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Provider 1821185398

NPI: 1821185398Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$9.4M

$9,365,264

Total Claims

243K

Beneficiaries

218K

1.1 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-8%
2019
$1.4M
-3%
2020
$1.4M
+24%
2021
$1.8M
-23%
2022
$1.3M
-26%
2023
$1.0M
-17%
2024
$831K

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 32% of total spending.

99214Top 25%

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

$3.0M

37K claims · 31.6%

Your Cost: $80.62/claim|Median: $53.41
1.5× median
99213Top 25%

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

$1.9M

33K claims · 20.1%

Your Cost: $56.31/claim|Median: $37.81
1.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$850K

10K claims · 9.1%

Your Cost: $81.39/claim|Median: $75.18
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$754K

9,159 claims · 8.0%

Your Cost: $82.27/claim|Median: $69.35
1.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$470K

6,074 claims · 5.0%

Your Cost: $77.32/claim|Median: $74.82
1.0× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$461K

14K claims · 4.9%

Your Cost: $32.43/claim|Median: $17.85
1.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$340K

4,074 claims · 3.6%

Your Cost: $83.38/claim|Median: $80.15
1.0× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$278K

4,199 claims · 3.0%

Your Cost: $66.20/claim|Median: $65.64
1.0× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$201K

7,429 claims · 2.1%

Your Cost: $27.09/claim|Median: $28.46
1.0× median
99215Top 25%

Office/outpatient visit, high complexity

$156K

1,381 claims · 1.7%

Your Cost: $113.18/claim|Median: $74.09
1.5× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$114K

3,390 claims · 1.2%

Your Cost: $33.73/claim|Median: $57.30
0.6× median
85025Normal range

Complete blood count (CBC) with differential, automated

$114K

18K claims · 1.2%

Your Cost: $6.33/claim|Median: $4.71
1.3× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$67K

905 claims · 0.7%

Your Cost: $74.39/claim|Median: $62.48
1.2× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$57K

1,069 claims · 0.6%

Your Cost: $53.75/claim|Median: $37.22
1.4× median
71045Top 25%

Chest X-ray, single view

$54K

3,634 claims · 0.6%

Your Cost: $14.78/claim|Median: $4.93
3.0× median
99212Normal range

Office/outpatient visit, low complexity

$43K

1,364 claims · 0.5%

Your Cost: $31.85/claim|Median: $25.06
1.3× median
92551Normal range

Screening audiometry, pure tone, air only

$37K

5,059 claims · 0.4%

Your Cost: $7.27/claim|Median: $6.61
1.1× median
87801Normal range

Infectious agent detection, amplified probe, multiple organisms

$37K

791 claims · 0.4%

Your Cost: $46.25/claim|Median: $38.79
1.2× median
87634Normal range

$32K

588 claims · 0.3%

Your Cost: $53.63/claim|Median: $48.78
1.1× median
E0570Top 25%

Nebulizer, with compressor

$31K

447 claims · 0.3%

Your Cost: $69.98/claim|Median: $16.16
4.3× median
90461Normal range

Immunization admin, additional vaccine, counseling

$30K

10K claims · 0.3%

Your Cost: $2.89/claim|Median: $6.93
0.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$30K

2,250 claims · 0.3%

Your Cost: $13.14/claim|Median: $11.48
1.1× median
90471Normal range

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

$29K

2,410 claims · 0.3%

Your Cost: $11.99/claim|Median: $9.80
1.2× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$28K

1,714 claims · 0.3%

Your Cost: $16.16/claim|Median: $106.70
0.2× median
90472Normal range

Immunization administration, each additional vaccine

$27K

1,661 claims · 0.3%

Your Cost: $16.35/claim|Median: $11.79
1.4× median
99381Normal range

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

$24K

293 claims · 0.3%

Your Cost: $81.56/claim|Median: $73.46
1.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$24K

1,873 claims · 0.3%

Your Cost: $12.57/claim|Median: $12.93
1.0× median
99401Normal range

$22K

1,128 claims · 0.2%

Your Cost: $19.15/claim|Median: $16.53
1.2× median
99462Normal range

$20K

619 claims · 0.2%

Your Cost: $31.72/claim|Median: $27.49
1.2× median
87804Normal range

Influenza virus detection, rapid test

$19K

1,423 claims · 0.2%

Your Cost: $13.47/claim|Median: $12.59
1.1× median
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