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Provider 1770782450

NPI: 1770782450Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.3M

$15,268,594

Total Claims

951K

Beneficiaries

687K

1.4 claims/patient

Avg Cost/Claim

$16

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+5%
2019
$1.8M
-7%
2020
$1.7M
+43%
2021
$2.4M
+14%
2022
$2.7M
-5%
2023
$2.6M
-4%
2024
$2.5M

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 30% of total spending.

99213Top 25%

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

$4.5M

82K claims · 29.8%

Your Cost: $55.35/claim|Median: $37.81
1.5× median
99199Normal range

Unlisted special service, procedure, or report

$2.4M

416K claims · 15.9%

Your Cost: $5.84/claim|Median: $5.39
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.2M

15K claims · 7.9%

Your Cost: $79.17/claim|Median: $75.18
1.1× median
99214Top 25%

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

$1.1M

13K claims · 7.0%

Your Cost: $83.40/claim|Median: $53.41
1.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$882K

11K claims · 5.8%

Your Cost: $78.04/claim|Median: $69.35
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$748K

9,105 claims · 4.9%

Your Cost: $82.17/claim|Median: $74.82
1.1× median
90471Top 25%

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

$621K

34K claims · 4.1%

Your Cost: $18.04/claim|Median: $9.80
1.8× median
90472Top 10%

Immunization administration, each additional vaccine

$576K

20K claims · 3.8%

Your Cost: $29.39/claim|Median: $11.79
2.5× median
87428Normal range

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

$367K

6,705 claims · 2.4%

Your Cost: $54.79/claim|Median: $39.63
1.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$352K

3,882 claims · 2.3%

Your Cost: $90.74/claim|Median: $80.15
1.1× median
99401Top 25%

$277K

11K claims · 1.8%

Your Cost: $24.83/claim|Median: $16.53
1.5× median
96110Normal range

Developmental screening, per standardized instrument

$274K

35K claims · 1.8%

Your Cost: $7.88/claim|Median: $9.10
0.9× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$261K

8,665 claims · 1.7%

Your Cost: $30.13/claim|Median: $57.30
0.5× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$190K

16K claims · 1.2%

Your Cost: $12.28/claim|Median: $11.48
1.1× median
96160Normal range

Patient-focused health risk assessment

$174K

54K claims · 1.1%

Your Cost: $3.21/claim|Median: $2.10
1.5× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$136K

1,995 claims · 0.9%

Your Cost: $68.36/claim|Median: $62.48
1.1× median
85027Top 25%

Complete blood count (CBC), automated

$118K

17K claims · 0.8%

Your Cost: $6.81/claim|Median: $3.72
1.8× median
D1206Normal range

Topical application of fluoride varnish

$115K

8,658 claims · 0.8%

Your Cost: $13.25/claim|Median: $18.12
0.7× median
99050Top 25%

$99K

5,865 claims · 0.6%

Your Cost: $16.80/claim|Median: $11.81
1.4× median
87081Normal range

Culture screening for pathogenic organisms

$83K

14K claims · 0.5%

Your Cost: $6.09/claim|Median: $5.09
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$75K

3,756 claims · 0.5%

Your Cost: $20.00/claim|Median: $25.06
0.8× median
87275Top 25%

$75K

5,928 claims · 0.5%

Your Cost: $12.65/claim|Median: $10.59
1.2× median
87276Top 25%

$75K

5,913 claims · 0.5%

Your Cost: $12.66/claim|Median: $11.29
1.1× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$63K

17K claims · 0.4%

Your Cost: $3.72/claim|Median: $3.67
1.0× median
90474Top 10%

$60K

3,220 claims · 0.4%

Your Cost: $18.54/claim|Median: $8.42
2.2× median
99462Normal range

$53K

1,703 claims · 0.3%

Your Cost: $30.84/claim|Median: $27.49
1.1× median
87426Normal range

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

$52K

2,345 claims · 0.3%

Your Cost: $21.98/claim|Median: $30.04
0.7× median
80061Top 25%

Lipid panel

$41K

2,921 claims · 0.3%

Your Cost: $14.06/claim|Median: $8.41
1.7× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$33K

871 claims · 0.2%

Your Cost: $37.59/claim|Median: $36.70
1.0× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$29K

772 claims · 0.2%

Your Cost: $37.97/claim|Median: $33.72
1.1× median
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