Provider 1730193244
Total Paid
$13.0M
$12,997,526
Total Claims
593K
Beneficiaries
474K
1.3 claims/patient
Avg Cost/Claim
$22
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 32% of total spending.
$4.1M
176K claims
$23.36
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$4.1M
176K claims · 31.6%
$1.7M
23K claims
$71.89
$39.63
SARS-CoV-2 COVID-19 antigen detection, immunoassay, each
$1.7M
23K claims · 12.9%
$910K
11K claims
$79.96
$74.82
Preventive medicine, established patient, age 5-11
$910K
11K claims · 7.0%
$857K
22K claims
$38.48
$30.53
SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read
$857K
22K claims · 6.6%
$806K
11K claims
$75.18
$75.18
Preventive medicine, established patient, age 1-4
$806K
11K claims · 6.2%
$769K
8,903 claims
$86.43
$80.15
Preventive medicine, established patient, age 12-17
$769K
8,903 claims · 5.9%
$586K
8,076 claims
$72.54
$69.35
Preventive medicine, established patient, infant (under 1)
$586K
8,076 claims · 4.5%
$376K
30K claims
$12.50
$11.48
Streptococcus, Group A, rapid antigen detection
$376K
30K claims · 2.9%
$348K
45K claims
$7.80
$17.85
Immunization administration, first vaccine/toxoid, with counseling
$348K
45K claims · 2.7%
$304K
29K claims
$10.53
$12.59
Influenza virus detection, rapid test
$304K
29K claims · 2.3%
$242K
6,151 claims
$39.30
$30.04
SARS-CoV-2 COVID-19 antigen detection, immunoassay
$242K
6,151 claims · 1.9%
$231K
3,022 claims
$76.37
$65.64
Influenza virus detection, reverse transcription, amplified probe
$231K
3,022 claims · 1.8%
$179K
41K claims
$4.39
$4.71
Complete blood count (CBC) with differential, automated
$179K
41K claims · 1.4%
$162K
1,983 claims
$81.49
$72.71
Preventive medicine, established patient, age 18-39
$162K
1,983 claims · 1.2%
$136K
1,811 claims
$74.97
$73.46
Preventive visit, new patient, infant (<1 yr)
$136K
1,811 claims · 1.0%
$119K
2,921 claims
$40.90
$39.70
COVID-19 SARS-CoV-2 amplified probe detection
$119K
2,921 claims · 0.9%
$112K
14K claims
$8.20
$9.10
Developmental screening, per standardized instrument
$112K
14K claims · 0.9%
Chest X-ray, 2 views
$86K
4,841 claims · 0.7%
$86K
11K claims
$7.89
$9.56
Therapeutic injection, subcutaneous/intramuscular
$86K
11K claims · 0.7%
$74K
1,432 claims
$51.42
$38.79
Infectious agent detection, amplified probe, multiple organisms
$74K
1,432 claims · 0.6%
$58K
1,028 claims · 0.4%
$54K
3,230 claims · 0.4%
$50K
7,011 claims
$7.20
$12.93
Office/outpatient visit, minimal complexity
$50K
7,011 claims · 0.4%
$48K
542 claims
$89.12
$59.25
Destruction of benign lesions, up to fourteen
$48K
542 claims · 0.4%
$47K
6,307 claims
$7.38
$6.93
Immunization admin, additional vaccine, counseling
$47K
6,307 claims · 0.4%
$43K
5,560 claims
$7.69
$9.80
Immunization administration, 1 vaccine, percutaneous/ID/SC/IM
$43K
5,560 claims · 0.3%
$40K
795 claims · 0.3%
$37K
13K claims · 0.3%
$34K
4,479 claims
$7.66
$11.79
Immunization administration, each additional vaccine
$34K
4,479 claims · 0.3%
$33K
838 claims · 0.3%