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Provider 1710139316

NPI: 1710139316Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.3M

$12,298,216

Total Claims

332K

Beneficiaries

306K

1.1 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$44K
-33%
2019
$30K
+6525%
2020
$2.0M
+6%
2021
$2.1M
+36%
2022
$2.8M
+3%
2023
$2.9M
-19%
2024
$2.4M

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 30% of total spending.

99213Top 5%

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

$3.7M

42K claims · 30.1%

Your Cost: $88.94/claim|Median: $37.81
2.4× median
99214Top 5%

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

$1.8M

14K claims · 14.3%

Your Cost: $125.52/claim|Median: $53.41
2.4× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$990K

9,150 claims · 8.0%

Your Cost: $108.18/claim|Median: $74.82
1.4× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$905K

7,627 claims · 7.4%

Your Cost: $118.70/claim|Median: $80.15
1.5× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$850K

7,896 claims · 6.9%

Your Cost: $107.65/claim|Median: $75.18
1.4× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$635K

6,372 claims · 5.2%

Your Cost: $99.72/claim|Median: $69.35
1.4× median
87426Top 10%

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

$463K

11K claims · 3.8%

Your Cost: $43.29/claim|Median: $30.04
1.4× median
99212Top 25%

Office/outpatient visit, low complexity

$357K

6,686 claims · 2.9%

Your Cost: $53.43/claim|Median: $25.06
2.1× median
90686Top 5%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$254K

11K claims · 2.1%

Your Cost: $22.71/claim|Median: $7.18
3.2× median
92551Top 25%

Screening audiometry, pure tone, air only

$219K

23K claims · 1.8%

Your Cost: $9.50/claim|Median: $6.61
1.4× median
U0001Top 25%

$160K

4,620 claims · 1.3%

Your Cost: $34.71/claim|Median: $24.79
1.4× median
99381Top 25%

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

$141K

1,325 claims · 1.1%

Your Cost: $106.46/claim|Median: $73.46
1.4× median
87804Normal range

Influenza virus detection, rapid test

$136K

13K claims · 1.1%

Your Cost: $10.45/claim|Median: $12.59
0.8× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$110K

999 claims · 0.9%

Your Cost: $110.55/claim|Median: $72.71
1.5× median
90648Top 5%

$92K

4,109 claims · 0.7%

Your Cost: $22.31/claim|Median: $4.08
5.5× median
99177Normal range

$78K

16K claims · 0.6%

Your Cost: $5.04/claim|Median: $3.74
1.3× median
90670Top 10%

$72K

3,192 claims · 0.6%

Your Cost: $22.51/claim|Median: $5.94
3.8× median
96161Normal range

$68K

27K claims · 0.6%

Your Cost: $2.57/claim|Median: $2.49
1.0× median
90723Top 10%

DTaP-HepB-IPV vaccine

$66K

2,940 claims · 0.5%

Your Cost: $22.45/claim|Median: $5.78
3.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$65K

5,142 claims · 0.5%

Your Cost: $12.62/claim|Median: $11.48
1.1× median
90651Top 25%

HPV vaccine, 9-valent

$65K

2,834 claims · 0.5%

Your Cost: $22.81/claim|Median: $8.93
2.6× median
D1206Top 25%

Topical application of fluoride varnish

$64K

2,605 claims · 0.5%

Your Cost: $24.60/claim|Median: $18.12
1.4× median
99383Top 10%

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

$61K

510 claims · 0.5%

Your Cost: $119.42/claim|Median: $81.92
1.5× median
90680Top 5%

$59K

2,636 claims · 0.5%

Your Cost: $22.41/claim|Median: $5.58
4.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$58K

12K claims · 0.5%

Your Cost: $4.66/claim|Median: $3.67
1.3× median
90633Top 5%

$58K

2,582 claims · 0.5%

Your Cost: $22.36/claim|Median: $3.56
6.3× median
99173Normal range

$41K

17K claims · 0.3%

Your Cost: $2.40/claim|Median: $2.16
1.1× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$40K

1,787 claims · 0.3%

Your Cost: $22.57/claim|Median: $34.62
0.7× median
90620Top 25%

$39K

1,466 claims · 0.3%

Your Cost: $26.57/claim|Median: $6.49
4.1× median
96110Normal range

Developmental screening, per standardized instrument

$34K

3,864 claims · 0.3%

Your Cost: $8.68/claim|Median: $9.10
1.0× median
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