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Provider 1730276098

NPI: 1730276098Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.8M

$10,824,808

Total Claims

348K

Beneficiaries

320K

1.1 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$1.9M
-11%
2019
$1.7M
-18%
2020
$1.4M
+30%
2021
$1.8M
-14%
2022
$1.6M
-10%
2023
$1.4M
-31%
2024
$972K

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 41% of total spending.

99213Top 25%

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

$4.4M

72K claims · 41.0%

Your Cost: $61.89/claim|Median: $37.81
1.6× median
99214Top 25%

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

$1.4M

16K claims · 12.8%

Your Cost: $87.70/claim|Median: $53.41
1.6× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$1.1M

13K claims · 10.5%

Your Cost: $88.61/claim|Median: $69.35
1.3× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$1.1M

12K claims · 10.2%

Your Cost: $91.05/claim|Median: $75.18
1.2× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$945K

26K claims · 8.7%

Your Cost: $36.73/claim|Median: $17.85
2.1× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$290K

4,443 claims · 2.7%

Your Cost: $65.20/claim|Median: $65.64
1.0× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$152K

1,705 claims · 1.4%

Your Cost: $89.31/claim|Median: $74.82
1.2× median
87804Normal range

Influenza virus detection, rapid test

$146K

8,513 claims · 1.4%

Your Cost: $17.18/claim|Median: $12.59
1.4× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$145K

4,198 claims · 1.3%

Your Cost: $34.51/claim|Median: $34.62
1.0× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$142K

5,788 claims · 1.3%

Your Cost: $24.57/claim|Median: $28.46
0.9× median
87634Normal range

$113K

2,389 claims · 1.0%

Your Cost: $47.37/claim|Median: $48.78
1.0× median
99212Top 25%

Office/outpatient visit, low complexity

$99K

2,550 claims · 0.9%

Your Cost: $38.91/claim|Median: $25.06
1.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$99K

7,846 claims · 0.9%

Your Cost: $12.62/claim|Median: $11.48
1.1× median
99238Top 10%

Hospital discharge day management, 30 minutes or less

$89K

1,398 claims · 0.8%

Your Cost: $63.83/claim|Median: $37.22
1.7× median
86738Normal range

$88K

9,081 claims · 0.8%

Your Cost: $9.65/claim|Median: $12.43
0.8× median
99051Normal range

$74K

4,862 claims · 0.7%

Your Cost: $15.17/claim|Median: $7.89
1.9× median
99204Top 25%

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

$51K

426 claims · 0.5%

Your Cost: $118.85/claim|Median: $84.03
1.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$44K

6,884 claims · 0.4%

Your Cost: $6.32/claim|Median: $4.71
1.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$34K

2,874 claims · 0.3%

Your Cost: $11.96/claim|Median: $9.56
1.3× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$32K

746 claims · 0.3%

Your Cost: $42.74/claim|Median: $39.70
1.1× median
96110Normal range

Developmental screening, per standardized instrument

$30K

4,138 claims · 0.3%

Your Cost: $7.36/claim|Median: $9.10
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$29K

369 claims · 0.3%

Your Cost: $78.16/claim|Median: $80.15
1.0× median
90471Normal range

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

$26K

1,984 claims · 0.2%

Your Cost: $13.05/claim|Median: $9.80
1.3× median
36415Normal range

Collection of venous blood by venipuncture

$25K

9,915 claims · 0.2%

Your Cost: $2.56/claim|Median: $1.57
1.6× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$19K

1,077 claims · 0.2%

Your Cost: $17.69/claim|Median: $106.70
0.2× median
92551Normal range

Screening audiometry, pure tone, air only

$18K

2,123 claims · 0.2%

Your Cost: $8.63/claim|Median: $6.61
1.3× median
87807Normal range

$17K

1,677 claims · 0.2%

Your Cost: $10.08/claim|Median: $10.06
1.0× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$11K

129 claims · 0.1%

Your Cost: $81.73/claim|Median: $62.48
1.3× median
99173Normal range

$9K

4,367 claims · 0.1%

Your Cost: $2.10/claim|Median: $2.16
1.0× median
87631Top 25%

Respiratory virus detection, 3-5 targets, multiplex

$5K

43 claims · 0.0%

Your Cost: $125.14/claim|Median: $65.45
1.9× median
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