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Provider 1710034293

NPI: 1710034293Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.7M

$13,739,520

Total Claims

421K

Beneficiaries

379K

1.1 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-1%
2019
$2.0M
-15%
2020
$1.7M
+24%
2021
$2.1M
+9%
2022
$2.3M
-17%
2023
$1.9M
+0%
2024
$1.9M

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 36% of total spending.

99213Top 25%

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

$4.9M

79K claims · 35.6%

Your Cost: $61.74/claim|Median: $37.81
1.6× median
99214Top 25%

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

$2.3M

26K claims · 16.7%

Your Cost: $87.19/claim|Median: $53.41
1.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.3M

14K claims · 9.1%

Your Cost: $87.06/claim|Median: $75.18
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.1M

14K claims · 8.1%

Your Cost: $82.84/claim|Median: $69.35
1.2× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$990K

11K claims · 7.2%

Your Cost: $89.54/claim|Median: $74.82
1.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$603K

6,566 claims · 4.4%

Your Cost: $91.82/claim|Median: $80.15
1.1× median
90472Top 25%

Immunization administration, each additional vaccine

$525K

19K claims · 3.8%

Your Cost: $28.09/claim|Median: $11.79
2.4× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$383K

13K claims · 2.8%

Your Cost: $30.55/claim|Median: $28.46
1.1× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$340K

4,423 claims · 2.5%

Your Cost: $76.96/claim|Median: $65.64
1.2× median
90471Normal range

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

$336K

28K claims · 2.4%

Your Cost: $12.20/claim|Median: $9.80
1.2× median
87635Top 25%

COVID-19 SARS-CoV-2 amplified probe detection

$289K

5,842 claims · 2.1%

Your Cost: $49.54/claim|Median: $39.70
1.2× median
36416Top 25%

$103K

33K claims · 0.7%

Your Cost: $3.10/claim|Median: $1.31
2.4× median
90473Normal range

Immunization admin, intranasal, first

$73K

5,657 claims · 0.5%

Your Cost: $12.92/claim|Median: $9.17
1.4× median
85018Top 25%

$70K

30K claims · 0.5%

Your Cost: $2.31/claim|Median: $1.71
1.3× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$66K

17K claims · 0.5%

Your Cost: $3.83/claim|Median: $3.67
1.0× median
96110Normal range

Developmental screening, per standardized instrument

$57K

9,431 claims · 0.4%

Your Cost: $6.00/claim|Median: $9.10
0.7× median
80061Normal range

Lipid panel

$47K

3,939 claims · 0.3%

Your Cost: $11.93/claim|Median: $8.41
1.4× median
92583Normal range

$47K

1,260 claims · 0.3%

Your Cost: $36.95/claim|Median: $27.53
1.3× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$45K

707 claims · 0.3%

Your Cost: $63.15/claim|Median: $62.48
1.0× median
83655Normal range

$37K

3,568 claims · 0.3%

Your Cost: $10.35/claim|Median: $10.49
1.0× median
87801Normal range

Infectious agent detection, amplified probe, multiple organisms

$35K

881 claims · 0.3%

Your Cost: $40.22/claim|Median: $38.79
1.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$35K

751 claims · 0.3%

Your Cost: $46.32/claim|Median: $37.22
1.2× median
92551Normal range

Screening audiometry, pure tone, air only

$12K

1,446 claims · 0.1%

Your Cost: $8.11/claim|Median: $6.61
1.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$10K

1,539 claims · 0.1%

Your Cost: $6.59/claim|Median: $4.71
1.4× median
96161Normal range

$9K

5,960 claims · 0.1%

Your Cost: $1.53/claim|Median: $2.49
0.6× median
99000Normal range

$8K

2,739 claims · 0.1%

Your Cost: $2.79/claim|Median: $2.30
1.2× median
99173Normal range

$6K

3,412 claims · 0.0%

Your Cost: $1.87/claim|Median: $2.16
0.9× median
99188Normal range

$6K

694 claims · 0.0%

Your Cost: $8.77/claim|Median: $12.80
0.7× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$6K

60 claims · 0.0%

Your Cost: $96.63/claim|Median: $81.92
1.2× median
81002Top 25%

Urinalysis, non-automated without microscopy

$5K

1,560 claims · 0.0%

Your Cost: $2.99/claim|Median: $2.00
1.5× median
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