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Provider 1821422007

NPI: 1821422007Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$14.5M

$14,491,380

Total Claims

383K

Beneficiaries

368K

1.0 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+14%
2019
$1.6M
-19%
2020
$1.3M
+57%
2021
$2.0M
+35%
2022
$2.7M
+13%
2023
$3.0M
-14%
2024
$2.6M

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 40% of total spending.

99213Normal range

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

$5.8M

119K claims · 39.9%

Your Cost: $48.57/claim|Median: $37.81
1.3× median
99214Normal range

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

$4.0M

65K claims · 27.7%

Your Cost: $62.14/claim|Median: $53.41
1.2× median
99203Normal range

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

$2.4M

40K claims · 16.6%

Your Cost: $60.22/claim|Median: $57.85
1.0× median
99204Normal range

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

$417K

4,595 claims · 2.9%

Your Cost: $90.85/claim|Median: $84.03
1.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$397K

30K claims · 2.7%

Your Cost: $13.01/claim|Median: $11.48
1.1× median
87428Normal range

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

$228K

6,330 claims · 1.6%

Your Cost: $36.06/claim|Median: $39.63
0.9× median
87426Normal range

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

$228K

7,981 claims · 1.6%

Your Cost: $28.55/claim|Median: $30.04
1.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$176K

4,401 claims · 1.2%

Your Cost: $40.07/claim|Median: $40.11
1.0× median
12001Normal range

$91K

1,775 claims · 0.6%

Your Cost: $51.19/claim|Median: $64.99
0.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$83K

9,893 claims · 0.6%

Your Cost: $8.40/claim|Median: $9.56
0.9× median
87804Normal range

Influenza virus detection, rapid test

$77K

4,745 claims · 0.5%

Your Cost: $16.25/claim|Median: $12.59
1.3× median
81025Top 25%

Urine pregnancy test

$74K

11K claims · 0.5%

Your Cost: $6.70/claim|Median: $4.81
1.4× median
99212Normal range

Office/outpatient visit, low complexity

$57K

1,984 claims · 0.4%

Your Cost: $28.81/claim|Median: $25.06
1.1× median
10060Normal range

Incision and drainage of abscess, simple

$48K

726 claims · 0.3%

Your Cost: $66.49/claim|Median: $75.72
0.9× median
81003Normal range

Urinalysis, automated without microscopy

$46K

26K claims · 0.3%

Your Cost: $1.73/claim|Median: $1.48
1.2× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$39K

5,431 claims · 0.3%

Your Cost: $7.23/claim|Median: $10.88
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$39K

435 claims · 0.3%

Your Cost: $89.12/claim|Median: $74.09
1.2× median
71046Normal range

Chest X-ray, 2 views

$35K

3,178 claims · 0.2%

Your Cost: $11.17/claim|Median: $8.92
1.3× median
90471Normal range

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

$28K

2,705 claims · 0.2%

Your Cost: $10.51/claim|Median: $9.80
1.1× median
12011Normal range

$21K

335 claims · 0.1%

Your Cost: $63.47/claim|Median: $67.02
0.9× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$20K

5,398 claims · 0.1%

Your Cost: $3.73/claim|Median: $7.50
0.5× median
90715Top 25%

Tdap vaccine

$20K

684 claims · 0.1%

Your Cost: $28.82/claim|Median: $10.32
2.8× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$17K

1,257 claims · 0.1%

Your Cost: $13.23/claim|Median: $12.06
1.1× median
73610Normal range

X-ray of ankle, complete, minimum three views

$16K

1,142 claims · 0.1%

Your Cost: $14.18/claim|Median: $13.55
1.0× median
69209Normal range

$14K

1,440 claims · 0.1%

Your Cost: $9.71/claim|Median: $8.70
1.1× median
73130Normal range

$11K

770 claims · 0.1%

Your Cost: $14.34/claim|Median: $10.69
1.3× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$8K

454 claims · 0.1%

Your Cost: $18.22/claim|Median: $7.18
2.5× median
82947Normal range

Blood glucose level test

$8K

3,121 claims · 0.1%

Your Cost: $2.50/claim|Median: $2.38
1.1× median
73140Normal range

$8K

453 claims · 0.1%

Your Cost: $16.59/claim|Median: $11.18
1.5× median
36415Top 25%

Collection of venous blood by venipuncture

$7K

1,619 claims · 0.1%

Your Cost: $4.50/claim|Median: $1.57
2.9× median