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Provider 1790827038

NPI: 1790827038Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.1M

$8,121,536

Total Claims

250K

Beneficiaries

209K

1.2 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-6%
2019
$1.5M
-23%
2020
$1.1M
+39%
2021
$1.6M
-22%
2022
$1.2M
-41%
2023
$723K
-35%
2024
$472K

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 68% of total spending.

99214Normal range

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

$5.5M

88K claims · 67.5%

Your Cost: $62.35/claim|Median: $53.41
1.2× median
97110Normal range

Therapeutic exercises, each 15 min

$593K

17K claims · 7.3%

Your Cost: $33.93/claim|Median: $24.49
1.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$397K

34K claims · 4.9%

Your Cost: $11.51/claim|Median: $11.48
1.0× median
99213Normal range

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

$243K

4,765 claims · 3.0%

Your Cost: $51.06/claim|Median: $37.81
1.4× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$161K

1,932 claims · 2.0%

Your Cost: $83.38/claim|Median: $69.35
1.2× median
87426Normal range

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

$150K

4,980 claims · 1.9%

Your Cost: $30.20/claim|Median: $30.04
1.0× median
87581Top 25%

$123K

3,417 claims · 1.5%

Your Cost: $35.99/claim|Median: $17.13
2.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$119K

1,413 claims · 1.5%

Your Cost: $83.99/claim|Median: $75.18
1.1× median
87804Normal range

Influenza virus detection, rapid test

$109K

8,819 claims · 1.3%

Your Cost: $12.37/claim|Median: $12.59
1.0× median
87428Normal range

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

$66K

3,388 claims · 0.8%

Your Cost: $19.52/claim|Median: $39.63
0.5× median
90471Normal range

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

$65K

6,586 claims · 0.8%

Your Cost: $9.91/claim|Median: $9.80
1.0× median
90472Normal range

Immunization administration, each additional vaccine

$60K

3,685 claims · 0.7%

Your Cost: $16.24/claim|Median: $11.79
1.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$59K

645 claims · 0.7%

Your Cost: $91.22/claim|Median: $80.15
1.1× median
36415Top 25%

Collection of venous blood by venipuncture

$44K

12K claims · 0.5%

Your Cost: $3.61/claim|Median: $1.57
2.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$41K

4,924 claims · 0.5%

Your Cost: $8.24/claim|Median: $9.56
0.9× median
J0558Normal range

$35K

284 claims · 0.4%

Your Cost: $124.14/claim|Median: $90.80
1.4× median
97140Normal range

Manual therapy techniques, per 15 minutes

$34K

3,435 claims · 0.4%

Your Cost: $9.87/claim|Median: $16.79
0.6× median
99309Normal range

Nursing facility care, subsequent, low complexity

$32K

1,668 claims · 0.4%

Your Cost: $19.23/claim|Median: $14.00
1.4× median
G2023Normal range

Specimen collection for COVID-19 testing

$31K

1,946 claims · 0.4%

Your Cost: $15.76/claim|Median: $17.15
0.9× median
87400Normal range

$27K

3,086 claims · 0.3%

Your Cost: $8.71/claim|Median: $8.40
1.0× median
80048Normal range

Basic metabolic panel

$26K

5,678 claims · 0.3%

Your Cost: $4.64/claim|Median: $5.78
0.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$25K

4,862 claims · 0.3%

Your Cost: $5.11/claim|Median: $4.71
1.1× median
87811Normal range

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

$22K

733 claims · 0.3%

Your Cost: $30.57/claim|Median: $30.53
1.0× median
99308Normal range

Nursing facility care, subsequent, straightforward

$20K

1,589 claims · 0.2%

Your Cost: $12.69/claim|Median: $9.79
1.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$18K

221 claims · 0.2%

Your Cost: $83.05/claim|Median: $74.82
1.1× median
82570Normal range

$15K

3,976 claims · 0.2%

Your Cost: $3.70/claim|Median: $3.18
1.2× median
99204Normal range

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

$13K

168 claims · 0.2%

Your Cost: $75.89/claim|Median: $84.03
0.9× median
81001Normal range

Urinalysis, automated, with microscopy

$9K

3,151 claims · 0.1%

Your Cost: $2.76/claim|Median: $2.03
1.4× median
80061Normal range

Lipid panel

$8K

1,162 claims · 0.1%

Your Cost: $6.80/claim|Median: $8.41
0.8× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$7K

104 claims · 0.1%

Your Cost: $69.83/claim|Median: $65.64
1.1× median
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