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Provider 1770880924

NPI: 1770880924Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$18.3M

$18,311,196

Total Claims

526K

Beneficiaries

475K

1.1 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+34%
2019
$2.6M
-14%
2020
$2.3M
+36%
2021
$3.1M
+29%
2022
$4.0M
-56%
2023
$1.8M
+50%
2024
$2.7M

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 40% of total spending.

99213Top 5%

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

$7.3M

79K claims · 39.6%

Your Cost: $91.91/claim|Median: $37.81
2.4× median
99212Top 10%

Office/outpatient visit, low complexity

$1.7M

29K claims · 9.3%

Your Cost: $57.82/claim|Median: $25.06
2.3× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$1.6M

15K claims · 8.6%

Your Cost: $106.12/claim|Median: $75.18
1.4× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$1.3M

12K claims · 7.2%

Your Cost: $107.79/claim|Median: $74.82
1.4× median
99211Top 25%

Office/outpatient visit, minimal complexity

$1.2M

46K claims · 6.5%

Your Cost: $26.10/claim|Median: $12.93
2.0× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$936K

9,950 claims · 5.1%

Your Cost: $94.02/claim|Median: $69.35
1.4× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$932K

41K claims · 5.1%

Your Cost: $22.95/claim|Median: $17.85
1.3× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$633K

5,368 claims · 3.5%

Your Cost: $117.87/claim|Median: $80.15
1.5× median
92552Top 10%

Pure tone audiometry, air only, each ear

$433K

13K claims · 2.4%

Your Cost: $33.11/claim|Median: $12.63
2.6× median
99441Top 25%

Telephone E/M by physician, 5-10 min

$392K

13K claims · 2.1%

Your Cost: $30.91/claim|Median: $13.30
2.3× median
99401Normal range

$385K

16K claims · 2.1%

Your Cost: $24.28/claim|Median: $16.53
1.5× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$277K

9,867 claims · 1.5%

Your Cost: $28.12/claim|Median: $6.93
4.1× median
G0447Top 10%

$226K

9,744 claims · 1.2%

Your Cost: $23.17/claim|Median: $5.19
4.5× median
99402Normal range

$178K

21K claims · 1.0%

Your Cost: $8.42/claim|Median: $31.79
0.3× median
96110Normal range

Developmental screening, per standardized instrument

$79K

27K claims · 0.4%

Your Cost: $2.94/claim|Median: $9.10
0.3× median
99381Normal range

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

$69K

880 claims · 0.4%

Your Cost: $78.94/claim|Median: $73.46
1.1× median
90671Top 10%

$58K

402 claims · 0.3%

Your Cost: $143.49/claim|Median: $8.59
16.7× median
99460Top 10%

Initial hospital or birthing center care, newborn, per day

$58K

610 claims · 0.3%

Your Cost: $94.28/claim|Median: $62.48
1.5× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$57K

471 claims · 0.3%

Your Cost: $120.41/claim|Median: $72.71
1.7× median
92551Normal range

Screening audiometry, pure tone, air only

$49K

6,552 claims · 0.3%

Your Cost: $7.45/claim|Median: $6.61
1.1× median
17250Top 25%

$47K

509 claims · 0.3%

Your Cost: $91.99/claim|Median: $19.69
4.7× median
99496Normal range

Transitional care management, moderate complexity face-to-face visit

$45K

416 claims · 0.2%

Your Cost: $108.12/claim|Median: $54.66
2.0× median
86769Normal range

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

$44K

5,910 claims · 0.2%

Your Cost: $7.40/claim|Median: $26.94
0.3× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$40K

552 claims · 0.2%

Your Cost: $73.26/claim|Median: $37.22
2.0× median
99188Normal range

$28K

1,519 claims · 0.2%

Your Cost: $18.53/claim|Median: $12.80
1.4× median
87070Normal range

Bacterial culture, any source except blood or urine

$26K

14K claims · 0.1%

Your Cost: $1.85/claim|Median: $5.89
0.3× median
G0444Normal range

Annual depression screening, fifteen minutes

$26K

2,964 claims · 0.1%

Your Cost: $8.84/claim|Median: $4.23
2.1× median
86580Top 10%

Tuberculosis (TB) skin test

$23K

2,449 claims · 0.1%

Your Cost: $9.31/claim|Median: $4.46
2.1× median
99203Top 5%

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

$23K

185 claims · 0.1%

Your Cost: $122.03/claim|Median: $57.85
2.1× median
99495Normal range

$21K

270 claims · 0.1%

Your Cost: $78.78/claim|Median: $52.75
1.5× median
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