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Provider 1720440464

NPI: 1720440464Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.6M

$11,551,366

Total Claims

149K

Beneficiaries

114K

1.3 claims/patient

Avg Cost/Claim

$78

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+57%
2019
$1.9M
+4%
2020
$1.9M
+16%
2021
$2.2M
-15%
2022
$1.9M
-5%
2023
$1.8M
-65%
2024
$627K

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 40% of total spending.

99213Top 25%

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

$4.7M

72K claims · 40.5%

Your Cost: $64.55/claim|Median: $37.81
1.7× median
J2315Normal range

$4.1M

3,569 claims · 35.5%

Your Cost: $1,148.90/claim|Median: $1,045.36
1.1× median
99214Top 25%

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

$573K

6,408 claims · 5.0%

Your Cost: $89.36/claim|Median: $53.41
1.7× median
99204Top 25%

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

$360K

3,123 claims · 3.1%

Your Cost: $115.14/claim|Median: $84.03
1.4× median
99203Normal range

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

$322K

4,201 claims · 2.8%

Your Cost: $76.54/claim|Median: $57.85
1.3× median
Q9992Normal range

$321K

189 claims · 2.8%

Your Cost: $1,698.04/claim|Median: $1,537.34
1.1× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$205K

2,136 claims · 1.8%

Your Cost: $96.00/claim|Median: $76.22
1.3× median
99395Normal range

Preventive medicine, established patient, age 18-39

$150K

1,674 claims · 1.3%

Your Cost: $89.45/claim|Median: $72.71
1.2× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$145K

1,474 claims · 1.3%

Your Cost: $98.57/claim|Median: $76.06
1.3× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$129K

3,107 claims · 1.1%

Your Cost: $41.61/claim|Median: $39.70
1.0× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$110K

992 claims · 1.0%

Your Cost: $111.15/claim|Median: $87.82
1.3× median
87426Normal range

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

$106K

3,534 claims · 0.9%

Your Cost: $30.01/claim|Median: $30.04
1.0× median
Q3014Normal range

Telehealth originating site facility fee

$86K

6,249 claims · 0.7%

Your Cost: $13.75/claim|Median: $15.37
0.9× median
99442Top 10%

Telephone E/M by physician, 11-20 minutes

$84K

1,174 claims · 0.7%

Your Cost: $71.67/claim|Median: $22.44
3.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$46K

5,305 claims · 0.4%

Your Cost: $8.70/claim|Median: $9.56
0.9× median
99408Normal range

$23K

1,279 claims · 0.2%

Your Cost: $18.07/claim|Median: $9.32
1.9× median
36415Top 25%

Collection of venous blood by venipuncture

$18K

6,203 claims · 0.2%

Your Cost: $2.95/claim|Median: $1.57
1.9× median
86769Normal range

Antibody, SARS-CoV-2 (COVID-19)

$18K

630 claims · 0.2%

Your Cost: $28.09/claim|Median: $26.94
1.0× median
99000Normal range

$17K

17K claims · 0.1%

Your Cost: $0.98/claim|Median: $2.30
0.4× median
90674Top 25%

$13K

473 claims · 0.1%

Your Cost: $28.17/claim|Median: $15.16
1.9× median
90471Normal range

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

$11K

1,019 claims · 0.1%

Your Cost: $10.38/claim|Median: $9.80
1.1× median
99212Top 25%

Office/outpatient visit, low complexity

$9K

231 claims · 0.1%

Your Cost: $38.31/claim|Median: $25.06
1.5× median
G2023Normal range

Specimen collection for COVID-19 testing

$4K

513 claims · 0.0%

Your Cost: $8.02/claim|Median: $17.15
0.5× median
99406Normal range

$4K

559 claims · 0.0%

Your Cost: $7.30/claim|Median: $6.53
1.1× median
90688Top 25%

$4K

254 claims · 0.0%

Your Cost: $15.81/claim|Median: $9.00
1.8× median
90756Top 25%

Influenza virus vaccine, quadrivalent

$4K

171 claims · 0.0%

Your Cost: $22.32/claim|Median: $14.34
1.6× median
99336Top 5%

$3K

38 claims · 0.0%

Your Cost: $83.72/claim|Median: $20.35
4.1× median
90686Top 5%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$3K

122 claims · 0.0%

Your Cost: $21.19/claim|Median: $7.18
3.0× median
80306Normal range

$2K

285 claims · 0.0%

Your Cost: $7.99/claim|Median: $10.29
0.8× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$2K

245 claims · 0.0%

Your Cost: $8.72/claim|Median: $9.70
0.9× median
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