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Provider 1730121179

NPI: 1730121179Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.5M

$10,499,255

Total Claims

257K

Beneficiaries

238K

1.1 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+1%
2019
$1.4M
-9%
2020
$1.3M
+15%
2021
$1.5M
+14%
2022
$1.7M
+8%
2023
$1.8M
-18%
2024
$1.5M

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 37% of total spending.

99213Top 25%

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

$3.9M

58K claims · 37.2%

Your Cost: $67.64/claim|Median: $37.81
1.8× median
99214Top 10%

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

$1.9M

19K claims · 18.2%

Your Cost: $100.17/claim|Median: $53.41
1.9× median
90460Top 10%

Immunization administration, first vaccine/toxoid, with counseling

$920K

22K claims · 8.8%

Your Cost: $41.54/claim|Median: $17.85
2.3× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$613K

6,778 claims · 5.8%

Your Cost: $90.41/claim|Median: $69.35
1.3× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$605K

6,269 claims · 5.8%

Your Cost: $96.55/claim|Median: $75.18
1.3× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$443K

4,671 claims · 4.2%

Your Cost: $94.86/claim|Median: $74.82
1.3× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$278K

2,622 claims · 2.7%

Your Cost: $106.20/claim|Median: $80.15
1.3× median
87804Normal range

Influenza virus detection, rapid test

$263K

19K claims · 2.5%

Your Cost: $14.08/claim|Median: $12.59
1.1× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$246K

17K claims · 2.3%

Your Cost: $14.27/claim|Median: $11.48
1.2× median
G9153Normal range

$218K

5,090 claims · 2.1%

Your Cost: $42.88/claim|Median: $43.70
1.0× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$216K

11K claims · 2.1%

Your Cost: $19.97/claim|Median: $12.70
1.6× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$207K

6,502 claims · 2.0%

Your Cost: $31.91/claim|Median: $6.93
4.6× median
87811Top 25%

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$194K

4,975 claims · 1.8%

Your Cost: $38.90/claim|Median: $30.53
1.3× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$158K

20K claims · 1.5%

Your Cost: $7.90/claim|Median: $4.71
1.7× median
99058Normal range

$92K

2,817 claims · 0.9%

Your Cost: $32.80/claim|Median: $15.38
2.1× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$80K

11K claims · 0.8%

Your Cost: $7.26/claim|Median: $3.67
2.0× median
96110Normal range

Developmental screening, per standardized instrument

$45K

5,599 claims · 0.4%

Your Cost: $8.12/claim|Median: $9.10
0.9× median
81002Top 10%

Urinalysis, non-automated without microscopy

$31K

10K claims · 0.3%

Your Cost: $3.07/claim|Median: $2.00
1.5× median
99051Normal range

$26K

2,173 claims · 0.2%

Your Cost: $11.77/claim|Median: $7.89
1.5× median
87807Normal range

$7K

612 claims · 0.1%

Your Cost: $11.68/claim|Median: $10.06
1.2× median
90677Normal range

$6K

601 claims · 0.1%

Your Cost: $10.15/claim|Median: $12.96
0.8× median
99188Normal range

$6K

374 claims · 0.1%

Your Cost: $15.99/claim|Median: $12.80
1.2× median
81000Top 10%

Urinalysis with microscopy, non-automated

$5K

1,418 claims · 0.1%

Your Cost: $3.77/claim|Median: $2.51
1.5× median
85018Normal range

$5K

2,613 claims · 0.0%

Your Cost: $2.00/claim|Median: $1.71
1.2× median
82465Top 25%

$4K

833 claims · 0.0%

Your Cost: $4.27/claim|Median: $3.41
1.3× median
96161Top 25%

$3K

607 claims · 0.0%

Your Cost: $4.33/claim|Median: $2.49
1.7× median
83718Normal range

HDL cholesterol, lipoprotein blood test

$2K

334 claims · 0.0%

Your Cost: $7.24/claim|Median: $6.11
1.2× median
80061Normal range

Lipid panel

$2K

159 claims · 0.0%

Your Cost: $9.60/claim|Median: $8.41
1.1× median
99212Top 25%

Office/outpatient visit, low complexity

$1K

37 claims · 0.0%

Your Cost: $37.50/claim|Median: $25.06
1.5× median
90619Normal range

$657

259 claims · 0.0%

Your Cost: $2.54/claim|Median: $8.36
0.3× median
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