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Provider 1730204827

NPI: 1730204827Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.8M

$10,801,723

Total Claims

165K

Beneficiaries

145K

1.1 claims/patient

Avg Cost/Claim

$65

Monthly Spending Trend

Yearly Spending

2018
$7K
+56%
2019
$11K
+13746%
2020
$1.6M
+42%
2021
$2.2M
+20%
2022
$2.7M
-13%
2023
$2.3M
-16%
2024
$1.9M

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 28% of total spending.

99213Top 10%

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

$3.1M

36K claims · 28.4%

Your Cost: $84.65/claim|Median: $37.81
2.2× median
99214Top 5%

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

$3.0M

26K claims · 28.2%

Your Cost: $117.35/claim|Median: $53.41
2.2× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$632K

5,990 claims · 5.9%

Your Cost: $105.52/claim|Median: $75.18
1.4× median
87633Top 25%

Respiratory virus detection, 12-25 targets, nucleic acid

$520K

1,564 claims · 4.8%

Your Cost: $332.68/claim|Median: $169.17
2.0× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$508K

5,298 claims · 4.7%

Your Cost: $95.87/claim|Median: $69.35
1.4× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$505K

4,790 claims · 4.7%

Your Cost: $105.48/claim|Median: $74.82
1.4× median
87637Top 25%

Respiratory virus detection, 3-5 targets, nucleic acid

$484K

3,697 claims · 4.5%

Your Cost: $130.82/claim|Median: $100.62
1.3× median
92587Normal range

$357K

16K claims · 3.3%

Your Cost: $22.18/claim|Median: $19.24
1.2× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$338K

3,016 claims · 3.1%

Your Cost: $112.02/claim|Median: $80.15
1.4× median
87636Top 25%

Respiratory virus detection, 6-11 targets, nucleic acid

$286K

2,075 claims · 2.7%

Your Cost: $138.04/claim|Median: $97.61
1.4× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$189K

6,421 claims · 1.7%

Your Cost: $29.42/claim|Median: $28.46
1.0× median
90670Top 5%

$165K

2,062 claims · 1.5%

Your Cost: $79.86/claim|Median: $5.94
13.4× median
90686Top 10%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$96K

4,787 claims · 0.9%

Your Cost: $20.09/claim|Median: $7.18
2.8× median
D1206Top 25%

Topical application of fluoride varnish

$68K

2,744 claims · 0.6%

Your Cost: $24.90/claim|Median: $18.12
1.4× median
95930Top 10%

Visual evoked potential testing

$57K

801 claims · 0.5%

Your Cost: $71.02/claim|Median: $35.54
2.0× median
87486Normal range

$44K

1,567 claims · 0.4%

Your Cost: $28.16/claim|Median: $19.16
1.5× median
87581Top 25%

$44K

1,564 claims · 0.4%

Your Cost: $28.19/claim|Median: $17.13
1.6× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$43K

1,563 claims · 0.4%

Your Cost: $27.20/claim|Median: $26.72
1.0× median
92567Top 25%

$39K

2,442 claims · 0.4%

Your Cost: $15.93/claim|Median: $11.50
1.4× median
90677Top 25%

$35K

388 claims · 0.3%

Your Cost: $89.17/claim|Median: $12.96
6.9× median
99215Top 10%

Office/outpatient visit, high complexity

$29K

182 claims · 0.3%

Your Cost: $161.76/claim|Median: $74.09
2.2× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$23K

5,212 claims · 0.2%

Your Cost: $4.36/claim|Median: $3.67
1.2× median
90723Top 25%

DTaP-HepB-IPV vaccine

$22K

1,095 claims · 0.2%

Your Cost: $20.39/claim|Median: $5.78
3.5× median
90647Top 5%

$21K

996 claims · 0.2%

Your Cost: $21.22/claim|Median: $4.31
4.9× median
96110Normal range

Developmental screening, per standardized instrument

$20K

1,783 claims · 0.2%

Your Cost: $11.19/claim|Median: $9.10
1.2× median
99212Top 25%

Office/outpatient visit, low complexity

$16K

299 claims · 0.2%

Your Cost: $54.59/claim|Median: $25.06
2.2× median
96160Normal range

Patient-focused health risk assessment

$14K

5,665 claims · 0.1%

Your Cost: $2.53/claim|Median: $2.10
1.2× median
99177Normal range

$14K

2,945 claims · 0.1%

Your Cost: $4.78/claim|Median: $3.74
1.3× median
G2023Normal range

Specimen collection for COVID-19 testing

$14K

686 claims · 0.1%

Your Cost: $20.15/claim|Median: $17.15
1.2× median
87631Top 25%

Respiratory virus detection, 3-5 targets, multiplex

$13K

112 claims · 0.1%

Your Cost: $116.41/claim|Median: $65.45
1.8× median
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