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Provider 1740397751

NPI: 1740397751Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.4M

$12,433,106

Total Claims

304K

Beneficiaries

276K

1.1 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+26%
2019
$1.9M
-22%
2020
$1.5M
+30%
2021
$1.9M
-6%
2022
$1.8M
+26%
2023
$2.3M
-37%
2024
$1.4M

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 27% of total spending.

99213Top 25%

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

$3.3M

52K claims · 26.6%

Your Cost: $63.54/claim|Median: $37.81
1.7× median
99214Top 25%

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

$2.6M

32K claims · 20.8%

Your Cost: $81.74/claim|Median: $53.41
1.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$983K

15K claims · 7.9%

Your Cost: $67.25/claim|Median: $75.18
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$981K

14K claims · 7.9%

Your Cost: $67.90/claim|Median: $69.35
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$412K

6,323 claims · 3.3%

Your Cost: $65.21/claim|Median: $74.82
0.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$366K

8,112 claims · 2.9%

Your Cost: $45.07/claim|Median: $35.30
1.3× median
96110Normal range

Developmental screening, per standardized instrument

$316K

27K claims · 2.5%

Your Cost: $11.88/claim|Median: $9.10
1.3× median
87801Normal range

Infectious agent detection, amplified probe, multiple organisms

$287K

6,026 claims · 2.3%

Your Cost: $47.70/claim|Median: $38.79
1.2× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$231K

13K claims · 1.9%

Your Cost: $17.71/claim|Median: $7.18
2.5× median
99238Top 10%

Hospital discharge day management, 30 minutes or less

$223K

3,354 claims · 1.8%

Your Cost: $66.60/claim|Median: $37.22
1.8× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$215K

2,476 claims · 1.7%

Your Cost: $86.90/claim|Median: $62.48
1.4× median
90670Top 25%

$212K

11K claims · 1.7%

Your Cost: $19.12/claim|Median: $5.94
3.2× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$197K

8,770 claims · 1.6%

Your Cost: $22.51/claim|Median: $23.99
0.9× median
99223Normal range

Initial hospital care, per day, high complexity

$176K

1,851 claims · 1.4%

Your Cost: $95.07/claim|Median: $67.32
1.4× median
90698Top 25%

$172K

9,069 claims · 1.4%

Your Cost: $18.94/claim|Median: $6.32
3.0× median
90680Top 10%

$163K

8,840 claims · 1.3%

Your Cost: $18.39/claim|Median: $5.58
3.3× median
87426Normal range

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

$155K

5,997 claims · 1.2%

Your Cost: $25.85/claim|Median: $30.04
0.9× median
90460Top 5%

Immunization administration, first vaccine/toxoid, with counseling

$131K

2,646 claims · 1.1%

Your Cost: $49.61/claim|Median: $17.85
2.8× median
99381Normal range

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

$117K

1,762 claims · 0.9%

Your Cost: $66.15/claim|Median: $73.46
0.9× median
90633Top 10%

$104K

5,742 claims · 0.8%

Your Cost: $18.17/claim|Median: $3.56
5.1× median
90744Top 10%

$80K

4,311 claims · 0.6%

Your Cost: $18.64/claim|Median: $5.00
3.7× median
90461Top 5%

Immunization admin, additional vaccine, counseling

$73K

1,266 claims · 0.6%

Your Cost: $57.31/claim|Median: $6.93
8.3× median
90697Top 25%

$70K

3,934 claims · 0.6%

Your Cost: $17.91/claim|Median: $7.24
2.5× median
90671Normal range

$68K

2,907 claims · 0.5%

Your Cost: $23.44/claim|Median: $8.59
2.7× median
87428Normal range

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

$64K

1,304 claims · 0.5%

Your Cost: $49.41/claim|Median: $39.63
1.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$62K

939 claims · 0.5%

Your Cost: $65.58/claim|Median: $80.15
0.8× median
99211Normal range

Office/outpatient visit, minimal complexity

$44K

3,437 claims · 0.4%

Your Cost: $12.80/claim|Median: $12.93
1.0× median
59400Normal range

Routine obstetric care, vaginal delivery, including postpartum

$44K

51 claims · 0.4%

Your Cost: $853.61/claim|Median: $1,482.45
0.6× median
90651Top 25%

HPV vaccine, 9-valent

$39K

821 claims · 0.3%

Your Cost: $47.06/claim|Median: $8.93
5.3× median
92551Normal range

Screening audiometry, pure tone, air only

$36K

6,187 claims · 0.3%

Your Cost: $5.84/claim|Median: $6.61
0.9× median
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