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Provider 1790930618

NPI: 1790930618Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$13.4M

$13,367,776

Total Claims

440K

Beneficiaries

331K

1.3 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$1.8M
-13%
2019
$1.5M
+26%
2020
$1.9M
+10%
2021
$2.1M
-2%
2022
$2.1M
+9%
2023
$2.3M
-31%
2024
$1.6M

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 64% of total spending.

99213Top 25%

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

$8.6M

132K claims · 64.4%

Your Cost: $65.15/claim|Median: $37.81
1.7× median
99401Normal range

$1.5M

73K claims · 11.4%

Your Cost: $20.82/claim|Median: $16.53
1.3× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$699K

7,137 claims · 5.2%

Your Cost: $97.97/claim|Median: $76.06
1.3× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$492K

5,363 claims · 3.7%

Your Cost: $91.65/claim|Median: $72.71
1.3× median
94729Top 25%

$333K

9,315 claims · 2.5%

Your Cost: $35.78/claim|Median: $12.24
2.9× median
94727Normal range

$261K

9,463 claims · 2.0%

Your Cost: $27.60/claim|Median: $14.31
1.9× median
94010Top 25%

$246K

9,523 claims · 1.8%

Your Cost: $25.81/claim|Median: $18.11
1.4× median
99203Top 25%

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

$226K

2,541 claims · 1.7%

Your Cost: $88.82/claim|Median: $57.85
1.5× median
99214Top 10%

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

$187K

1,873 claims · 1.4%

Your Cost: $100.04/claim|Median: $53.41
1.9× median
93923Normal range

$140K

2,328 claims · 1.1%

Your Cost: $60.32/claim|Median: $38.08
1.6× median
99212Top 25%

Office/outpatient visit, low complexity

$126K

3,194 claims · 0.9%

Your Cost: $39.33/claim|Median: $25.06
1.6× median
G0444Normal range

Annual depression screening, fifteen minutes

$65K

6,960 claims · 0.5%

Your Cost: $9.39/claim|Median: $4.23
2.2× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$60K

4,501 claims · 0.4%

Your Cost: $13.26/claim|Median: $9.70
1.4× median
G0442Normal range

$57K

4,770 claims · 0.4%

Your Cost: $12.02/claim|Median: $4.91
2.4× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$52K

4,090 claims · 0.4%

Your Cost: $12.59/claim|Median: $9.56
1.3× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$46K

307 claims · 0.3%

Your Cost: $151.31/claim|Median: $54.68
2.8× median
87426Normal range

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

$46K

2,018 claims · 0.3%

Your Cost: $23.01/claim|Median: $30.04
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$29K

353 claims · 0.2%

Your Cost: $82.67/claim|Median: $80.15
1.0× median
36415Normal range

Collection of venous blood by venipuncture

$22K

32K claims · 0.2%

Your Cost: $0.69/claim|Median: $1.57
0.4× median
93922Normal range

$16K

396 claims · 0.1%

Your Cost: $39.16/claim|Median: $26.06
1.5× median
90471Normal range

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

$15K

1,128 claims · 0.1%

Your Cost: $13.17/claim|Median: $9.80
1.3× median
99408Normal range

$14K

1,165 claims · 0.1%

Your Cost: $12.38/claim|Median: $9.32
1.3× median
1111FNormal range

$14K

18K claims · 0.1%

Your Cost: $0.76/claim|Median: $0.08
9.5× median
90688Top 10%

$10K

541 claims · 0.1%

Your Cost: $18.57/claim|Median: $9.00
2.1× median
99407Normal range

$9K

468 claims · 0.1%

Your Cost: $18.48/claim|Median: $13.29
1.4× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$8K

86 claims · 0.1%

Your Cost: $96.37/claim|Median: $76.22
1.3× median
90658Top 25%

$8K

487 claims · 0.1%

Your Cost: $16.23/claim|Median: $8.96
1.8× median
J3420Normal range

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

$5K

3,950 claims · 0.0%

Your Cost: $1.30/claim|Median: $1.04
1.2× median
99397Top 10%

$5K

48 claims · 0.0%

Your Cost: $96.81/claim|Median: $22.92
4.2× median
81002Normal range

Urinalysis, non-automated without microscopy

$5K

2,666 claims · 0.0%

Your Cost: $1.71/claim|Median: $2.00
0.9× median
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