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Provider 1750316907

NPI: 1750316907Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$9.5M

$9,496,357

Total Claims

262K

Beneficiaries

234K

1.1 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+3%
2019
$1.6M
-16%
2020
$1.3M
+32%
2021
$1.8M
-14%
2022
$1.5M
-20%
2023
$1.2M
-49%
2024
$613K

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 52% of total spending.

99213Top 25%

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

$5.0M

87K claims · 52.1%

Your Cost: $57.01/claim|Median: $37.81
1.5× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$675K

7,386 claims · 7.1%

Your Cost: $91.40/claim|Median: $75.18
1.2× median
99214Top 25%

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

$622K

7,054 claims · 6.6%

Your Cost: $88.24/claim|Median: $53.41
1.7× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$572K

6,761 claims · 6.0%

Your Cost: $84.57/claim|Median: $69.35
1.2× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$462K

5,207 claims · 4.9%

Your Cost: $88.77/claim|Median: $74.82
1.2× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$358K

3,719 claims · 3.8%

Your Cost: $96.24/claim|Median: $80.15
1.2× median
87804Top 25%

Influenza virus detection, rapid test

$357K

15K claims · 3.8%

Your Cost: $23.85/claim|Median: $12.59
1.9× median
90472Top 25%

Immunization administration, each additional vaccine

$273K

11K claims · 2.9%

Your Cost: $24.09/claim|Median: $11.79
2.0× median
87426Normal range

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

$266K

8,834 claims · 2.8%

Your Cost: $30.07/claim|Median: $30.04
1.0× median
90471Normal range

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

$221K

17K claims · 2.3%

Your Cost: $13.34/claim|Median: $9.80
1.4× median
92552Top 25%

Pure tone audiometry, air only, each ear

$173K

7,943 claims · 1.8%

Your Cost: $21.73/claim|Median: $12.63
1.7× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$162K

14K claims · 1.7%

Your Cost: $11.92/claim|Median: $11.48
1.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$67K

2,037 claims · 0.7%

Your Cost: $32.67/claim|Median: $39.70
0.8× median
99212Top 25%

Office/outpatient visit, low complexity

$47K

1,128 claims · 0.5%

Your Cost: $41.26/claim|Median: $25.06
1.6× median
90473Normal range

Immunization admin, intranasal, first

$45K

3,441 claims · 0.5%

Your Cost: $13.17/claim|Median: $9.17
1.4× median
87807Normal range

$24K

2,485 claims · 0.3%

Your Cost: $9.69/claim|Median: $10.06
1.0× median
99381Top 25%

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

$21K

230 claims · 0.2%

Your Cost: $91.27/claim|Median: $73.46
1.2× median
99401Top 25%

$19K

692 claims · 0.2%

Your Cost: $27.46/claim|Median: $16.53
1.7× median
99203Top 25%

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

$18K

207 claims · 0.2%

Your Cost: $85.45/claim|Median: $57.85
1.5× median
96161Top 25%

$16K

3,367 claims · 0.2%

Your Cost: $4.62/claim|Median: $2.49
1.9× median
83655Normal range

$15K

1,479 claims · 0.2%

Your Cost: $10.18/claim|Median: $10.49
1.0× median
99173Normal range

$14K

5,509 claims · 0.2%

Your Cost: $2.62/claim|Median: $2.16
1.2× median
86328Top 25%

$14K

389 claims · 0.1%

Your Cost: $34.82/claim|Median: $20.52
1.7× median
96110Normal range

Developmental screening, per standardized instrument

$13K

1,150 claims · 0.1%

Your Cost: $11.20/claim|Median: $9.10
1.2× median
87811Normal range

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

$11K

357 claims · 0.1%

Your Cost: $30.87/claim|Median: $30.53
1.0× median
96160Normal range

Patient-focused health risk assessment

$10K

3,913 claims · 0.1%

Your Cost: $2.65/claim|Median: $2.10
1.3× median
86769Normal range

Antibody, SARS-CoV-2 (COVID-19)

$10K

548 claims · 0.1%

Your Cost: $18.83/claim|Median: $26.94
0.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$10K

544 claims · 0.1%

Your Cost: $18.13/claim|Median: $12.93
1.4× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$10K

291 claims · 0.1%

Your Cost: $32.73/claim|Median: $33.72
1.0× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$8K

251 claims · 0.1%

Your Cost: $33.66/claim|Median: $36.70
0.9× median
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