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Provider 1730257106

NPI: 1730257106Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.0M

$16,008,792

Total Claims

772K

Beneficiaries

633K

1.2 claims/patient

Avg Cost/Claim

$21

Monthly Spending Trend

Yearly Spending

2018
$137K
-29%
2019
$96K
+545%
2020
$622K
+485%
2021
$3.6M
+46%
2022
$5.3M
-31%
2023
$3.7M
-31%
2024
$2.5M

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 33% of total spending.

99213Normal range

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

$5.2M

154K claims · 32.6%

Your Cost: $33.86/claim|Median: $37.81
0.9× median
87426Top 10%

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

$2.1M

49K claims · 12.9%

Your Cost: $42.43/claim|Median: $30.04
1.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$870K

65K claims · 5.4%

Your Cost: $13.36/claim|Median: $11.48
1.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$830K

12K claims · 5.2%

Your Cost: $70.54/claim|Median: $74.82
0.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$827K

11K claims · 5.2%

Your Cost: $72.85/claim|Median: $80.15
0.9× median
87804Normal range

Influenza virus detection, rapid test

$765K

57K claims · 4.8%

Your Cost: $13.40/claim|Median: $12.59
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$739K

11K claims · 4.6%

Your Cost: $68.60/claim|Median: $75.18
0.9× median
99214Normal range

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

$729K

15K claims · 4.6%

Your Cost: $48.02/claim|Median: $53.41
0.9× median
S8301Normal range

$560K

82K claims · 3.5%

Your Cost: $6.86/claim|Median: $8.32
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$491K

7,137 claims · 3.1%

Your Cost: $68.77/claim|Median: $69.35
1.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$442K

44K claims · 2.8%

Your Cost: $9.94/claim|Median: $17.85
0.6× median
85025Normal range

Complete blood count (CBC) with differential, automated

$357K

57K claims · 2.2%

Your Cost: $6.29/claim|Median: $4.71
1.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$303K

25K claims · 1.9%

Your Cost: $12.28/claim|Median: $9.56
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$227K

10K claims · 1.4%

Your Cost: $21.66/claim|Median: $25.06
0.9× median
99000Top 25%

$157K

16K claims · 1.0%

Your Cost: $9.90/claim|Median: $2.30
4.3× median
99203Normal range

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

$148K

2,736 claims · 0.9%

Your Cost: $54.10/claim|Median: $57.85
0.9× median
99429Normal range

$125K

4,139 claims · 0.8%

Your Cost: $30.26/claim|Median: $28.58
1.1× median
99381Normal range

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

$123K

1,650 claims · 0.8%

Your Cost: $74.66/claim|Median: $73.46
1.0× median
87807Normal range

$96K

9,028 claims · 0.6%

Your Cost: $10.66/claim|Median: $10.06
1.1× median
99050Normal range

$84K

5,955 claims · 0.5%

Your Cost: $14.09/claim|Median: $11.81
1.2× median
99395Normal range

Preventive medicine, established patient, age 18-39

$77K

1,126 claims · 0.5%

Your Cost: $67.98/claim|Median: $72.71
0.9× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$76K

2,593 claims · 0.5%

Your Cost: $29.27/claim|Median: $28.46
1.0× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$75K

2,592 claims · 0.5%

Your Cost: $29.05/claim|Median: $26.72
1.1× median
86328Top 1%

$74K

845 claims · 0.5%

Your Cost: $87.17/claim|Median: $20.52
4.2× median
90461Normal range

Immunization admin, additional vaccine, counseling

$65K

14K claims · 0.4%

Your Cost: $4.66/claim|Median: $6.93
0.7× median
96110Normal range

Developmental screening, per standardized instrument

$52K

7,227 claims · 0.3%

Your Cost: $7.26/claim|Median: $9.10
0.8× median
99211Normal range

Office/outpatient visit, minimal complexity

$52K

4,771 claims · 0.3%

Your Cost: $10.88/claim|Median: $12.93
0.8× median
0071ANormal range

$42K

1,100 claims · 0.3%

Your Cost: $38.55/claim|Median: $38.71
1.0× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$39K

3,061 claims · 0.2%

Your Cost: $12.60/claim|Median: $10.88
1.2× median
0072ANormal range

$32K

808 claims · 0.2%

Your Cost: $39.22/claim|Median: $39.57
1.0× median
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