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Provider 1811279136

NPI: 1811279136Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$12.2M

$12,161,623

Total Claims

157K

Beneficiaries

136K

1.2 claims/patient

Avg Cost/Claim

$77

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+18%
2019
$2.3M
-6%
2020
$2.2M
+4%
2021
$2.3M
-9%
2022
$2.1M
-51%
2023
$1.0M
-70%
2024
$299K

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 43% of total spending.

99214Top 5%

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

$5.2M

36K claims · 42.8%

Your Cost: $146.51/claim|Median: $53.41
2.7× median
99213Top 5%

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

$4.9M

34K claims · 40.6%

Your Cost: $144.77/claim|Median: $37.81
3.8× median
D0999Top 25%

Unspecified diagnostic procedure, by report

$747K

2,923 claims · 6.1%

Your Cost: $255.57/claim|Median: $101.33
2.5× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$345K

6,716 claims · 2.8%

Your Cost: $51.35/claim|Median: $53.97
1.0× median
99212Top 5%

Office/outpatient visit, low complexity

$311K

1,730 claims · 2.6%

Your Cost: $179.65/claim|Median: $25.06
7.2× median
H0002Normal range

Behavioral health screening

$209K

4,049 claims · 1.7%

Your Cost: $51.62/claim|Median: $38.77
1.3× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$47K

247 claims · 0.4%

Your Cost: $191.30/claim|Median: $40.11
4.8× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$42K

298 claims · 0.3%

Your Cost: $142.13/claim|Median: $74.82
1.9× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$29K

764 claims · 0.2%

Your Cost: $38.28/claim|Median: $33.72
1.1× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$27K

661 claims · 0.2%

Your Cost: $40.69/claim|Median: $36.70
1.1× median
36415Normal range

Collection of venous blood by venipuncture

$19K

12K claims · 0.2%

Your Cost: $1.65/claim|Median: $1.57
1.1× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$18K

723 claims · 0.2%

Your Cost: $25.59/claim|Median: $108.91
0.2× median
99203Top 5%

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

$17K

92 claims · 0.1%

Your Cost: $179.87/claim|Median: $57.85
3.1× median
90471Normal range

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

$16K

7,530 claims · 0.1%

Your Cost: $2.16/claim|Median: $9.80
0.2× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$15K

425 claims · 0.1%

Your Cost: $36.07/claim|Median: $33.85
1.1× median
D1206Normal range

Topical application of fluoride varnish

$15K

2,840 claims · 0.1%

Your Cost: $5.12/claim|Median: $18.12
0.3× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$14K

425 claims · 0.1%

Your Cost: $33.77/claim|Median: $25.93
1.3× median
H1005Top 10%

$14K

26 claims · 0.1%

Your Cost: $526.97/claim|Median: $326.47
1.6× median
0072ATop 25%

$13K

263 claims · 0.1%

Your Cost: $48.36/claim|Median: $39.57
1.2× median
G8510Normal range

$12K

9,973 claims · 0.1%

Your Cost: $1.24/claim|Median: $1.96
0.6× median
0071ATop 25%

$12K

285 claims · 0.1%

Your Cost: $43.19/claim|Median: $38.71
1.1× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$12K

67 claims · 0.1%

Your Cost: $177.37/claim|Median: $69.35
2.6× median
99000Normal range

$9K

14K claims · 0.1%

Your Cost: $0.64/claim|Median: $2.30
0.3× median
0124ATop 10%

$8K

145 claims · 0.1%

Your Cost: $56.68/claim|Median: $34.32
1.7× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$7K

61 claims · 0.1%

Your Cost: $122.85/claim|Median: $80.15
1.5× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$7K

61 claims · 0.1%

Your Cost: $117.36/claim|Median: $75.18
1.6× median
99211Top 1%

Office/outpatient visit, minimal complexity

$7K

33 claims · 0.1%

Your Cost: $216.52/claim|Median: $12.93
16.7× median
0054ATop 25%

$7K

147 claims · 0.1%

Your Cost: $45.10/claim|Median: $35.83
1.3× median
0064ANormal range

$7K

190 claims · 0.1%

Your Cost: $34.44/claim|Median: $34.17
1.0× median
87428Normal range

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

$6K

711 claims · 0.0%

Your Cost: $7.79/claim|Median: $39.63
0.2× median
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