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Provider 1811957442

NPI: 1811957442Share
Active Billing Period:2018-01→2021-12(48 months)
Billing appears to have stoppedLast active: 2021-12

Total Paid

$11.2M

$11,156,461

Total Claims

192K

Beneficiaries

186K

1.0 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$3.2M
+1%
2019
$3.2M
-23%
2020
$2.5M
-7%
2021
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 63% of total spending.

99214Top 25%

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

$7.0M

90K claims · 62.7%

Your Cost: $77.68/claim|Median: $53.41
1.5× median
99203Normal range

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

$1.8M

25K claims · 16.5%

Your Cost: $73.96/claim|Median: $57.85
1.3× median
99204Normal range

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

$1.0M

14K claims · 9.4%

Your Cost: $76.28/claim|Median: $84.03
0.9× median
99213Top 10%

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

$812K

11K claims · 7.3%

Your Cost: $75.48/claim|Median: $37.81
2.0× median
99212Top 10%

Office/outpatient visit, low complexity

$247K

3,109 claims · 2.2%

Your Cost: $79.50/claim|Median: $25.06
3.2× median
S9083Normal range

Global fee, urgent care centers

$123K

1,431 claims · 1.1%

Your Cost: $86.25/claim|Median: $103.99
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$21K

264 claims · 0.2%

Your Cost: $79.06/claim|Median: $74.09
1.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$18K

13K claims · 0.2%

Your Cost: $1.38/claim|Median: $11.48
0.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$13K

4,241 claims · 0.1%

Your Cost: $3.15/claim|Median: $9.56
0.3× median
81003Normal range

Urinalysis, automated without microscopy

$9K

12K claims · 0.1%

Your Cost: $0.77/claim|Median: $1.48
0.5× median
87804Normal range

Influenza virus detection, rapid test

$9K

5,413 claims · 0.1%

Your Cost: $1.65/claim|Median: $12.59
0.1× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$7K

92 claims · 0.1%

Your Cost: $77.66/claim|Median: $40.11
1.9× median
99051Normal range

$2K

11K claims · 0.0%

Your Cost: $0.18/claim|Median: $7.89
0.0× median
81025Normal range

Urine pregnancy test

$721

941 claims · 0.0%

Your Cost: $0.77/claim|Median: $4.81
0.2× median
J0696Normal range

$183

141 claims · 0.0%

Your Cost: $1.30/claim|Median: $1.34
1.0× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$182

172 claims · 0.0%

Your Cost: $1.06/claim|Median: $10.88
0.1× median
J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

$41

279 claims · 0.0%

Your Cost: $0.15/claim|Median: $0.91
0.2× median
J1100Normal range

$9

190 claims · 0.0%

Your Cost: $0.05/claim|Median: $0.52
0.1× median
36415Normal range

Collection of venous blood by venipuncture

$2

15 claims · 0.0%

Your Cost: $0.15/claim|Median: $1.57
0.1× median
A6454Normal range

$1

80 claims · 0.0%

Your Cost: $0.01/claim|Median: $15.74
0.0× median
J7645Normal range

$0

13 claims · 0.0%

Your Cost: $0.04/claim|Median: $2.01
0.0× median
J7620Normal range

$0

39 claims · 0.0%

Your Cost: $0.01/claim|Median: $0.14
0.1× median
J7613Normal range

Albuterol inhalation solution, concentrated, per milligram

$0

50 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.08
0.0× median
99000Normal range

$0

484 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.30
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