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Provider 1700898822

NPI: 1700898822Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.0M

$10,966,218

Total Claims

238K

Beneficiaries

234K

1.0 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+9%
2019
$1.7M
-13%
2020
$1.5M
+9%
2021
$1.6M
+7%
2022
$1.8M
-16%
2023
$1.5M
-9%
2024
$1.3M

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 34% of total spending.

99213Top 25%

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

$3.7M

56K claims · 33.9%

Your Cost: $66.73/claim|Median: $37.81
1.8× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$1.4M

15K claims · 12.8%

Your Cost: $91.63/claim|Median: $75.18
1.2× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$1.4M

34K claims · 12.5%

Your Cost: $40.06/claim|Median: $17.85
2.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.4M

16K claims · 12.3%

Your Cost: $83.49/claim|Median: $69.35
1.2× median
99214Top 25%

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

$880K

9,192 claims · 8.0%

Your Cost: $95.70/claim|Median: $53.41
1.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$854K

9,723 claims · 7.8%

Your Cost: $87.84/claim|Median: $74.82
1.2× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$738K

20K claims · 6.7%

Your Cost: $37.54/claim|Median: $6.93
5.4× median
99212Top 25%

Office/outpatient visit, low complexity

$184K

4,963 claims · 1.7%

Your Cost: $37.10/claim|Median: $25.06
1.5× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$159K

1,666 claims · 1.4%

Your Cost: $95.36/claim|Median: $80.15
1.2× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$93K

847 claims · 0.8%

Your Cost: $109.91/claim|Median: $97.61
1.1× median
90471Top 25%

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

$69K

4,217 claims · 0.6%

Your Cost: $16.30/claim|Median: $9.80
1.7× median
99188Normal range

$44K

3,419 claims · 0.4%

Your Cost: $12.91/claim|Median: $12.80
1.0× median
36416Normal range

$23K

8,601 claims · 0.2%

Your Cost: $2.73/claim|Median: $1.31
2.1× median
90473Top 25%

Immunization admin, intranasal, first

$20K

1,352 claims · 0.2%

Your Cost: $15.06/claim|Median: $9.17
1.6× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$17K

280 claims · 0.2%

Your Cost: $60.23/claim|Median: $37.22
1.6× median
83655Normal range

$10K

827 claims · 0.1%

Your Cost: $11.55/claim|Median: $10.49
1.1× median
99177Normal range

$7K

3,174 claims · 0.1%

Your Cost: $2.08/claim|Median: $3.74
0.6× median
0071ANormal range

$5K

147 claims · 0.0%

Your Cost: $31.73/claim|Median: $38.71
0.8× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$5K

348 claims · 0.0%

Your Cost: $13.13/claim|Median: $11.48
1.1× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$4K

129 claims · 0.0%

Your Cost: $30.07/claim|Median: $28.46
1.1× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$4K

1,017 claims · 0.0%

Your Cost: $3.58/claim|Median: $3.67
1.0× median
0072ANormal range

$3K

85 claims · 0.0%

Your Cost: $34.35/claim|Median: $39.57
0.9× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$2K

27 claims · 0.0%

Your Cost: $80.30/claim|Median: $62.48
1.3× median
90472Normal range

Immunization administration, each additional vaccine

$2K

119 claims · 0.0%

Your Cost: $16.87/claim|Median: $11.79
1.4× median
87502Top 25%

Influenza virus detection, reverse transcription, amplified probe

$1K

16 claims · 0.0%

Your Cost: $85.27/claim|Median: $65.64
1.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$948

82 claims · 0.0%

Your Cost: $11.56/claim|Median: $9.56
1.2× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$600

17 claims · 0.0%

Your Cost: $35.29/claim|Median: $33.72
1.0× median
36415Normal range

Collection of venous blood by venipuncture

$592

239 claims · 0.0%

Your Cost: $2.48/claim|Median: $1.57
1.6× median
87081Normal range

Culture screening for pathogenic organisms

$457

70 claims · 0.0%

Your Cost: $6.52/claim|Median: $5.09
1.3× median
96380Normal range

$449

25 claims · 0.0%

Your Cost: $17.96/claim|Median: $16.33
1.1× median
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