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Provider 1780950543

NPI: 1780950543Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.9M

$12,912,060

Total Claims

442K

Beneficiaries

428K

1.0 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+0%
2019
$1.8M
-20%
2020
$1.4M
+15%
2021
$1.6M
+20%
2022
$2.0M
-11%
2023
$1.7M
+52%
2024
$2.6M

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 22% of total spending.

99213Normal range

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

$2.8M

68K claims · 21.5%

Your Cost: $41.16/claim|Median: $37.81
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.4M

25K claims · 10.8%

Your Cost: $56.62/claim|Median: $75.18
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.1M

19K claims · 8.8%

Your Cost: $60.64/claim|Median: $69.35
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$957K

15K claims · 7.4%

Your Cost: $65.01/claim|Median: $74.82
0.9× median
96156Normal range

$925K

17K claims · 7.2%

Your Cost: $55.57/claim|Median: $22.36
2.5× median
G9920Top 10%

$635K

18K claims · 4.9%

Your Cost: $34.39/claim|Median: $6.56
5.2× median
99214Normal range

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

$556K

8,970 claims · 4.3%

Your Cost: $62.01/claim|Median: $53.41
1.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$486K

6,230 claims · 3.8%

Your Cost: $78.04/claim|Median: $80.15
1.0× median
96110Top 5%

Developmental screening, per standardized instrument

$411K

6,499 claims · 3.2%

Your Cost: $63.21/claim|Median: $9.10
6.9× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$359K

5,794 claims · 2.8%

Your Cost: $61.94/claim|Median: $62.48
1.0× median
99381Normal range

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

$279K

3,861 claims · 2.2%

Your Cost: $72.25/claim|Median: $73.46
1.0× median
92551Top 10%

Screening audiometry, pure tone, air only

$260K

21K claims · 2.0%

Your Cost: $12.63/claim|Median: $6.61
1.9× median
90648Top 25%

$198K

19K claims · 1.5%

Your Cost: $10.42/claim|Median: $4.08
2.6× median
90670Normal range

$180K

16K claims · 1.4%

Your Cost: $10.94/claim|Median: $5.94
1.8× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$156K

2,339 claims · 1.2%

Your Cost: $66.88/claim|Median: $65.64
1.0× median
90723Normal range

DTaP-HepB-IPV vaccine

$155K

15K claims · 1.2%

Your Cost: $10.34/claim|Median: $5.78
1.8× median
99188Top 25%

$152K

7,223 claims · 1.2%

Your Cost: $20.99/claim|Median: $12.80
1.6× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$149K

14K claims · 1.2%

Your Cost: $10.79/claim|Median: $7.18
1.5× median
99462Normal range

$129K

3,990 claims · 1.0%

Your Cost: $32.40/claim|Median: $27.49
1.2× median
90680Normal range

$123K

11K claims · 1.0%

Your Cost: $10.72/claim|Median: $5.58
1.9× median
90633Top 25%

$110K

10K claims · 0.9%

Your Cost: $10.83/claim|Median: $3.56
3.0× median
99212Normal range

Office/outpatient visit, low complexity

$105K

4,102 claims · 0.8%

Your Cost: $25.65/claim|Median: $25.06
1.0× median
90710Normal range

MMRV vaccine

$104K

9,746 claims · 0.8%

Your Cost: $10.66/claim|Median: $7.00
1.5× median
99173Top 25%

$101K

23K claims · 0.8%

Your Cost: $4.46/claim|Median: $2.16
2.1× median
99383Normal range

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

$97K

1,299 claims · 0.7%

Your Cost: $74.45/claim|Median: $81.92
0.9× median
83655Normal range

$91K

9,947 claims · 0.7%

Your Cost: $9.19/claim|Median: $10.49
0.9× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$72K

2,420 claims · 0.6%

Your Cost: $29.95/claim|Median: $28.46
1.1× median
90651Normal range

HPV vaccine, 9-valent

$67K

5,580 claims · 0.5%

Your Cost: $12.02/claim|Median: $8.93
1.3× median
87426Normal range

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

$65K

2,116 claims · 0.5%

Your Cost: $30.85/claim|Median: $30.04
1.0× median
G8510Top 25%

$51K

4,101 claims · 0.4%

Your Cost: $12.37/claim|Median: $1.96
6.3× median
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