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Provider 1811278716

NPI: 1811278716Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.6M

$8,557,223

Total Claims

307K

Beneficiaries

282K

1.1 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$482K
+11%
2019
$534K
+15%
2020
$616K
+136%
2021
$1.5M
+12%
2022
$1.6M
+42%
2023
$2.3M
-34%
2024
$1.5M

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 32% of total spending.

99213Normal range

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

$2.8M

52K claims · 32.5%

Your Cost: $53.08/claim|Median: $37.81
1.4× median
99203Normal range

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

$2.0M

31K claims · 23.3%

Your Cost: $64.53/claim|Median: $57.85
1.1× median
99214Normal range

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

$1.4M

20K claims · 16.0%

Your Cost: $67.28/claim|Median: $53.41
1.3× median
87426Normal range

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

$714K

28K claims · 8.3%

Your Cost: $25.48/claim|Median: $30.04
0.8× median
99204Normal range

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

$524K

5,757 claims · 6.1%

Your Cost: $91.02/claim|Median: $84.03
1.1× median
87804Normal range

Influenza virus detection, rapid test

$211K

18K claims · 2.5%

Your Cost: $11.48/claim|Median: $12.59
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$127K

12K claims · 1.5%

Your Cost: $10.73/claim|Median: $11.48
0.9× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$125K

2,479 claims · 1.5%

Your Cost: $50.31/claim|Median: $40.11
1.3× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$119K

3,093 claims · 1.4%

Your Cost: $38.60/claim|Median: $39.70
1.0× median
81025Normal range

Urine pregnancy test

$92K

17K claims · 1.1%

Your Cost: $5.37/claim|Median: $4.81
1.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$92K

12K claims · 1.1%

Your Cost: $7.51/claim|Median: $9.56
0.8× median
99058Top 25%

$48K

804 claims · 0.6%

Your Cost: $60.31/claim|Median: $15.38
3.9× median
81002Normal range

Urinalysis, non-automated without microscopy

$48K

23K claims · 0.6%

Your Cost: $2.10/claim|Median: $2.00
1.0× median
99000Normal range

$40K

30K claims · 0.5%

Your Cost: $1.36/claim|Median: $2.30
0.6× median
71046Normal range

Chest X-ray, 2 views

$31K

2,687 claims · 0.4%

Your Cost: $11.66/claim|Median: $8.92
1.3× median
73130Normal range

$21K

1,207 claims · 0.2%

Your Cost: $17.07/claim|Median: $10.69
1.6× median
16020Normal range

$18K

456 claims · 0.2%

Your Cost: $39.95/claim|Median: $52.02
0.8× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$18K

1,099 claims · 0.2%

Your Cost: $16.29/claim|Median: $12.06
1.4× median
99215Normal range

Office/outpatient visit, high complexity

$18K

190 claims · 0.2%

Your Cost: $93.46/claim|Median: $74.09
1.3× median
10060Normal range

Incision and drainage of abscess, simple

$14K

217 claims · 0.2%

Your Cost: $64.89/claim|Median: $75.72
0.9× median
99212Top 25%

Office/outpatient visit, low complexity

$13K

334 claims · 0.2%

Your Cost: $39.83/claim|Median: $25.06
1.6× median
69210Normal range

$12K

572 claims · 0.1%

Your Cost: $21.14/claim|Median: $21.74
1.0× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$12K

2,156 claims · 0.1%

Your Cost: $5.57/claim|Median: $10.88
0.5× median
73610Normal range

X-ray of ankle, complete, minimum three views

$11K

638 claims · 0.1%

Your Cost: $17.52/claim|Median: $13.55
1.3× median
J2930Normal range

$10K

2,157 claims · 0.1%

Your Cost: $4.43/claim|Median: $3.03
1.5× median
73562Normal range

$9K

450 claims · 0.1%

Your Cost: $19.59/claim|Median: $12.28
1.6× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$9K

73 claims · 0.1%

Your Cost: $118.35/claim|Median: $111.09
1.1× median
J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

$8K

5,496 claims · 0.1%

Your Cost: $1.43/claim|Median: $0.91
1.6× median
12001Normal range

$7K

150 claims · 0.1%

Your Cost: $49.56/claim|Median: $64.99
0.8× median
36415Top 25%

Collection of venous blood by venipuncture

$7K

2,054 claims · 0.1%

Your Cost: $3.21/claim|Median: $1.57
2.0× median
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