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Provider 1790798072

NPI: 1790798072Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.4M

$9,434,793

Total Claims

473K

Beneficiaries

387K

1.2 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-5%
2019
$1.4M
+4%
2020
$1.5M
+11%
2021
$1.6M
-14%
2022
$1.4M
-16%
2023
$1.2M
-28%
2024
$845K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 53% of total spending.

99214Normal range

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

$5.0M

84K claims · 53.2%

Your Cost: $59.92/claim|Median: $53.41
1.1× median
99213Normal range

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

$1.3M

29K claims · 14.2%

Your Cost: $46.18/claim|Median: $37.81
1.2× median
99396Normal range

Preventive medicine, established patient, age 40-64

$312K

3,862 claims · 3.3%

Your Cost: $80.78/claim|Median: $76.06
1.1× median
95912Top 25%

$310K

1,563 claims · 3.3%

Your Cost: $198.10/claim|Median: $141.23
1.4× median
95913Top 25%

$305K

1,334 claims · 3.2%

Your Cost: $228.32/claim|Median: $166.25
1.4× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$247K

21K claims · 2.6%

Your Cost: $12.02/claim|Median: $9.56
1.3× median
93922Top 25%

$232K

4,167 claims · 2.5%

Your Cost: $55.79/claim|Median: $26.06
2.1× median
94060Normal range

$182K

4,973 claims · 1.9%

Your Cost: $36.65/claim|Median: $25.18
1.5× median
99395Normal range

Preventive medicine, established patient, age 18-39

$166K

2,056 claims · 1.8%

Your Cost: $80.79/claim|Median: $72.71
1.1× median
99203Normal range

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

$130K

1,995 claims · 1.4%

Your Cost: $65.24/claim|Median: $57.85
1.1× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$123K

11K claims · 1.3%

Your Cost: $11.22/claim|Median: $9.70
1.2× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$122K

1,292 claims · 1.3%

Your Cost: $94.43/claim|Median: $76.22
1.2× median
90471Top 10%

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

$104K

5,243 claims · 1.1%

Your Cost: $19.79/claim|Median: $9.80
2.0× median
99401Top 25%

$100K

3,698 claims · 1.1%

Your Cost: $27.01/claim|Median: $16.53
1.6× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$81K

758 claims · 0.9%

Your Cost: $107.00/claim|Median: $87.82
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$81K

3,057 claims · 0.9%

Your Cost: $26.42/claim|Median: $25.06
1.1× median
90756Normal range

Influenza virus vaccine, quadrivalent

$61K

3,375 claims · 0.6%

Your Cost: $17.94/claim|Median: $14.34
1.3× median
90746Normal range

Hepatitis B vaccine, adult

$42K

837 claims · 0.4%

Your Cost: $50.44/claim|Median: $48.85
1.0× median
J0561Top 25%

$37K

160 claims · 0.4%

Your Cost: $231.95/claim|Median: $96.49
2.4× median
99215Normal range

Office/outpatient visit, high complexity

$35K

468 claims · 0.4%

Your Cost: $74.28/claim|Median: $74.09
1.0× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$33K

3,621 claims · 0.4%

Your Cost: $9.22/claim|Median: $10.88
0.8× median
81002Normal range

Urinalysis, non-automated without microscopy

$32K

14K claims · 0.3%

Your Cost: $2.25/claim|Median: $2.00
1.1× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$27K

540 claims · 0.3%

Your Cost: $49.19/claim|Median: $40.11
1.2× median
J1071Normal range

$20K

5,753 claims · 0.2%

Your Cost: $3.54/claim|Median: $2.43
1.5× median
90732Normal range

Pneumococcal vaccine (PPSV23)

$19K

336 claims · 0.2%

Your Cost: $57.14/claim|Median: $36.96
1.5× median
99000Normal range

$17K

8,979 claims · 0.2%

Your Cost: $1.84/claim|Median: $2.30
0.8× median
0013ATop 10%

$15K

242 claims · 0.2%

Your Cost: $63.62/claim|Median: $35.38
1.8× median
82947Normal range

Blood glucose level test

$15K

7,754 claims · 0.2%

Your Cost: $1.91/claim|Median: $2.38
0.8× median
0011ATop 25%

COVID-19 vaccine admin, Moderna, 1st dose

$15K

393 claims · 0.2%

Your Cost: $37.38/claim|Median: $25.93
1.4× median
J3420Normal range

Injection, vitamin B-12 cyanocobalamin, up to one thousand mcg

$15K

11K claims · 0.2%

Your Cost: $1.37/claim|Median: $1.04
1.3× median
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