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Provider 1720215346

NPI: 1720215346Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.9M

$8,933,820

Total Claims

345K

Beneficiaries

317K

1.1 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-2%
2019
$1.3M
-13%
2020
$1.1M
+9%
2021
$1.2M
+10%
2022
$1.3M
+0%
2023
$1.3M
-5%
2024
$1.3M

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 32% of total spending.

99213Top 10%

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

$2.9M

40K claims · 32.4%

Your Cost: $72.39/claim|Median: $37.81
1.9× median
90460Top 10%

Immunization administration, first vaccine/toxoid, with counseling

$933K

21K claims · 10.4%

Your Cost: $44.67/claim|Median: $17.85
2.5× median
99214Top 10%

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

$715K

6,819 claims · 8.0%

Your Cost: $104.88/claim|Median: $53.41
2.0× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$672K

6,403 claims · 7.5%

Your Cost: $104.89/claim|Median: $75.18
1.4× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$609K

5,877 claims · 6.8%

Your Cost: $103.62/claim|Median: $74.82
1.4× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$521K

5,233 claims · 5.8%

Your Cost: $99.61/claim|Median: $69.35
1.4× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$358K

3,124 claims · 4.0%

Your Cost: $114.64/claim|Median: $80.15
1.4× median
99174Top 10%

$354K

19K claims · 4.0%

Your Cost: $19.03/claim|Median: $5.27
3.6× median
96110Top 25%

Developmental screening, per standardized instrument

$273K

16K claims · 3.1%

Your Cost: $17.31/claim|Median: $9.10
1.9× median
92587Top 25%

$205K

6,148 claims · 2.3%

Your Cost: $33.42/claim|Median: $19.24
1.7× median
99212Top 25%

Office/outpatient visit, low complexity

$192K

4,477 claims · 2.1%

Your Cost: $42.85/claim|Median: $25.06
1.7× median
87426Normal range

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

$134K

3,938 claims · 1.5%

Your Cost: $34.06/claim|Median: $30.04
1.1× median
96127Top 10%

Brief emotional/behavioral assessment, per standardized instrument

$93K

5,430 claims · 1.0%

Your Cost: $17.12/claim|Median: $3.67
4.7× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$85K

7,738 claims · 1.0%

Your Cost: $11.01/claim|Median: $11.48
1.0× median
87804Normal range

Influenza virus detection, rapid test

$81K

7,268 claims · 0.9%

Your Cost: $11.08/claim|Median: $12.59
0.9× median
99051Normal range

$75K

11K claims · 0.8%

Your Cost: $6.73/claim|Median: $7.89
0.9× median
36416Top 25%

$71K

22K claims · 0.8%

Your Cost: $3.30/claim|Median: $1.31
2.5× median
96160Top 10%

Patient-focused health risk assessment

$66K

3,963 claims · 0.7%

Your Cost: $16.76/claim|Median: $2.10
8.0× median
94664Normal range

$61K

6,907 claims · 0.7%

Your Cost: $8.86/claim|Median: $8.88
1.0× median
94375Normal range

$54K

2,520 claims · 0.6%

Your Cost: $21.44/claim|Median: $17.23
1.2× median
82570Normal range

$51K

11K claims · 0.6%

Your Cost: $4.69/claim|Median: $3.18
1.5× median
94010Normal range

$49K

2,345 claims · 0.5%

Your Cost: $20.78/claim|Median: $18.11
1.1× median
85014Normal range

$43K

20K claims · 0.5%

Your Cost: $2.14/claim|Median: $1.38
1.6× median
G8510Top 5%

$40K

2,248 claims · 0.4%

Your Cost: $17.59/claim|Median: $1.96
9.0× median
80061Normal range

Lipid panel

$37K

3,037 claims · 0.4%

Your Cost: $12.22/claim|Median: $8.41
1.5× median
99381Top 10%

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

$34K

313 claims · 0.4%

Your Cost: $109.98/claim|Median: $73.46
1.5× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$32K

20K claims · 0.4%

Your Cost: $1.59/claim|Median: $0.79
2.0× median
87428Top 25%

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

$31K

521 claims · 0.3%

Your Cost: $59.89/claim|Median: $39.63
1.5× median
81001Normal range

Urinalysis, automated, with microscopy

$31K

11K claims · 0.3%

Your Cost: $2.85/claim|Median: $2.03
1.4× median
83655Normal range

$23K

2,051 claims · 0.3%

Your Cost: $10.98/claim|Median: $10.49
1.0× median
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