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Provider 1700816816

NPI: 1700816816Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.5M

$16,470,560

Total Claims

920K

Beneficiaries

818K

1.1 claims/patient

Avg Cost/Claim

$18

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+7%
2019
$2.4M
-26%
2020
$1.8M
+8%
2021
$2.0M
+32%
2022
$2.6M
+11%
2023
$2.9M
-13%
2024
$2.5M

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 23% of total spending.

99213Normal range

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

$3.9M

218K claims · 23.4%

Your Cost: $17.67/claim|Median: $37.81
0.5× median
99214Normal range

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

$2.5M

116K claims · 14.9%

Your Cost: $21.18/claim|Median: $53.41
0.4× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$1.5M

8,826 claims · 8.8%

Your Cost: $164.83/claim|Median: $121.16
1.4× median
59409Normal range

Vaginal delivery only

$1.4M

1,919 claims · 8.3%

Your Cost: $709.49/claim|Median: $619.91
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$754K

57K claims · 4.6%

Your Cost: $13.22/claim|Median: $25.06
0.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$471K

14K claims · 2.9%

Your Cost: $34.33/claim|Median: $75.18
0.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$423K

12K claims · 2.6%

Your Cost: $34.08/claim|Median: $74.82
0.5× median
90471Normal range

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

$406K

38K claims · 2.5%

Your Cost: $10.73/claim|Median: $9.80
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$346K

11K claims · 2.1%

Your Cost: $32.69/claim|Median: $69.35
0.5× median
90472Normal range

Immunization administration, each additional vaccine

$316K

18K claims · 1.9%

Your Cost: $18.06/claim|Median: $11.79
1.5× median
D0120Normal range

Periodic oral evaluation, established patient

$294K

24K claims · 1.8%

Your Cost: $12.35/claim|Median: $24.34
0.5× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$290K

14K claims · 1.8%

Your Cost: $21.29/claim|Median: $17.85
1.2× median
59426Normal range

Antepartum care only, high risk, additional visits

$271K

6,022 claims · 1.6%

Your Cost: $45.05/claim|Median: $122.30
0.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$251K

7,298 claims · 1.5%

Your Cost: $34.33/claim|Median: $80.15
0.4× median
D0140Normal range

Limited oral evaluation, problem focused

$211K

19K claims · 1.3%

Your Cost: $10.85/claim|Median: $27.07
0.4× median
90677Top 10%

$204K

1,121 claims · 1.2%

Your Cost: $182.15/claim|Median: $12.96
14.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$182K

11K claims · 1.1%

Your Cost: $15.94/claim|Median: $32.07
0.5× median
D1110Normal range

Prophylaxis, adult cleaning

$181K

14K claims · 1.1%

Your Cost: $13.36/claim|Median: $43.38
0.3× median
D1351Normal range

Sealant, per tooth

$180K

19K claims · 1.1%

Your Cost: $9.47/claim|Median: $26.10
0.4× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$179K

13K claims · 1.1%

Your Cost: $14.26/claim|Median: $23.99
0.6× median
D1120Normal range

Prophylaxis, adult

$168K

15K claims · 1.0%

Your Cost: $11.11/claim|Median: $33.86
0.3× median
D1208Normal range

Topical application of fluoride, excluding varnish

$115K

14K claims · 0.7%

Your Cost: $8.17/claim|Median: $14.36
0.6× median
D0274Normal range

Bitewings, four radiographic images

$107K

20K claims · 0.6%

Your Cost: $5.35/claim|Median: $22.54
0.2× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$96K

2,123 claims · 0.6%

Your Cost: $45.38/claim|Median: $62.48
0.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$96K

3,223 claims · 0.6%

Your Cost: $29.68/claim|Median: $72.71
0.4× median
90619Top 5%

$90K

762 claims · 0.5%

Your Cost: $118.43/claim|Median: $8.36
14.2× median
98942Normal range

$88K

18K claims · 0.5%

Your Cost: $4.90/claim|Median: $28.40
0.2× median
90461Normal range

Immunization admin, additional vaccine, counseling

$86K

5,016 claims · 0.5%

Your Cost: $17.05/claim|Median: $6.93
2.5× median
92551Normal range

Screening audiometry, pure tone, air only

$65K

18K claims · 0.4%

Your Cost: $3.66/claim|Median: $6.61
0.6× median
D7140Normal range

Extraction, erupted tooth or exposed root

$64K

3,094 claims · 0.4%

Your Cost: $20.78/claim|Median: $57.39
0.4× median
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