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Provider 1740311737

NPI: 1740311737Share
Active Billing Period:2019-09→2024-12(63 months)

Total Paid

$8.4M

$8,356,061

Total Claims

239K

Beneficiaries

231K

1.0 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2019
$8K
+384%
2020
$41K
+180%
2021
$114K
+1704%
2022
$2.1M
+35%
2023
$2.8M
+22%
2024
$3.4M

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 20% of total spending.

99213Normal range

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

$1.7M

43K claims · 20.5%

Your Cost: $39.66/claim|Median: $37.81
1.0× median
99214Normal range

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

$1.2M

22K claims · 14.7%

Your Cost: $56.51/claim|Median: $53.41
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$962K

15K claims · 11.5%

Your Cost: $64.06/claim|Median: $75.18
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$751K

11K claims · 9.0%

Your Cost: $70.79/claim|Median: $74.82
0.9× median
96110Top 5%

Developmental screening, per standardized instrument

$632K

9,487 claims · 7.6%

Your Cost: $66.57/claim|Median: $9.10
7.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$514K

6,343 claims · 6.1%

Your Cost: $80.98/claim|Median: $80.15
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$498K

8,183 claims · 6.0%

Your Cost: $60.86/claim|Median: $69.35
0.9× median
92587Top 10%

$432K

8,021 claims · 5.2%

Your Cost: $53.84/claim|Median: $19.24
2.8× median
G9920Top 10%

$343K

11K claims · 4.1%

Your Cost: $31.79/claim|Median: $6.56
4.8× median
96156Top 25%

$186K

2,731 claims · 2.2%

Your Cost: $67.94/claim|Median: $22.36
3.0× median
92551Top 10%

Screening audiometry, pure tone, air only

$121K

9,298 claims · 1.4%

Your Cost: $13.00/claim|Median: $6.61
2.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$75K

7,423 claims · 0.9%

Your Cost: $10.04/claim|Median: $7.18
1.4× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$73K

1,151 claims · 0.9%

Your Cost: $63.75/claim|Median: $62.48
1.0× median
90670Normal range

$52K

5,081 claims · 0.6%

Your Cost: $10.18/claim|Median: $5.94
1.7× median
99212Normal range

Office/outpatient visit, low complexity

$45K

1,789 claims · 0.5%

Your Cost: $25.00/claim|Median: $25.06
1.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$39K

862 claims · 0.5%

Your Cost: $45.79/claim|Median: $37.22
1.2× median
90633Top 25%

$39K

3,702 claims · 0.5%

Your Cost: $10.55/claim|Median: $3.56
3.0× median
83655Normal range

$37K

4,162 claims · 0.4%

Your Cost: $8.80/claim|Median: $10.49
0.8× median
90651Normal range

HPV vaccine, 9-valent

$36K

2,948 claims · 0.4%

Your Cost: $12.20/claim|Median: $8.93
1.4× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$35K

7,047 claims · 0.4%

Your Cost: $5.00/claim|Median: $3.67
1.4× median
90697Top 25%

$33K

1,355 claims · 0.4%

Your Cost: $24.01/claim|Median: $7.24
3.3× median
90716Normal range

$30K

2,932 claims · 0.4%

Your Cost: $10.13/claim|Median: $6.18
1.6× median
99173Normal range

$30K

6,981 claims · 0.4%

Your Cost: $4.23/claim|Median: $2.16
2.0× median
90707Normal range

MMR vaccine

$28K

2,797 claims · 0.3%

Your Cost: $10.02/claim|Median: $5.76
1.7× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$27K

436 claims · 0.3%

Your Cost: $62.16/claim|Median: $81.92
0.8× median
90700Top 25%

$27K

2,155 claims · 0.3%

Your Cost: $12.41/claim|Median: $4.56
2.7× median
90677Normal range

$26K

1,660 claims · 0.3%

Your Cost: $15.87/claim|Median: $12.96
1.2× median
90680Normal range

$25K

2,457 claims · 0.3%

Your Cost: $10.09/claim|Median: $5.58
1.8× median
90619Normal range

$25K

1,396 claims · 0.3%

Your Cost: $17.56/claim|Median: $8.36
2.1× median
85018Normal range

$23K

12K claims · 0.3%

Your Cost: $1.89/claim|Median: $1.71
1.1× median
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