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Provider 1780629154

NPI: 1780629154Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.3M

$17,303,856

Total Claims

900K

Beneficiaries

645K

1.4 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+10%
2019
$1.7M
-18%
2020
$1.4M
+78%
2021
$2.6M
+35%
2022
$3.4M
+1%
2023
$3.5M
-11%
2024
$3.1M

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 26% of total spending.

99213Top 25%

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

$4.5M

78K claims · 26.1%

Your Cost: $57.59/claim|Median: $37.81
1.5× median
99214Top 25%

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

$2.8M

36K claims · 16.0%

Your Cost: $77.80/claim|Median: $53.41
1.5× median
99199Normal range

Unlisted special service, procedure, or report

$2.6M

424K claims · 15.0%

Your Cost: $6.11/claim|Median: $5.39
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$964K

12K claims · 5.6%

Your Cost: $83.39/claim|Median: $69.35
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$925K

11K claims · 5.3%

Your Cost: $86.80/claim|Median: $75.18
1.2× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$834K

9,291 claims · 4.8%

Your Cost: $89.72/claim|Median: $74.82
1.2× median
87428Top 25%

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

$791K

13K claims · 4.6%

Your Cost: $58.74/claim|Median: $39.63
1.5× median
90472Top 5%

Immunization administration, each additional vaccine

$640K

16K claims · 3.7%

Your Cost: $39.10/claim|Median: $11.79
3.3× median
90471Top 25%

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

$562K

30K claims · 3.2%

Your Cost: $18.85/claim|Median: $9.80
1.9× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$354K

3,735 claims · 2.0%

Your Cost: $94.74/claim|Median: $80.15
1.2× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$279K

8,417 claims · 1.6%

Your Cost: $33.19/claim|Median: $57.30
0.6× median
87426Normal range

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

$255K

7,681 claims · 1.5%

Your Cost: $33.21/claim|Median: $30.04
1.1× median
87804Normal range

Influenza virus detection, rapid test

$251K

19K claims · 1.4%

Your Cost: $13.19/claim|Median: $12.59
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$231K

17K claims · 1.3%

Your Cost: $13.25/claim|Median: $11.48
1.2× median
99401Top 25%

$211K

7,451 claims · 1.2%

Your Cost: $28.37/claim|Median: $16.53
1.7× median
96110Normal range

Developmental screening, per standardized instrument

$151K

16K claims · 0.9%

Your Cost: $9.12/claim|Median: $9.10
1.0× median
82306Top 25%

Vitamin D, 25 hydroxy

$143K

4,379 claims · 0.8%

Your Cost: $32.73/claim|Median: $18.18
1.8× median
D1206Normal range

Topical application of fluoride varnish

$123K

8,408 claims · 0.7%

Your Cost: $14.67/claim|Median: $18.12
0.8× median
92552Normal range

Pure tone audiometry, air only, each ear

$95K

13K claims · 0.5%

Your Cost: $7.05/claim|Median: $12.63
0.6× median
90474Top 10%

$86K

4,396 claims · 0.5%

Your Cost: $19.55/claim|Median: $8.42
2.3× median
99051Top 25%

$74K

3,135 claims · 0.4%

Your Cost: $23.73/claim|Median: $7.89
3.0× median
80061Top 25%

Lipid panel

$57K

3,890 claims · 0.3%

Your Cost: $14.54/claim|Median: $8.41
1.7× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$38K

8,655 claims · 0.2%

Your Cost: $4.44/claim|Median: $3.67
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$38K

1,082 claims · 0.2%

Your Cost: $35.19/claim|Median: $25.06
1.4× median
84443Normal range

Thyroid stimulating hormone (TSH)

$37K

2,435 claims · 0.2%

Your Cost: $15.15/claim|Median: $9.87
1.5× median
99490Top 25%

Chronic care management services, 20 minutes per month

$25K

2,088 claims · 0.1%

Your Cost: $12.14/claim|Median: $6.31
1.9× median
90651Top 25%

HPV vaccine, 9-valent

$25K

1,005 claims · 0.1%

Your Cost: $25.00/claim|Median: $8.93
2.8× median
85018Normal range

$24K

14K claims · 0.1%

Your Cost: $1.70/claim|Median: $1.71
1.0× median
80053Normal range

Comprehensive metabolic panel

$24K

2,684 claims · 0.1%

Your Cost: $8.82/claim|Median: $7.24
1.2× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$20K

2,185 claims · 0.1%

Your Cost: $9.33/claim|Median: $5.50
1.7× median
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