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Provider 1801073176

NPI: 1801073176Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.6M

$7,605,548

Total Claims

296K

Beneficiaries

156K

1.9 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$863K
+5%
2019
$906K
+10%
2020
$1.0M
+0%
2021
$1.0M
+35%
2022
$1.4M
-5%
2023
$1.3M
-7%
2024
$1.2M

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 33% of total spending.

99214Normal range

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

$2.5M

34K claims · 33.1%

Your Cost: $75.21/claim|Median: $53.41
1.4× median
99213Normal range

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

$1.4M

31K claims · 18.1%

Your Cost: $44.66/claim|Median: $37.81
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$495K

5,897 claims · 6.5%

Your Cost: $83.98/claim|Median: $75.18
1.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$407K

38K claims · 5.4%

Your Cost: $10.77/claim|Median: $17.85
0.6× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$369K

4,021 claims · 4.9%

Your Cost: $91.81/claim|Median: $74.82
1.2× median
87637Top 25%

Respiratory virus detection, 3-5 targets, nucleic acid

$364K

2,835 claims · 4.8%

Your Cost: $128.52/claim|Median: $100.62
1.3× median
96160Top 10%

Patient-focused health risk assessment

$282K

17K claims · 3.7%

Your Cost: $16.20/claim|Median: $2.10
7.7× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$257K

2,662 claims · 3.4%

Your Cost: $96.50/claim|Median: $80.15
1.2× median
99215Top 25%

Office/outpatient visit, high complexity

$230K

1,882 claims · 3.0%

Your Cost: $122.43/claim|Median: $74.09
1.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$227K

3,123 claims · 3.0%

Your Cost: $72.59/claim|Median: $69.35
1.0× median
96110Normal range

Developmental screening, per standardized instrument

$194K

14K claims · 2.5%

Your Cost: $13.62/claim|Median: $9.10
1.5× median
99174Top 25%

$165K

13K claims · 2.2%

Your Cost: $12.22/claim|Median: $5.27
2.3× median
96127Top 10%

Brief emotional/behavioral assessment, per standardized instrument

$147K

9,699 claims · 1.9%

Your Cost: $15.14/claim|Median: $3.67
4.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$96K

2,045 claims · 1.3%

Your Cost: $46.88/claim|Median: $39.70
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$82K

2,410 claims · 1.1%

Your Cost: $34.22/claim|Median: $25.06
1.4× median
99188Normal range

$61K

5,349 claims · 0.8%

Your Cost: $11.48/claim|Median: $12.80
0.9× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$52K

1,702 claims · 0.7%

Your Cost: $30.73/claim|Median: $28.46
1.1× median
92551Normal range

Screening audiometry, pure tone, air only

$40K

9,843 claims · 0.5%

Your Cost: $4.08/claim|Median: $6.61
0.6× median
87804Normal range

Influenza virus detection, rapid test

$26K

5,485 claims · 0.3%

Your Cost: $4.75/claim|Median: $12.59
0.4× median
92587Normal range

$22K

1,462 claims · 0.3%

Your Cost: $14.98/claim|Median: $19.24
0.8× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$22K

1,095 claims · 0.3%

Your Cost: $19.72/claim|Median: $57.30
0.3× median
94664Normal range

$19K

4,307 claims · 0.2%

Your Cost: $4.34/claim|Median: $8.88
0.5× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$19K

16K claims · 0.2%

Your Cost: $1.17/claim|Median: $0.79
1.5× median
99070Normal range

$17K

1,736 claims · 0.2%

Your Cost: $9.60/claim|Median: $8.08
1.2× median
99204Normal range

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

$16K

156 claims · 0.2%

Your Cost: $104.26/claim|Median: $84.03
1.2× median
96161Top 10%

$16K

1,654 claims · 0.2%

Your Cost: $9.57/claim|Median: $2.49
3.8× median
G8510Top 5%

$15K

827 claims · 0.2%

Your Cost: $18.59/claim|Median: $1.96
9.5× median
D1206Normal range

Topical application of fluoride varnish

$15K

1,045 claims · 0.2%

Your Cost: $14.07/claim|Median: $18.12
0.8× median
87430Normal range

$12K

2,992 claims · 0.2%

Your Cost: $4.07/claim|Median: $9.41
0.4× median
69210Normal range

$8K

929 claims · 0.1%

Your Cost: $8.88/claim|Median: $21.74
0.4× median
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