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Provider 1750571170

NPI: 1750571170Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.1M

$11,144,984

Total Claims

358K

Beneficiaries

305K

1.2 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+88%
2019
$2.1M
-23%
2020
$1.6M
+25%
2021
$2.0M
-12%
2022
$1.8M
-14%
2023
$1.6M
-45%
2024
$853K

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 46% of total spending.

99213Top 25%

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

$5.2M

96K claims · 46.5%

Your Cost: $53.97/claim|Median: $37.81
1.4× median
99214Normal range

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

$1.5M

20K claims · 13.2%

Your Cost: $72.63/claim|Median: $53.41
1.4× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$942K

12K claims · 8.5%

Your Cost: $78.24/claim|Median: $69.35
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$935K

11K claims · 8.4%

Your Cost: $82.73/claim|Median: $75.18
1.1× median
90472Top 25%

Immunization administration, each additional vaccine

$396K

20K claims · 3.6%

Your Cost: $19.57/claim|Median: $11.79
1.7× median
99212Normal range

Office/outpatient visit, low complexity

$393K

12K claims · 3.5%

Your Cost: $33.92/claim|Median: $25.06
1.4× median
87804Normal range

Influenza virus detection, rapid test

$322K

30K claims · 2.9%

Your Cost: $10.79/claim|Median: $12.59
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$282K

3,603 claims · 2.5%

Your Cost: $78.22/claim|Median: $74.82
1.0× median
90471Normal range

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

$219K

23K claims · 2.0%

Your Cost: $9.63/claim|Median: $9.80
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$219K

21K claims · 2.0%

Your Cost: $10.66/claim|Median: $11.48
0.9× median
87811Normal range

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

$150K

5,618 claims · 1.3%

Your Cost: $26.64/claim|Median: $30.53
0.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$105K

1,221 claims · 0.9%

Your Cost: $86.12/claim|Median: $80.15
1.1× median
92551Normal range

Screening audiometry, pure tone, air only

$98K

12K claims · 0.9%

Your Cost: $8.41/claim|Median: $6.61
1.3× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$65K

1,256 claims · 0.6%

Your Cost: $52.11/claim|Median: $37.22
1.4× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$63K

840 claims · 0.6%

Your Cost: $75.46/claim|Median: $62.48
1.2× median
90473Normal range

Immunization admin, intranasal, first

$49K

4,951 claims · 0.4%

Your Cost: $9.89/claim|Median: $9.17
1.1× median
99381Normal range

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

$48K

565 claims · 0.4%

Your Cost: $85.39/claim|Median: $73.46
1.2× median
99215Top 25%

Office/outpatient visit, high complexity

$41K

342 claims · 0.4%

Your Cost: $119.27/claim|Median: $74.09
1.6× median
87807Normal range

$36K

3,861 claims · 0.3%

Your Cost: $9.22/claim|Median: $10.06
0.9× median
96110Normal range

Developmental screening, per standardized instrument

$26K

2,580 claims · 0.2%

Your Cost: $9.97/claim|Median: $9.10
1.1× median
99173Normal range

$24K

10K claims · 0.2%

Your Cost: $2.26/claim|Median: $2.16
1.0× median
99462Normal range

$12K

361 claims · 0.1%

Your Cost: $33.77/claim|Median: $27.49
1.2× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$10K

7,981 claims · 0.1%

Your Cost: $1.21/claim|Median: $12.70
0.1× median
87276Normal range

$9K

1,024 claims · 0.1%

Your Cost: $8.88/claim|Median: $11.29
0.8× median
87275Normal range

$9K

1,108 claims · 0.1%

Your Cost: $8.19/claim|Median: $10.59
0.8× median
0071ANormal range

$8K

225 claims · 0.1%

Your Cost: $33.81/claim|Median: $38.71
0.9× median
0072ANormal range

$7K

206 claims · 0.1%

Your Cost: $33.87/claim|Median: $39.57
0.9× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$6K

308 claims · 0.1%

Your Cost: $19.86/claim|Median: $33.72
0.6× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$5K

226 claims · 0.0%

Your Cost: $24.29/claim|Median: $36.70
0.7× median
99051Normal range

$5K

341 claims · 0.0%

Your Cost: $14.17/claim|Median: $7.89
1.8× median
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