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Provider 1780799171

NPI: 1780799171Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$7.9M

$7,943,952

Total Claims

305K

Beneficiaries

255K

1.2 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$25K
+10%
2019
$27K
+1077%
2020
$319K
+549%
2021
$2.1M
+2%
2022
$2.1M
-7%
2023
$2.0M
-28%
2024
$1.4M

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 26% of total spending.

99213Normal range

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

$2.0M

54K claims · 25.6%

Your Cost: $37.60/claim|Median: $37.81
1.0× median
99214Normal range

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

$1.2M

23K claims · 15.5%

Your Cost: $52.51/claim|Median: $53.41
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$738K

8,605 claims · 9.3%

Your Cost: $85.72/claim|Median: $74.82
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$645K

8,143 claims · 8.1%

Your Cost: $79.21/claim|Median: $75.18
1.1× median
87426Top 10%

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

$613K

14K claims · 7.7%

Your Cost: $44.12/claim|Median: $30.04
1.5× median
99394Normal range

Preventive medicine, established patient, age 12-17

$587K

6,342 claims · 7.4%

Your Cost: $92.61/claim|Median: $80.15
1.2× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$440K

40K claims · 5.5%

Your Cost: $11.04/claim|Median: $17.85
0.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$431K

5,596 claims · 5.4%

Your Cost: $77.03/claim|Median: $69.35
1.1× median
87804Normal range

Influenza virus detection, rapid test

$299K

22K claims · 3.8%

Your Cost: $13.88/claim|Median: $12.59
1.1× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$284K

20K claims · 3.6%

Your Cost: $14.01/claim|Median: $11.48
1.2× median
99429Normal range

$216K

6,603 claims · 2.7%

Your Cost: $32.73/claim|Median: $28.58
1.1× median
96110Normal range

Developmental screening, per standardized instrument

$72K

8,833 claims · 0.9%

Your Cost: $8.15/claim|Median: $9.10
0.9× median
99381Normal range

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

$57K

728 claims · 0.7%

Your Cost: $77.97/claim|Median: $73.46
1.1× median
90461Normal range

Immunization admin, additional vaccine, counseling

$46K

9,254 claims · 0.6%

Your Cost: $4.92/claim|Median: $6.93
0.7× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$42K

462 claims · 0.5%

Your Cost: $90.39/claim|Median: $81.92
1.1× median
87807Normal range

$37K

3,430 claims · 0.5%

Your Cost: $10.77/claim|Median: $10.06
1.1× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$17K

178 claims · 0.2%

Your Cost: $96.38/claim|Median: $83.63
1.2× median
97169Normal range

$16K

1,630 claims · 0.2%

Your Cost: $10.05/claim|Median: $22.00
0.5× median
99212Normal range

Office/outpatient visit, low complexity

$16K

702 claims · 0.2%

Your Cost: $23.19/claim|Median: $25.06
0.9× median
99382Normal range

Preventive visit, new patient, early childhood (1-4 yr)

$15K

155 claims · 0.2%

Your Cost: $94.56/claim|Median: $79.89
1.2× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$15K

1,035 claims · 0.2%

Your Cost: $14.16/claim|Median: $10.88
1.3× median
90677Normal range

$14K

826 claims · 0.2%

Your Cost: $17.47/claim|Median: $12.96
1.3× median
90651Normal range

HPV vaccine, 9-valent

$13K

3,566 claims · 0.2%

Your Cost: $3.64/claim|Median: $8.93
0.4× median
96160Normal range

Patient-focused health risk assessment

$12K

7,223 claims · 0.1%

Your Cost: $1.65/claim|Median: $2.10
0.8× median
90620Normal range

$11K

1,529 claims · 0.1%

Your Cost: $6.96/claim|Median: $6.49
1.1× median
86328Top 10%

$10K

234 claims · 0.1%

Your Cost: $44.40/claim|Median: $20.52
2.2× median
G8510Normal range

$9K

1,160 claims · 0.1%

Your Cost: $7.77/claim|Median: $1.96
4.0× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$8K

82 claims · 0.1%

Your Cost: $91.82/claim|Median: $72.71
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$6K

77 claims · 0.1%

Your Cost: $82.22/claim|Median: $74.09
1.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$4K

5,554 claims · 0.1%

Your Cost: $0.80/claim|Median: $7.18
0.1× median
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