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Provider 1750334405

NPI: 1750334405Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.6M

$13,620,388

Total Claims

781K

Beneficiaries

719K

1.1 claims/patient

Avg Cost/Claim

$17

Monthly Spending Trend

Yearly Spending

2018
$2.5M
+3%
2019
$2.5M
-22%
2020
$2.0M
-23%
2021
$1.5M
+15%
2022
$1.8M
+2%
2023
$1.8M
-18%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 29% of total spending.

99214Normal range

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

$4.0M

61K claims · 29.1%

Your Cost: $65.00/claim|Median: $53.41
1.2× median
99213Normal range

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

$3.2M

89K claims · 23.6%

Your Cost: $36.23/claim|Median: $37.81
1.0× median
99284Normal range

Emergency dept visit, high complexity

$927K

18K claims · 6.8%

Your Cost: $50.49/claim|Median: $69.51
0.7× median
99285Normal range

Emergency dept visit, high/urgent complexity

$840K

12K claims · 6.2%

Your Cost: $68.68/claim|Median: $85.65
0.8× median
99283Normal range

Emergency dept visit, moderate complexity

$575K

12K claims · 4.2%

Your Cost: $48.25/claim|Median: $42.48
1.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$352K

3,756 claims · 2.6%

Your Cost: $93.59/claim|Median: $76.06
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$332K

8,722 claims · 2.4%

Your Cost: $38.03/claim|Median: $69.35
0.5× median
99395Normal range

Preventive medicine, established patient, age 18-39

$326K

4,005 claims · 2.4%

Your Cost: $81.40/claim|Median: $72.71
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$305K

8,527 claims · 2.2%

Your Cost: $35.78/claim|Median: $75.18
0.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$304K

8,213 claims · 2.2%

Your Cost: $36.97/claim|Median: $74.82
0.5× median
99394Normal range

Preventive medicine, established patient, age 12-17

$262K

6,292 claims · 1.9%

Your Cost: $41.68/claim|Median: $80.15
0.5× median
99203Normal range

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

$243K

3,841 claims · 1.8%

Your Cost: $63.38/claim|Median: $57.85
1.1× median
99204Normal range

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

$238K

2,553 claims · 1.7%

Your Cost: $93.09/claim|Median: $84.03
1.1× median
99291Normal range

Critical care, first 30-74 minutes

$126K

1,153 claims · 0.9%

Your Cost: $109.40/claim|Median: $101.24
1.1× median
43239Normal range

Upper GI endoscopy with biopsy

$120K

2,130 claims · 0.9%

Your Cost: $56.39/claim|Median: $151.68
0.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$107K

9,190 claims · 0.8%

Your Cost: $11.69/claim|Median: $11.48
1.0× median
87804Normal range

Influenza virus detection, rapid test

$87K

6,457 claims · 0.6%

Your Cost: $13.47/claim|Median: $12.59
1.1× median
90471Normal range

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

$85K

21K claims · 0.6%

Your Cost: $3.97/claim|Median: $9.80
0.4× median
99308Top 25%

Nursing facility care, subsequent, straightforward

$85K

3,498 claims · 0.6%

Your Cost: $24.18/claim|Median: $9.79
2.5× median
99381Normal range

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

$81K

1,139 claims · 0.6%

Your Cost: $70.82/claim|Median: $73.46
1.0× median
45380Normal range

Colonoscopy with biopsy

$61K

645 claims · 0.4%

Your Cost: $94.61/claim|Median: $200.68
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$57K

793 claims · 0.4%

Your Cost: $71.37/claim|Median: $74.09
1.0× median
90472Normal range

Immunization administration, each additional vaccine

$54K

11K claims · 0.4%

Your Cost: $4.90/claim|Median: $11.79
0.4× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$54K

6,336 claims · 0.4%

Your Cost: $8.47/claim|Median: $9.56
0.9× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$53K

2,274 claims · 0.4%

Your Cost: $23.40/claim|Median: $17.85
1.3× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$53K

1,633 claims · 0.4%

Your Cost: $32.58/claim|Median: $23.99
1.4× median
96110Normal range

Developmental screening, per standardized instrument

$47K

8,551 claims · 0.3%

Your Cost: $5.55/claim|Median: $9.10
0.6× median
99222Normal range

Initial hospital care, per day, moderate complexity

$41K

666 claims · 0.3%

Your Cost: $60.96/claim|Median: $51.25
1.2× median
99309Top 5%

Nursing facility care, subsequent, low complexity

$40K

779 claims · 0.3%

Your Cost: $51.91/claim|Median: $14.00
3.7× median
99282Normal range

Emergency dept visit, low complexity

$40K

859 claims · 0.3%

Your Cost: $46.57/claim|Median: $37.72
1.2× median
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