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Provider 1811023989

NPI: 1811023989Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.1M

$13,117,538

Total Claims

376K

Beneficiaries

343K

1.1 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+11%
2019
$1.8M
-17%
2020
$1.5M
+16%
2021
$1.8M
+8%
2022
$1.9M
+21%
2023
$2.3M
-7%
2024
$2.1M

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 34% of total spending.

99213Normal range

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

$4.5M

90K claims · 34.4%

Your Cost: $50.12/claim|Median: $37.81
1.3× median
90460Top 5%

Immunization administration, first vaccine/toxoid, with counseling

$1.2M

26K claims · 9.5%

Your Cost: $48.04/claim|Median: $17.85
2.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.1M

14K claims · 8.5%

Your Cost: $81.65/claim|Median: $75.18
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$953K

12K claims · 7.3%

Your Cost: $81.64/claim|Median: $74.82
1.1× median
96110Top 25%

Developmental screening, per standardized instrument

$778K

34K claims · 5.9%

Your Cost: $22.93/claim|Median: $9.10
2.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$760K

10K claims · 5.8%

Your Cost: $74.24/claim|Median: $69.35
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$703K

22K claims · 5.4%

Your Cost: $31.45/claim|Median: $25.06
1.3× median
92552Top 25%

Pure tone audiometry, air only, each ear

$600K

28K claims · 4.6%

Your Cost: $21.82/claim|Median: $12.63
1.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$526K

5,889 claims · 4.0%

Your Cost: $89.38/claim|Median: $80.15
1.1× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$409K

14K claims · 3.1%

Your Cost: $30.25/claim|Median: $28.46
1.1× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$408K

5,545 claims · 3.1%

Your Cost: $73.53/claim|Median: $65.64
1.1× median
99214Normal range

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

$282K

3,765 claims · 2.1%

Your Cost: $74.82/claim|Median: $53.41
1.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$252K

5,224 claims · 1.9%

Your Cost: $48.19/claim|Median: $39.70
1.2× median
99177Normal range

$89K

26K claims · 0.7%

Your Cost: $3.49/claim|Median: $3.74
0.9× median
87428Top 25%

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

$63K

1,027 claims · 0.5%

Your Cost: $61.03/claim|Median: $39.63
1.5× median
90471Top 25%

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

$59K

3,711 claims · 0.5%

Your Cost: $15.93/claim|Median: $9.80
1.6× median
87804Normal range

Influenza virus detection, rapid test

$48K

4,301 claims · 0.4%

Your Cost: $11.13/claim|Median: $12.59
0.9× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$40K

8,590 claims · 0.3%

Your Cost: $4.69/claim|Median: $3.67
1.3× median
96160Top 25%

Patient-focused health risk assessment

$38K

8,362 claims · 0.3%

Your Cost: $4.59/claim|Median: $2.10
2.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$34K

3,157 claims · 0.3%

Your Cost: $10.91/claim|Median: $11.48
1.0× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$32K

386 claims · 0.2%

Your Cost: $82.61/claim|Median: $73.46
1.1× median
92015Top 10%

Determination of refractive state

$20K

838 claims · 0.2%

Your Cost: $24.07/claim|Median: $10.36
2.3× median
83655Normal range

$15K

1,339 claims · 0.1%

Your Cost: $11.56/claim|Median: $10.49
1.1× median
87807Normal range

$13K

1,339 claims · 0.1%

Your Cost: $9.78/claim|Median: $10.06
1.0× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$11K

125 claims · 0.1%

Your Cost: $86.26/claim|Median: $81.92
1.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$10K

675 claims · 0.1%

Your Cost: $14.12/claim|Median: $12.93
1.1× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$8K

463 claims · 0.1%

Your Cost: $18.32/claim|Median: $9.56
1.9× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$7K

518 claims · 0.1%

Your Cost: $14.37/claim|Median: $12.70
1.1× median
90472Normal range

Immunization administration, each additional vaccine

$7K

438 claims · 0.1%

Your Cost: $16.93/claim|Median: $11.79
1.4× median
99203Normal range

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

$7K

116 claims · 0.1%

Your Cost: $63.84/claim|Median: $57.85
1.1× median
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