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Provider 1740329507

NPI: 1740329507Share
Active Billing Period:2018-02→2024-11(80 months)

Total Paid

$8.0M

$7,982,696

Total Claims

208K

Beneficiaries

177K

1.2 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$71K
-63%
2019
$27K
+3610%
2020
$983K
+65%
2021
$1.6M
+13%
2022
$1.8M
-4%
2023
$1.8M
-6%
2024
$1.7M

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 45% of total spending.

99213Top 25%

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

$3.6M

56K claims · 44.6%

Your Cost: $64.07/claim|Median: $37.81
1.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$706K

8,206 claims · 8.8%

Your Cost: $86.01/claim|Median: $74.82
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$643K

7,682 claims · 8.1%

Your Cost: $83.71/claim|Median: $75.18
1.1× median
99214Top 10%

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

$573K

4,938 claims · 7.2%

Your Cost: $116.12/claim|Median: $53.41
2.2× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$570K

5,763 claims · 7.1%

Your Cost: $98.91/claim|Median: $80.15
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$460K

5,989 claims · 5.8%

Your Cost: $76.76/claim|Median: $69.35
1.1× median
D1206Normal range

Topical application of fluoride varnish

$212K

8,775 claims · 2.7%

Your Cost: $24.15/claim|Median: $18.12
1.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$113K

11K claims · 1.4%

Your Cost: $10.02/claim|Median: $11.48
0.9× median
92551Normal range

Screening audiometry, pure tone, air only

$110K

14K claims · 1.4%

Your Cost: $8.11/claim|Median: $6.61
1.2× median
90698Top 25%

$82K

4,626 claims · 1.0%

Your Cost: $17.80/claim|Median: $6.32
2.8× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$81K

683 claims · 1.0%

Your Cost: $118.24/claim|Median: $72.71
1.6× median
90670Top 25%

$68K

4,015 claims · 0.9%

Your Cost: $17.00/claim|Median: $5.94
2.9× median
90688Top 25%

$62K

3,607 claims · 0.8%

Your Cost: $17.28/claim|Median: $9.00
1.9× median
90680Top 10%

$57K

3,105 claims · 0.7%

Your Cost: $18.40/claim|Median: $5.58
3.3× median
87804Normal range

Influenza virus detection, rapid test

$54K

6,560 claims · 0.7%

Your Cost: $8.26/claim|Median: $12.59
0.7× median
90677Top 25%

$50K

902 claims · 0.6%

Your Cost: $55.82/claim|Median: $12.96
4.3× median
92552Normal range

Pure tone audiometry, air only, each ear

$48K

2,833 claims · 0.6%

Your Cost: $17.04/claim|Median: $12.63
1.3× median
90633Top 5%

$46K

2,340 claims · 0.6%

Your Cost: $19.77/claim|Median: $3.56
5.6× median
99381Normal range

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

$46K

576 claims · 0.6%

Your Cost: $79.65/claim|Median: $73.46
1.1× median
90744Top 5%

$45K

2,237 claims · 0.6%

Your Cost: $19.92/claim|Median: $5.00
4.0× median
90734Top 25%

$40K

1,902 claims · 0.5%

Your Cost: $21.29/claim|Median: $6.40
3.3× median
90710Top 25%

MMRV vaccine

$39K

2,002 claims · 0.5%

Your Cost: $19.24/claim|Median: $7.00
2.7× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$37K

1,063 claims · 0.5%

Your Cost: $34.37/claim|Median: $30.53
1.1× median
36415Normal range

Collection of venous blood by venipuncture

$35K

16K claims · 0.4%

Your Cost: $2.20/claim|Median: $1.57
1.4× median
99173Normal range

$35K

16K claims · 0.4%

Your Cost: $2.11/claim|Median: $2.16
1.0× median
96110Normal range

Developmental screening, per standardized instrument

$25K

3,531 claims · 0.3%

Your Cost: $7.12/claim|Median: $9.10
0.8× median
90651Normal range

HPV vaccine, 9-valent

$25K

1,194 claims · 0.3%

Your Cost: $20.66/claim|Median: $8.93
2.3× median
90696Top 10%

DTaP-IPV vaccine

$22K

988 claims · 0.3%

Your Cost: $22.20/claim|Median: $5.95
3.7× median
90715Top 25%

Tdap vaccine

$22K

995 claims · 0.3%

Your Cost: $21.84/claim|Median: $10.32
2.1× median
90658Top 25%

$21K

1,361 claims · 0.3%

Your Cost: $15.26/claim|Median: $8.96
1.7× median
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