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Provider 1821157579

NPI: 1821157579Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.7M

$14,704,991

Total Claims

495K

Beneficiaries

400K

1.2 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$61K
-11%
2019
$54K
+555%
2020
$356K
+920%
2021
$3.6M
+14%
2022
$4.1M
-13%
2023
$3.6M
-21%
2024
$2.8M

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 35% of total spending.

99213Normal range

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

$5.2M

141K claims · 35.2%

Your Cost: $36.55/claim|Median: $37.81
1.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$1.4M

121K claims · 9.3%

Your Cost: $11.39/claim|Median: $17.85
0.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.2M

15K claims · 8.0%

Your Cost: $77.95/claim|Median: $69.35
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.1M

14K claims · 7.8%

Your Cost: $81.86/claim|Median: $75.18
1.1× median
U0003Top 25%

Infectious disease detection (COVID-19)

$1.1M

14K claims · 7.7%

Your Cost: $78.39/claim|Median: $63.08
1.2× median
99214Normal range

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

$937K

19K claims · 6.4%

Your Cost: $50.05/claim|Median: $53.41
0.9× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$920K

7,874 claims · 6.3%

Your Cost: $116.83/claim|Median: $97.61
1.2× median
99050Top 25%

$790K

29K claims · 5.4%

Your Cost: $27.25/claim|Median: $11.81
2.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$479K

5,513 claims · 3.3%

Your Cost: $86.82/claim|Median: $74.82
1.2× median
U0005Top 10%

Infectious disease detection, COVID-19, antigen

$293K

12K claims · 2.0%

Your Cost: $25.26/claim|Median: $15.76
1.6× median
99212Normal range

Office/outpatient visit, low complexity

$250K

11K claims · 1.7%

Your Cost: $21.91/claim|Median: $25.06
0.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$217K

2,346 claims · 1.5%

Your Cost: $92.33/claim|Median: $80.15
1.2× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$191K

6,392 claims · 1.3%

Your Cost: $29.89/claim|Median: $28.46
1.1× median
96110Normal range

Developmental screening, per standardized instrument

$93K

11K claims · 0.6%

Your Cost: $8.55/claim|Median: $9.10
0.9× median
90461Normal range

Immunization admin, additional vaccine, counseling

$84K

28K claims · 0.6%

Your Cost: $3.03/claim|Median: $6.93
0.4× median
87637Top 25%

Respiratory virus detection, 3-5 targets, nucleic acid

$66K

506 claims · 0.4%

Your Cost: $130.24/claim|Median: $100.62
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$59K

772 claims · 0.4%

Your Cost: $76.09/claim|Median: $74.09
1.0× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$57K

687 claims · 0.4%

Your Cost: $83.49/claim|Median: $58.55
1.4× median
99204Normal range

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

$32K

407 claims · 0.2%

Your Cost: $79.12/claim|Median: $84.03
0.9× median
90471Normal range

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

$24K

2,134 claims · 0.2%

Your Cost: $11.47/claim|Median: $9.80
1.2× median
99381Normal range

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

$18K

220 claims · 0.1%

Your Cost: $83.40/claim|Median: $73.46
1.1× median
0071ANormal range

$18K

446 claims · 0.1%

Your Cost: $40.95/claim|Median: $38.71
1.1× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$18K

551 claims · 0.1%

Your Cost: $32.89/claim|Median: $36.70
0.9× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$17K

527 claims · 0.1%

Your Cost: $31.79/claim|Median: $33.72
0.9× median
0072ANormal range

$17K

399 claims · 0.1%

Your Cost: $41.82/claim|Median: $39.57
1.1× median
92551Normal range

Screening audiometry, pure tone, air only

$12K

2,472 claims · 0.1%

Your Cost: $5.00/claim|Median: $6.61
0.8× median
95165Normal range

Professional services for allergen immunotherapy, per injection

$10K

54 claims · 0.1%

Your Cost: $182.90/claim|Median: $144.04
1.3× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$10K

349 claims · 0.1%

Your Cost: $28.06/claim|Median: $24.95
1.1× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$10K

346 claims · 0.1%

Your Cost: $28.12/claim|Median: $23.39
1.2× median
99429Normal range

$10K

559 claims · 0.1%

Your Cost: $17.11/claim|Median: $28.58
0.6× median
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