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Provider 1821454505

NPI: 1821454505Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$13.2M

$13,238,467

Total Claims

419K

Beneficiaries

366K

1.1 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+35%
2019
$1.8M
-27%
2020
$1.3M
+1%
2021
$1.3M
-4%
2022
$1.3M
+127%
2023
$2.9M
+16%
2024
$3.3M

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 60% of total spending.

99214Normal range

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

$8.0M

144K claims · 60.3%

Your Cost: $55.57/claim|Median: $53.41
1.0× median
99213Normal range

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

$1.1M

28K claims · 8.3%

Your Cost: $39.98/claim|Median: $37.81
1.1× median
99401Top 25%

$706K

28K claims · 5.3%

Your Cost: $25.65/claim|Median: $16.53
1.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$410K

9,147 claims · 3.1%

Your Cost: $44.86/claim|Median: $35.43
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$248K

4,184 claims · 1.9%

Your Cost: $59.32/claim|Median: $74.09
0.8× median
99457Top 25%

$229K

9,241 claims · 1.7%

Your Cost: $24.73/claim|Median: $6.05
4.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$210K

2,720 claims · 1.6%

Your Cost: $77.18/claim|Median: $76.06
1.0× median
95923Top 25%

$210K

2,654 claims · 1.6%

Your Cost: $79.01/claim|Median: $44.24
1.8× median
99204Normal range

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

$197K

2,821 claims · 1.5%

Your Cost: $69.90/claim|Median: $84.03
0.8× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$156K

43K claims · 1.2%

Your Cost: $3.58/claim|Median: $3.67
1.0× median
94060Normal range

$153K

4,166 claims · 1.2%

Your Cost: $36.71/claim|Median: $25.18
1.5× median
95921Top 25%

$145K

2,662 claims · 1.1%

Your Cost: $54.64/claim|Median: $31.18
1.8× median
99454Top 25%

$111K

4,396 claims · 0.8%

Your Cost: $25.35/claim|Median: $9.15
2.8× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$104K

10K claims · 0.8%

Your Cost: $10.36/claim|Median: $9.70
1.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$90K

1,184 claims · 0.7%

Your Cost: $75.88/claim|Median: $72.71
1.0× median
99458Normal range

$87K

5,587 claims · 0.7%

Your Cost: $15.61/claim|Median: $6.87
2.3× median
93922Normal range

$73K

1,542 claims · 0.6%

Your Cost: $47.50/claim|Median: $26.06
1.8× median
99493Normal range

$66K

1,098 claims · 0.5%

Your Cost: $59.90/claim|Median: $73.13
0.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$61K

4,562 claims · 0.5%

Your Cost: $13.38/claim|Median: $9.56
1.4× median
94200Top 25%

$58K

3,790 claims · 0.4%

Your Cost: $15.39/claim|Median: $7.93
1.9× median
94690Normal range

$53K

1,606 claims · 0.4%

Your Cost: $32.71/claim|Median: $25.67
1.3× median
93880Top 25%

Duplex ultrasound scan of carotid arteries, bilateral

$49K

470 claims · 0.4%

Your Cost: $105.17/claim|Median: $49.03
2.1× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$48K

606 claims · 0.4%

Your Cost: $78.42/claim|Median: $76.22
1.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$46K

633 claims · 0.4%

Your Cost: $73.24/claim|Median: $111.09
0.7× median
90460Top 5%

Immunization administration, first vaccine/toxoid, with counseling

$41K

855 claims · 0.3%

Your Cost: $48.21/claim|Median: $17.85
2.7× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$35K

463 claims · 0.3%

Your Cost: $75.56/claim|Median: $54.68
1.4× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$34K

325 claims · 0.3%

Your Cost: $103.84/claim|Median: $108.91
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$33K

407 claims · 0.2%

Your Cost: $80.67/claim|Median: $69.35
1.2× median
36415Normal range

Collection of venous blood by venipuncture

$32K

16K claims · 0.2%

Your Cost: $2.05/claim|Median: $1.57
1.3× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$30K

1,004 claims · 0.2%

Your Cost: $29.56/claim|Median: $30.53
1.0× median
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