/claim|Median: $65.64
0.9× median
90746Top 25%

Hepatitis B vaccine, adult

$86K

1,346 claims · 0.5%

Your Cost: $64.10/claim|Median: $48.85
1.3× median
90715Top 25%

Tdap vaccine

$81K

2,588 claims · 0.5%

Your Cost: $31.38/claim|Median: $10.32
3.0× median
90707Top 1%

MMR vaccine

$78K

1,071 claims · 0.5%

Your Cost: $73.27/claim|Median: $5.76
12.7× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$77K

1,238 claims · 0.5%

Your Cost: $62.41/claim|Median: $41.92
1.5× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$75K

4,302 claims · 0.5%

Your Cost: $17.40/claim|Median: $7.18
2.4× median
99401Normal range

$73K

3,057 claims · 0.5%

Your Cost: $23.75/claim|Median: $16.53
1.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$65K

1,571 claims · 0.4%

Your Cost: $41.29/claim|Median: $39.70
1.0× median
0001ATop 5%

COVID-19 vaccine admin, Pfizer, 1st dose

$37K

424 claims · 0.2%

Your Cost: $86.46/claim|Median: $33.72
2.6× median
86580Normal range

Tuberculosis (TB) skin test

$35K

6,520 claims · 0.2%

Your Cost: $5.43/claim|Median: $4.46
1.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$31K

2,398 claims · 0.2%

Your Cost: $13.12/claim|Median: $9.56
1.4× median
90716Top 1%

$31K

238 claims · 0.2%

Your Cost: $129.79/claim|Median: $6.18
21.0× median
90682Normal range

$31K

665 claims · 0.2%

Your Cost: $46.31/claim|Median: $34.72
1.3× median
0002ATop 5%

COVID-19 vaccine admin, Pfizer, 2nd dose

$26K

293 claims · 0.2%

Your Cost: $87.72/claim|Median: $36.70
2.4× median
0004ATop 5%

$24K

319 claims · 0.2%

Your Cost: $76.78/claim|Median: $35.62
2.2× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$22K

1,067 claims · 0.1%

Your Cost: $20.52/claim|Median: $27.38
0.7× median
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