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Provider 1710995907

NPI: 1710995907Share
Active Billing Period:2018-01→2024-12(80 months)

Total Paid

$10.8M

$10,820,841

Total Claims

55K

Beneficiaries

47K

1.2 claims/patient

Avg Cost/Claim

$197

Monthly Spending Trend

Yearly Spending

2018
$130K
+19%
2019
$154K
-59%
2020
$64K
+3449%
2021
$2.3M
+5%
2022
$2.4M
+20%
2023
$2.9M
+4%
2024
$3.0M

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 49% of total spending.

99213Top 1%

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

$5.3M

11K claims · 49.3%

Your Cost: $478.83/claim|Median: $37.81
12.7× median
99214Top 1%

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

$1.2M

2,397 claims · 11.0%

Your Cost: $494.90/claim|Median: $53.41
9.3× median
99212Top 1%

Office/outpatient visit, low complexity

$903K

1,652 claims · 8.3%

Your Cost: $546.63/claim|Median: $25.06
21.8× median
90471Top 1%

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

$420K

3,182 claims · 3.9%

Your Cost: $131.88/claim|Median: $9.80
13.5× median
D1206Top 1%

Topical application of fluoride varnish

$330K

1,166 claims · 3.0%

Your Cost: $282.84/claim|Median: $18.12
15.6× median
92014Top 1%

Ophthalmological exam, comprehensive, established patient

$298K

571 claims · 2.8%

Your Cost: $522.39/claim|Median: $47.08
11.1× median
99215Top 1%

Office/outpatient visit, high complexity

$296K

507 claims · 2.7%

Your Cost: $584.32/claim|Median: $74.09
7.9× median
99211Top 1%

Office/outpatient visit, minimal complexity

$249K

664 claims · 2.3%

Your Cost: $374.43/claim|Median: $12.93
29.0× median
S0215Top 10%

Non-invasive prenatal screening, fetal chromosomal abnormalities

$226K

2,146 claims · 2.1%

Your Cost: $105.26/claim|Median: $21.33
4.9× median
D0140Top 1%

Limited oral evaluation, problem focused

$195K

560 claims · 1.8%

Your Cost: $348.68/claim|Median: $27.07
12.9× median
87635Top 1%

COVID-19 SARS-CoV-2 amplified probe detection

$162K

551 claims · 1.5%

Your Cost: $293.43/claim|Median: $39.70
7.4× median
99394Top 1%

Preventive medicine, established patient, age 12-17

$158K

291 claims · 1.5%

Your Cost: $543.92/claim|Median: $80.15
6.8× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$137K

1,313 claims · 1.3%

Your Cost: $104.65/claim|Median: $9.56
10.9× median
W0037Top 25%

$113K

4,625 claims · 1.0%

Your Cost: $24.38/claim|Median: $3.00
8.1× median
99392Top 1%

Preventive medicine, established patient, age 1-4

$111K

185 claims · 1.0%

Your Cost: $602.35/claim|Median: $75.18
8.0× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$77K

137 claims · 0.7%

Your Cost: $561.84/claim|Median: $74.82
7.5× median
0002ATop 1%

COVID-19 vaccine admin, Pfizer, 2nd dose

$72K

151 claims · 0.7%

Your Cost: $474.32/claim|Median: $36.70
12.9× median
0001ATop 1%

COVID-19 vaccine admin, Pfizer, 1st dose

$67K

144 claims · 0.6%

Your Cost: $464.94/claim|Median: $33.72
13.8× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$55K

2,504 claims · 0.5%

Your Cost: $22.11/claim|Median: $4.71
4.7× median
0012ATop 1%

COVID-19 vaccine admin, Moderna, 2nd dose

$46K

92 claims · 0.4%

Your Cost: $496.43/claim|Median: $33.85
14.7× median
0031ATop 1%

COVID-19 vaccine admin, J&J, single dose

$38K

79 claims · 0.4%

Your Cost: $479.58/claim|Median: $32.49
14.8× median
D1120Top 1%

Prophylaxis, adult

$32K

149 claims · 0.3%

Your Cost: $217.03/claim|Median: $33.86
6.4× median
0011ATop 1%

COVID-19 vaccine admin, Moderna, 1st dose

$30K

80 claims · 0.3%

Your Cost: $376.28/claim|Median: $25.93
14.5× median
A0120Normal range

Non-emergency mini-bus transport

$25K

3,249 claims · 0.2%

Your Cost: $7.72/claim|Median: $16.09
0.5× median
42700Normal range

$24K

60 claims · 0.2%

Your Cost: $405.65/claim|Median: $361.34
1.1× median
99600Top 5%

Unlisted home visit service or procedure

$22K

60 claims · 0.2%

Your Cost: $363.30/claim|Median: $111.99
3.2× median
D0150Top 1%

Comprehensive oral evaluation, new or established patient

$21K

118 claims · 0.2%

Your Cost: $174.05/claim|Median: $32.07
5.4× median
0072ATop 1%

$20K

33 claims · 0.2%

Your Cost: $601.21/claim|Median: $39.57
15.2× median
83036Top 5%

Hemoglobin A1c (glycated hemoglobin)

$18K

940 claims · 0.2%

Your Cost: $19.53/claim|Median: $5.50
3.6× median
A0425Top 10%

Ground mileage, per statute mile

$15K

145 claims · 0.1%

Your Cost: $101.40/claim|Median: $23.36
4.3× median
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