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Provider 1790078426

NPI: 1790078426Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.0M

$8,960,100

Total Claims

346K

Beneficiaries

305K

1.1 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$40K
+33%
2019
$54K
+832%
2020
$500K
+292%
2021
$2.0M
+19%
2022
$2.3M
-3%
2023
$2.3M
-21%
2024
$1.8M

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 28% of total spending.

99213Normal range

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

$2.5M

64K claims · 28.3%

Your Cost: $39.72/claim|Median: $37.81
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$933K

12K claims · 10.4%

Your Cost: $79.81/claim|Median: $75.18
1.1× median
87811Top 10%

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$927K

23K claims · 10.3%

Your Cost: $41.01/claim|Median: $30.53
1.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$892K

10K claims · 10.0%

Your Cost: $85.41/claim|Median: $74.82
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$697K

8,861 claims · 7.8%

Your Cost: $78.61/claim|Median: $69.35
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$540K

6,032 claims · 6.0%

Your Cost: $89.60/claim|Median: $80.15
1.1× median
99429Top 25%

$380K

11K claims · 4.2%

Your Cost: $33.84/claim|Median: $28.58
1.2× median
99214Normal range

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

$341K

6,209 claims · 3.8%

Your Cost: $54.89/claim|Median: $53.41
1.0× median
90472Normal range

Immunization administration, each additional vaccine

$254K

27K claims · 2.8%

Your Cost: $9.47/claim|Median: $11.79
0.8× median
90471Normal range

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

$239K

21K claims · 2.7%

Your Cost: $11.38/claim|Median: $9.80
1.2× median
87804Normal range

Influenza virus detection, rapid test

$232K

16K claims · 2.6%

Your Cost: $14.10/claim|Median: $12.59
1.1× median
99381Normal range

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

$171K

2,045 claims · 1.9%

Your Cost: $83.82/claim|Median: $73.46
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$168K

6,270 claims · 1.9%

Your Cost: $26.83/claim|Median: $25.06
1.1× median
96110Normal range

Developmental screening, per standardized instrument

$144K

18K claims · 1.6%

Your Cost: $8.22/claim|Median: $9.10
0.9× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$71K

5,060 claims · 0.8%

Your Cost: $13.98/claim|Median: $11.48
1.2× median
99383Normal range

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

$63K

682 claims · 0.7%

Your Cost: $93.08/claim|Median: $81.92
1.1× median
99203Normal range

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

$63K

951 claims · 0.7%

Your Cost: $66.37/claim|Median: $57.85
1.1× median
90474Normal range

$42K

4,430 claims · 0.5%

Your Cost: $9.45/claim|Median: $8.42
1.1× median
99000Top 25%

$38K

3,812 claims · 0.4%

Your Cost: $9.98/claim|Median: $2.30
4.3× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$37K

5,145 claims · 0.4%

Your Cost: $7.15/claim|Median: $17.85
0.4× median
99382Normal range

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

$34K

370 claims · 0.4%

Your Cost: $93.12/claim|Median: $79.89
1.2× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$23K

483 claims · 0.3%

Your Cost: $47.66/claim|Median: $40.11
1.2× median
G8510Top 25%

$19K

1,502 claims · 0.2%

Your Cost: $12.35/claim|Median: $1.96
6.3× median
94010Normal range

$18K

736 claims · 0.2%

Your Cost: $24.67/claim|Median: $18.11
1.4× median
99384Normal range

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

$18K

180 claims · 0.2%

Your Cost: $98.38/claim|Median: $83.63
1.2× median
99211Normal range

Office/outpatient visit, minimal complexity

$16K

1,237 claims · 0.2%

Your Cost: $12.97/claim|Median: $12.93
1.0× median
96160Normal range

Patient-focused health risk assessment

$14K

7,061 claims · 0.2%

Your Cost: $2.00/claim|Median: $2.10
1.0× median
0071ANormal range

$10K

251 claims · 0.1%

Your Cost: $40.04/claim|Median: $38.71
1.0× median
0072ATop 25%

$9K

202 claims · 0.1%

Your Cost: $42.30/claim|Median: $39.57
1.1× median
97169Top 25%

$8K

297 claims · 0.1%

Your Cost: $28.27/claim|Median: $22.00
1.3× median
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