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Provider 1750345286

NPI: 1750345286Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.2M

$18,177,581

Total Claims

975K

Beneficiaries

676K

1.4 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+19%
2019
$1.8M
-1%
2020
$1.8M
+81%
2021
$3.2M
+20%
2022
$3.8M
-1%
2023
$3.8M
-36%
2024
$2.4M

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 29% of total spending.

99213Top 25%

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

$5.3M

91K claims · 29.1%

Your Cost: $58.13/claim|Median: $37.81
1.5× median
99199Normal range

Unlisted special service, procedure, or report

$3.1M

531K claims · 17.1%

Your Cost: $5.85/claim|Median: $5.39
1.1× median
99214Top 25%

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

$1.7M

20K claims · 9.3%

Your Cost: $86.95/claim|Median: $53.41
1.6× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$1.2M

14K claims · 6.7%

Your Cost: $89.09/claim|Median: $75.18
1.2× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$1.0M

23K claims · 5.7%

Your Cost: $44.41/claim|Median: $34.62
1.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.0M

12K claims · 5.6%

Your Cost: $83.30/claim|Median: $69.35
1.2× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$744K

8,336 claims · 4.1%

Your Cost: $89.20/claim|Median: $74.82
1.2× median
90472Top 5%

Immunization administration, each additional vaccine

$671K

18K claims · 3.7%

Your Cost: $37.53/claim|Median: $11.79
3.2× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$563K

5,888 claims · 3.1%

Your Cost: $95.68/claim|Median: $80.15
1.2× median
87400Top 25%

$516K

25K claims · 2.8%

Your Cost: $20.78/claim|Median: $8.40
2.5× median
90471Top 25%

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

$512K

27K claims · 2.8%

Your Cost: $18.85/claim|Median: $9.80
1.9× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$260K

7,611 claims · 1.4%

Your Cost: $34.15/claim|Median: $57.30
0.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$252K

20K claims · 1.4%

Your Cost: $12.67/claim|Median: $11.48
1.1× median
99212Top 25%

Office/outpatient visit, low complexity

$251K

6,708 claims · 1.4%

Your Cost: $37.35/claim|Median: $25.06
1.5× median
95165Top 25%

Professional services for allergen immunotherapy, per injection

$227K

889 claims · 1.2%

Your Cost: $255.18/claim|Median: $144.04
1.8× median
96110Normal range

Developmental screening, per standardized instrument

$144K

16K claims · 0.8%

Your Cost: $9.03/claim|Median: $9.10
1.0× median
D1206Normal range

Topical application of fluoride varnish

$116K

7,849 claims · 0.6%

Your Cost: $14.76/claim|Median: $18.12
0.8× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$76K

8,572 claims · 0.4%

Your Cost: $8.82/claim|Median: $4.71
1.9× median
87807Top 25%

$63K

5,230 claims · 0.3%

Your Cost: $12.07/claim|Median: $10.06
1.2× median
90474Top 10%

$57K

2,917 claims · 0.3%

Your Cost: $19.52/claim|Median: $8.42
2.3× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$51K

3,394 claims · 0.3%

Your Cost: $15.10/claim|Median: $9.56
1.6× median
83655Top 25%

$44K

3,287 claims · 0.2%

Your Cost: $13.48/claim|Median: $10.49
1.3× median
80061Top 25%

Lipid panel

$40K

2,776 claims · 0.2%

Your Cost: $14.35/claim|Median: $8.41
1.7× median
E0570Top 1%

Nebulizer, with compressor

$30K

229 claims · 0.2%

Your Cost: $131.86/claim|Median: $16.16
8.2× median
95117Normal range

$29K

3,400 claims · 0.2%

Your Cost: $8.55/claim|Median: $8.34
1.0× median
96161Normal range

$25K

7,599 claims · 0.1%

Your Cost: $3.26/claim|Median: $2.49
1.3× median
92551Normal range

Screening audiometry, pure tone, air only

$22K

15K claims · 0.1%

Your Cost: $1.44/claim|Median: $6.61
0.2× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$20K

5,161 claims · 0.1%

Your Cost: $3.82/claim|Median: $3.67
1.0× median
99203Top 25%

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

$14K

158 claims · 0.1%

Your Cost: $90.28/claim|Median: $57.85
1.6× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$11K

1,214 claims · 0.1%

Your Cost: $8.92/claim|Median: $5.50
1.6× median
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