Provider 1710149372
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
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.
$2.5M
71K claims
$35.47
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$2.5M
71K claims · 32.8%
$1.2M
27K claims
$42.68
$30.04
SARS-CoV-2 COVID-19 antigen detection, immunoassay
$1.2M
27K claims · 15.1%
$505K
6,474 claims
$78.08
$74.82
Preventive medicine, established patient, age 5-11
$505K
6,474 claims · 6.6%
$477K
6,143 claims
$77.67
$80.15
Preventive medicine, established patient, age 12-17
$477K
6,143 claims · 6.2%
$371K
4,971 claims
$74.57
$75.18
Preventive medicine, established patient, age 1-4
$371K
4,971 claims · 4.8%
$312K
23K claims
$13.50
$12.59
Influenza virus detection, rapid test
$312K
23K claims · 4.0%
$265K
24K claims
$10.85
$17.85
Immunization administration, first vaccine/toxoid, with counseling
$265K
24K claims · 3.4%
$224K
7,072 claims · 2.9%
$215K
4,366 claims
$49.32
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$215K
4,366 claims · 2.8%
$193K
2,625 claims
$73.66
$69.35
Preventive medicine, established patient, infant (under 1)
$193K
2,625 claims · 2.5%
$192K
14K claims
$13.57
$11.48
Streptococcus, Group A, rapid antigen detection
$192K
14K claims · 2.5%
$189K
8,029 claims
$23.59
$25.06
Office/outpatient visit, low complexity
$189K
8,029 claims · 2.5%
$161K
25K claims
$6.40
$4.71
Complete blood count (CBC) with differential, automated
$161K
25K claims · 2.1%
$139K
4,403 claims · 1.8%
$110K
1,975 claims
$55.69
$57.85
Office/outpatient visit, new patient, low-mod complexity
$110K
1,975 claims · 1.4%
$71K
847 claims
$84.38
$81.92
Preventive visit, new patient, late childhood (5-11 yr)
$71K
847 claims · 0.9%
$65K
854 claims
$76.00
$72.71
Preventive medicine, established patient, age 18-39
$65K
854 claims · 0.8%
$59K
7,204 claims
$8.13
$9.10
Developmental screening, per standardized instrument
$59K
7,204 claims · 0.8%
$54K
615 claims
$88.07
$59.25
Destruction of benign lesions, up to fourteen
$54K
615 claims · 0.7%
$50K
635 claims
$78.00
$73.46
Preventive visit, new patient, infant (<1 yr)
$50K
635 claims · 0.6%
$43K
502 claims
$86.20
$79.89
Preventive visit, new patient, early childhood (1-4 yr)
$43K
502 claims · 0.6%
$38K
952 claims
$39.86
$40.11
Office/outpatient visit, new patient, low complexity
$38K
952 claims · 0.5%
$38K
439 claims
$86.01
$83.63
Preventive visit, new patient, adolescent (12-17 yr)
$38K
439 claims · 0.5%
$27K
6,229 claims
$4.30
$6.93
Immunization admin, additional vaccine, counseling
$27K
6,229 claims · 0.3%
$27K
2,511 claims · 0.3%
$23K
585 claims
$39.25
$33.72
COVID-19 vaccine admin, Pfizer, 1st dose
$23K
585 claims · 0.3%
$20K
515 claims
$39.61
$36.70
COVID-19 vaccine admin, Pfizer, 2nd dose
$20K
515 claims · 0.3%
$20K
515 claims · 0.3%
$17K
425 claims · 0.2%
$17K
1,654 claims · 0.2%