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Provider 1700981792

NPI: 1700981792Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$8.2M

$8,234,771

Total Claims

428K

Beneficiaries

347K

1.2 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-3%
2019
$1.5M
-21%
2020
$1.1M
-23%
2021
$887K
+2%
2022
$906K
+37%
2023
$1.2M
-11%
2024
$1.1M

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 27% of total spending.

99213Normal range

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

$2.2M

73K claims · 27.3%

Your Cost: $30.68/claim|Median: $37.81
0.8× median
99214Normal range

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

$1.3M

29K claims · 15.4%

Your Cost: $43.04/claim|Median: $53.41
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$878K

17K claims · 10.7%

Your Cost: $50.33/claim|Median: $75.18
0.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$749K

14K claims · 9.1%

Your Cost: $54.27/claim|Median: $74.82
0.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$588K

10K claims · 7.1%

Your Cost: $57.52/claim|Median: $80.15
0.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$578K

12K claims · 7.0%

Your Cost: $48.89/claim|Median: $69.35
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$453K

26K claims · 5.5%

Your Cost: $17.33/claim|Median: $25.06
0.7× median
90472Normal range

Immunization administration, each additional vaccine

$328K

23K claims · 4.0%

Your Cost: $14.41/claim|Median: $11.79
1.2× median
90471Normal range

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

$304K

28K claims · 3.7%

Your Cost: $10.82/claim|Median: $9.80
1.1× median
92551Normal range

Screening audiometry, pure tone, air only

$162K

26K claims · 2.0%

Your Cost: $6.17/claim|Median: $6.61
0.9× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$132K

14K claims · 1.6%

Your Cost: $9.76/claim|Median: $121.16
0.1× median
99051Normal range

$113K

10K claims · 1.4%

Your Cost: $10.98/claim|Median: $7.89
1.4× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$92K

4,595 claims · 1.1%

Your Cost: $20.01/claim|Median: $30.53
0.7× median
87804Normal range

Influenza virus detection, rapid test

$79K

9,989 claims · 1.0%

Your Cost: $7.88/claim|Median: $12.59
0.6× median
99381Normal range

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

$58K

1,221 claims · 0.7%

Your Cost: $47.89/claim|Median: $73.46
0.7× median
90473Normal range

Immunization admin, intranasal, first

$45K

5,547 claims · 0.5%

Your Cost: $8.05/claim|Median: $9.17
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$38K

4,833 claims · 0.5%

Your Cost: $7.90/claim|Median: $11.48
0.7× median
99173Normal range

$36K

28K claims · 0.4%

Your Cost: $1.30/claim|Median: $2.16
0.6× median
83655Normal range

$22K

3,676 claims · 0.3%

Your Cost: $6.03/claim|Median: $10.49
0.6× median
87807Normal range

$18K

2,317 claims · 0.2%

Your Cost: $7.83/claim|Median: $10.06
0.8× median
96110Normal range

Developmental screening, per standardized instrument

$9K

1,733 claims · 0.1%

Your Cost: $5.37/claim|Median: $9.10
0.6× median
99188Normal range

$6K

619 claims · 0.1%

Your Cost: $9.30/claim|Median: $12.80
0.7× median
96160Normal range

Patient-focused health risk assessment

$5K

4,327 claims · 0.1%

Your Cost: $1.06/claim|Median: $2.10
0.5× median
0071ANormal range

$4K

132 claims · 0.0%

Your Cost: $29.86/claim|Median: $38.71
0.8× median
0072ANormal range

$4K

102 claims · 0.0%

Your Cost: $37.44/claim|Median: $39.57
0.9× median
99499Normal range

Unlisted evaluation and management service

$3K

305 claims · 0.0%

Your Cost: $10.51/claim|Median: $30.88
0.3× median
99401Normal range

$3K

915 claims · 0.0%

Your Cost: $3.32/claim|Median: $16.53
0.2× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$3K

11K claims · 0.0%

Your Cost: $0.26/claim|Median: $0.79
0.3× median
85018Normal range

$3K

3,042 claims · 0.0%

Your Cost: $0.83/claim|Median: $1.71
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$2K

49 claims · 0.0%

Your Cost: $42.55/claim|Median: $74.09
0.6× median