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Provider 1740345693

NPI: 1740345693Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$17.1M

$17,146,960

Total Claims

879K

Beneficiaries

774K

1.1 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2018
$3.0M
+7%
2019
$3.2M
-25%
2020
$2.4M
+1%
2021
$2.4M
-11%
2022
$2.2M
+7%
2023
$2.3M
-25%
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 27% of total spending.

99213Normal range

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

$4.7M

215K claims · 27.4%

Your Cost: $21.92/claim|Median: $37.81
0.6× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$3.7M

26K claims · 21.7%

Your Cost: $145.03/claim|Median: $121.16
1.2× median
99214Normal range

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

$2.0M

56K claims · 11.8%

Your Cost: $36.07/claim|Median: $53.41
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$803K

18K claims · 4.7%

Your Cost: $44.83/claim|Median: $75.18
0.6× median
99393Normal range

Preventive medicine, established patient, age 5-11

$622K

13K claims · 3.6%

Your Cost: $47.80/claim|Median: $74.82
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$602K

41K claims · 3.5%

Your Cost: $14.71/claim|Median: $25.06
0.6× median
90471Normal range

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

$526K

47K claims · 3.1%

Your Cost: $11.09/claim|Median: $9.80
1.1× median
D0120Top 5%

Periodic oral evaluation, established patient

$489K

6,879 claims · 2.8%

Your Cost: $71.01/claim|Median: $24.34
2.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$432K

12K claims · 2.5%

Your Cost: $35.08/claim|Median: $69.35
0.5× median
3008FTop 25%

$426K

121K claims · 2.5%

Your Cost: $3.53/claim|Median: $0.06
58.9× median
90472Normal range

Immunization administration, each additional vaccine

$340K

22K claims · 2.0%

Your Cost: $15.71/claim|Median: $11.79
1.3× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$339K

19K claims · 2.0%

Your Cost: $18.14/claim|Median: $17.85
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$335K

6,765 claims · 2.0%

Your Cost: $49.46/claim|Median: $80.15
0.6× median
99215Normal range

Office/outpatient visit, high complexity

$189K

3,992 claims · 1.1%

Your Cost: $47.31/claim|Median: $74.09
0.6× median
99395Normal range

Preventive medicine, established patient, age 18-39

$188K

3,986 claims · 1.1%

Your Cost: $47.07/claim|Median: $72.71
0.6× median
99396Normal range

Preventive medicine, established patient, age 40-64

$139K

2,936 claims · 0.8%

Your Cost: $47.33/claim|Median: $76.06
0.6× median
99203Normal range

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

$102K

3,011 claims · 0.6%

Your Cost: $34.01/claim|Median: $57.85
0.6× median
90461Normal range

Immunization admin, additional vaccine, counseling

$102K

8,348 claims · 0.6%

Your Cost: $12.21/claim|Median: $6.93
1.8× median
90656Normal range

$100K

17K claims · 0.6%

Your Cost: $5.96/claim|Median: $8.67
0.7× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$96K

3,134 claims · 0.6%

Your Cost: $30.61/claim|Median: $40.11
0.8× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$95K

41K claims · 0.6%

Your Cost: $2.33/claim|Median: $12.70
0.2× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$74K

1,716 claims · 0.4%

Your Cost: $43.23/claim|Median: $47.08
0.9× median
90651Top 25%

HPV vaccine, 9-valent

$73K

2,353 claims · 0.4%

Your Cost: $30.87/claim|Median: $8.93
3.5× median
96110Normal range

Developmental screening, per standardized instrument

$54K

4,895 claims · 0.3%

Your Cost: $10.97/claim|Median: $9.10
1.2× median
92551Normal range

Screening audiometry, pure tone, air only

$44K

12K claims · 0.3%

Your Cost: $3.68/claim|Median: $6.61
0.6× median
90697Top 10%

$42K

883 claims · 0.2%

Your Cost: $47.71/claim|Median: $7.24
6.6× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$42K

1,045 claims · 0.2%

Your Cost: $40.07/claim|Median: $59.72
0.7× median
99173Normal range

$33K

17K claims · 0.2%

Your Cost: $1.98/claim|Median: $2.16
0.9× median
99441Normal range

Telephone E/M by physician, 5-10 min

$22K

2,525 claims · 0.1%

Your Cost: $8.80/claim|Median: $13.30
0.7× median
92340Normal range

Fitting of spectacles, except for aphakia

$21K

1,354 claims · 0.1%

Your Cost: $15.63/claim|Median: $19.46
0.8× median
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