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Provider 1801851431

NPI: 1801851431Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.5M

$11,488,150

Total Claims

362K

Beneficiaries

350K

1.0 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+0%
2019
$1.5M
-31%
2020
$1.0M
+86%
2021
$1.9M
+4%
2022
$2.0M
-3%
2023
$2.0M
-20%
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 43% of total spending.

99213Top 25%

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

$4.9M

74K claims · 42.6%

Your Cost: $66.22/claim|Median: $37.81
1.8× median
99214Top 25%

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

$1.2M

12K claims · 10.3%

Your Cost: $98.92/claim|Median: $53.41
1.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$905K

21K claims · 7.9%

Your Cost: $42.30/claim|Median: $39.70
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$541K

8,720 claims · 4.7%

Your Cost: $61.99/claim|Median: $75.18
0.8× median
87804Top 25%

Influenza virus detection, rapid test

$490K

24K claims · 4.3%

Your Cost: $20.66/claim|Median: $12.59
1.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$490K

8,022 claims · 4.3%

Your Cost: $61.10/claim|Median: $69.35
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$430K

6,745 claims · 3.7%

Your Cost: $63.77/claim|Median: $74.82
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$354K

27K claims · 3.1%

Your Cost: $12.89/claim|Median: $11.48
1.1× median
87070Top 25%

Bacterial culture, any source except blood or urine

$236K

23K claims · 2.1%

Your Cost: $10.14/claim|Median: $5.89
1.7× median
G2023Normal range

Specimen collection for COVID-19 testing

$201K

14K claims · 1.8%

Your Cost: $14.84/claim|Median: $17.15
0.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$177K

2,883 claims · 1.5%

Your Cost: $61.53/claim|Median: $80.15
0.8× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$126K

5,506 claims · 1.1%

Your Cost: $22.96/claim|Median: $28.46
0.8× median
90670Top 10%

$120K

4,911 claims · 1.0%

Your Cost: $24.34/claim|Median: $5.94
4.1× median
90648Top 5%

$116K

6,117 claims · 1.0%

Your Cost: $18.89/claim|Median: $4.08
4.6× median
90723Top 25%

DTaP-HepB-IPV vaccine

$83K

4,182 claims · 0.7%

Your Cost: $19.84/claim|Median: $5.78
3.4× median
92551Normal range

Screening audiometry, pure tone, air only

$80K

12K claims · 0.7%

Your Cost: $6.43/claim|Median: $6.61
1.0× median
90680Top 10%

$72K

3,604 claims · 0.6%

Your Cost: $19.88/claim|Median: $5.58
3.6× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$71K

7,807 claims · 0.6%

Your Cost: $9.12/claim|Median: $4.71
1.9× median
90686Top 10%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$67K

3,505 claims · 0.6%

Your Cost: $19.02/claim|Median: $7.18
2.6× median
90460Top 1%

Immunization administration, first vaccine/toxoid, with counseling

$59K

703 claims · 0.5%

Your Cost: $84.32/claim|Median: $17.85
4.7× median
90716Top 25%

$55K

2,506 claims · 0.5%

Your Cost: $21.88/claim|Median: $6.18
3.5× median
99173Top 25%

$54K

13K claims · 0.5%

Your Cost: $4.30/claim|Median: $2.16
2.0× median
80061Top 25%

Lipid panel

$51K

3,847 claims · 0.4%

Your Cost: $13.34/claim|Median: $8.41
1.6× median
90707Top 25%

MMR vaccine

$51K

2,460 claims · 0.4%

Your Cost: $20.57/claim|Median: $5.76
3.6× median
90633Top 10%

$49K

2,521 claims · 0.4%

Your Cost: $19.39/claim|Median: $3.56
5.4× median
85013Normal range

$46K

16K claims · 0.4%

Your Cost: $2.86/claim|Median: $2.44
1.2× median
83036Top 10%

Hemoglobin A1c (glycated hemoglobin)

$46K

4,143 claims · 0.4%

Your Cost: $11.16/claim|Median: $5.50
2.0× median
87807Normal range

$42K

3,910 claims · 0.4%

Your Cost: $10.62/claim|Median: $10.06
1.1× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$38K

187 claims · 0.3%

Your Cost: $203.85/claim|Median: $169.17
1.2× median
99212Top 25%

Office/outpatient visit, low complexity

$36K

918 claims · 0.3%

Your Cost: $39.14/claim|Median: $25.06
1.6× median
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