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Provider 1710149372

NPI: 1710149372Share
Active Billing Period:2018-012024-12(83 months)

Total Paid

$7.7M

$7,704,668

Total Claims

333K

Beneficiaries

282K

1.2 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$11K
+38%
2019
$16K
+1252%
2020
$211K
+682%
2021
$1.7M
+31%
2022
$2.2M
-7%
2023
$2.0M
-20%
2024
$1.6M

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 33% of total spending.

99213Normal range

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

$2.5M

71K claims · 32.8%

Your Cost: $35.47/claim|Median: $37.81
0.9× median
87426Top 10%

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

$1.2M

27K claims · 15.1%

Your Cost: $42.68/claim|Median: $30.04
1.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$505K

6,474 claims · 6.6%

Your Cost: $78.08/claim|Median: $74.82
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$477K

6,143 claims · 6.2%

Your Cost: $77.67/claim|Median: $80.15
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$371K

4,971 claims · 4.8%

Your Cost: $74.57/claim|Median: $75.18
1.0× median
87804Normal range

Influenza virus detection, rapid test

$312K

23K claims · 4.0%

Your Cost: $13.50/claim|Median: $12.59
1.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$265K

24K claims · 3.4%

Your Cost: $10.85/claim|Median: $17.85
0.6× median
G0315Top 25%

$224K

7,072 claims · 2.9%

Your Cost: $31.62/claim|Median: $29.35
1.1× median
99214Normal range

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

$215K

4,366 claims · 2.8%

Your Cost: $49.32/claim|Median: $53.41
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$193K

2,625 claims · 2.5%

Your Cost: $73.66/claim|Median: $69.35
1.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$192K

14K claims · 2.5%

Your Cost: $13.57/claim|Median: $11.48
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$189K

8,029 claims · 2.5%

Your Cost: $23.59/claim|Median: $25.06
0.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$161K

25K claims · 2.1%

Your Cost: $6.40/claim|Median: $4.71
1.4× median
99429Normal range

$139K

4,403 claims · 1.8%

Your Cost: $31.62/claim|Median: $28.58
1.1× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$110K

1,975 claims · 1.4%

Your Cost: $55.69/claim|Median: $57.85
1.0× median
99383Normal range

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

$71K

847 claims · 0.9%

Your Cost: $84.38/claim|Median: $81.92
1.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$65K

854 claims · 0.8%

Your Cost: $76.00/claim|Median: $72.71
1.0× median
96110Normal range

Developmental screening, per standardized instrument

$59K

7,204 claims · 0.8%

Your Cost: $8.13/claim|Median: $9.10
0.9× median
17110Top 25%

Destruction of benign lesions, up to fourteen

$54K

615 claims · 0.7%

Your Cost: $88.07/claim|Median: $59.25
1.5× median
99381Normal range

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

$50K

635 claims · 0.6%

Your Cost: $78.00/claim|Median: $73.46
1.1× median
99382Normal range

Preventive visit, new patient, early childhood (1-4 yr)

$43K

502 claims · 0.6%

Your Cost: $86.20/claim|Median: $79.89
1.1× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$38K

952 claims · 0.5%

Your Cost: $39.86/claim|Median: $40.11
1.0× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$38K

439 claims · 0.5%

Your Cost: $86.01/claim|Median: $83.63
1.0× median
90461Normal range

Immunization admin, additional vaccine, counseling

$27K

6,229 claims · 0.3%

Your Cost: $4.30/claim|Median: $6.93
0.6× median
87807Normal range

$27K

2,511 claims · 0.3%

Your Cost: $10.66/claim|Median: $10.06
1.1× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$23K

585 claims · 0.3%

Your Cost: $39.25/claim|Median: $33.72
1.2× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$20K

515 claims · 0.3%

Your Cost: $39.61/claim|Median: $36.70
1.1× median
0071ANormal range

$20K

515 claims · 0.3%

Your Cost: $39.38/claim|Median: $38.71
1.0× median
0072ANormal range

$17K

425 claims · 0.2%

Your Cost: $39.54/claim|Median: $39.57
1.0× median
99000Top 25%

$17K

1,654 claims · 0.2%

Your Cost: $10.08/claim|Median: $2.30
4.4× median