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Provider 1740690254

NPI: 1740690254Share
Active Billing Period:2018-11→2024-12(74 months)

Total Paid

$13.3M

$13,252,533

Total Claims

342K

Beneficiaries

299K

1.1 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$114K
+1271%
2019
$1.6M
+18%
2020
$1.9M
+16%
2021
$2.2M
+54%
2022
$3.3M
-4%
2023
$3.2M
-66%
2024
$1.1M

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 40% of total spending.

99213Top 10%

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

$5.3M

69K claims · 40.0%

Your Cost: $77.08/claim|Median: $37.81
2.0× median
99214Top 5%

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

$2.6M

22K claims · 19.5%

Your Cost: $118.14/claim|Median: $53.41
2.2× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$1.1M

7,996 claims · 8.0%

Your Cost: $132.34/claim|Median: $75.18
1.8× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$843K

6,956 claims · 6.4%

Your Cost: $121.16/claim|Median: $74.82
1.6× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$762K

5,650 claims · 5.7%

Your Cost: $134.81/claim|Median: $69.35
1.9× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$729K

5,371 claims · 5.5%

Your Cost: $135.66/claim|Median: $80.15
1.7× median
99212Top 25%

Office/outpatient visit, low complexity

$684K

13K claims · 5.2%

Your Cost: $52.64/claim|Median: $25.06
2.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$422K

18K claims · 3.2%

Your Cost: $23.73/claim|Median: $17.85
1.3× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$177K

23K claims · 1.3%

Your Cost: $7.63/claim|Median: $24.33
0.3× median
99381Top 25%

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

$110K

1,094 claims · 0.8%

Your Cost: $100.68/claim|Median: $73.46
1.4× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$82K

657 claims · 0.6%

Your Cost: $125.31/claim|Median: $72.71
1.7× median
90461Normal range

Immunization admin, additional vaccine, counseling

$64K

7,445 claims · 0.5%

Your Cost: $8.62/claim|Median: $6.93
1.2× median
H0049Normal range

$50K

7,002 claims · 0.4%

Your Cost: $7.14/claim|Median: $9.27
0.8× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$48K

1,760 claims · 0.4%

Your Cost: $27.30/claim|Median: $39.70
0.7× median
99383Top 10%

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

$44K

317 claims · 0.3%

Your Cost: $139.59/claim|Median: $81.92
1.7× median
99204Top 5%

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

$34K

204 claims · 0.3%

Your Cost: $166.78/claim|Median: $84.03
2.0× median
99384Top 5%

Preventive visit, new patient, adolescent (12-17 yr)

$33K

190 claims · 0.2%

Your Cost: $174.18/claim|Median: $83.63
2.1× median
G0447Normal range

$21K

4,013 claims · 0.2%

Your Cost: $5.24/claim|Median: $5.19
1.0× median
99051Normal range

$20K

4,057 claims · 0.2%

Your Cost: $5.04/claim|Median: $7.89
0.6× median
87804Normal range

Influenza virus detection, rapid test

$19K

2,257 claims · 0.1%

Your Cost: $8.41/claim|Median: $12.59
0.7× median
92558Normal range

$18K

5,891 claims · 0.1%

Your Cost: $3.01/claim|Median: $6.67
0.5× median
99382Top 10%

Preventive visit, new patient, early childhood (1-4 yr)

$18K

134 claims · 0.1%

Your Cost: $131.90/claim|Median: $79.89
1.7× median
96160Normal range

Patient-focused health risk assessment

$14K

6,744 claims · 0.1%

Your Cost: $2.01/claim|Median: $2.10
1.0× median
G2012Normal range

Brief communication technology-based service

$13K

2,300 claims · 0.1%

Your Cost: $5.58/claim|Median: $8.79
0.6× median
36415Top 25%

Collection of venous blood by venipuncture

$13K

2,841 claims · 0.1%

Your Cost: $4.48/claim|Median: $1.57
2.9× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$13K

1,860 claims · 0.1%

Your Cost: $6.76/claim|Median: $12.70
0.5× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$12K

2,049 claims · 0.1%

Your Cost: $5.63/claim|Median: $9.56
0.6× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$11K

2,497 claims · 0.1%

Your Cost: $4.24/claim|Median: $10.88
0.4× median
99401Normal range

$10K

2,424 claims · 0.1%

Your Cost: $4.28/claim|Median: $16.53
0.3× median
99211Top 25%

Office/outpatient visit, minimal complexity

$9K

459 claims · 0.1%

Your Cost: $19.38/claim|Median: $12.93
1.5× median
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