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Provider 1831249986

NPI: 1831249986Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.1M

$11,077,735

Total Claims

1.9M

Beneficiaries

1.8M

1.0 claims/patient

Avg Cost/Claim

$6

Monthly Spending Trend

Yearly Spending

2018
$270K
+23%
2019
$331K
-15%
2020
$280K
+453%
2021
$1.5M
+81%
2022
$2.8M
-4%
2023
$2.7M
+16%
2024
$3.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99199 (Unlisted special service, procedure, or report)) accounts for 80% of total spending.

99199Normal range

Unlisted special service, procedure, or report

$8.9M

1.8M claims · 80.0%

Your Cost: $4.94/claim|Median: $5.39
0.9× median
99214Top 10%

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

$398K

3,918 claims · 3.6%

Your Cost: $101.53/claim|Median: $53.41
1.9× median
90471Normal range

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

$218K

17K claims · 2.0%

Your Cost: $12.82/claim|Median: $9.80
1.3× median
90472Top 25%

Immunization administration, each additional vaccine

$201K

9,092 claims · 1.8%

Your Cost: $22.12/claim|Median: $11.79
1.9× median
99213Top 25%

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

$179K

2,543 claims · 1.6%

Your Cost: $70.24/claim|Median: $37.81
1.9× median
99211Top 25%

Office/outpatient visit, minimal complexity

$147K

5,304 claims · 1.3%

Your Cost: $27.65/claim|Median: $12.93
2.1× median
T1002Normal range

RN services, per 15 minutes

$135K

3,325 claims · 1.2%

Your Cost: $40.49/claim|Median: $37.42
1.1× median
90716Top 5%

$68K

1,427 claims · 0.6%

Your Cost: $47.40/claim|Median: $6.18
7.7× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$62K

526 claims · 0.6%

Your Cost: $118.38/claim|Median: $72.71
1.6× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$59K

2,264 claims · 0.5%

Your Cost: $26.14/claim|Median: $24.95
1.0× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$55K

2,265 claims · 0.5%

Your Cost: $24.28/claim|Median: $23.39
1.0× median
99212Top 25%

Office/outpatient visit, low complexity

$46K

958 claims · 0.4%

Your Cost: $48.19/claim|Median: $25.06
1.9× median
99401Normal range

$41K

2,031 claims · 0.4%

Your Cost: $20.22/claim|Median: $16.53
1.2× median
99203Top 10%

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

$41K

380 claims · 0.4%

Your Cost: $107.83/claim|Median: $57.85
1.9× median
0001ATop 10%

COVID-19 vaccine admin, Pfizer, 1st dose

$36K

712 claims · 0.3%

Your Cost: $50.47/claim|Median: $33.72
1.5× median
87210Normal range

$33K

7,542 claims · 0.3%

Your Cost: $4.42/claim|Median: $3.65
1.2× median
81025Top 25%

Urine pregnancy test

$32K

4,492 claims · 0.3%

Your Cost: $7.12/claim|Median: $4.81
1.5× median
36415Top 25%

Collection of venous blood by venipuncture

$31K

11K claims · 0.3%

Your Cost: $2.74/claim|Median: $1.57
1.7× median
0002ATop 10%

COVID-19 vaccine admin, Pfizer, 2nd dose

$30K

583 claims · 0.3%

Your Cost: $51.56/claim|Median: $36.70
1.4× median
90715Normal range

Tdap vaccine

$29K

3,636 claims · 0.3%

Your Cost: $7.93/claim|Median: $10.32
0.8× median
90734Normal range

$23K

4,676 claims · 0.2%

Your Cost: $4.85/claim|Median: $6.40
0.8× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$23K

4,171 claims · 0.2%

Your Cost: $5.42/claim|Median: $3.67
1.5× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$20K

1,040 claims · 0.2%

Your Cost: $19.13/claim|Median: $21.08
0.9× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$20K

993 claims · 0.2%

Your Cost: $19.89/claim|Median: $9.56
2.1× median
90707Top 10%

MMR vaccine

$20K

864 claims · 0.2%

Your Cost: $22.77/claim|Median: $5.76
4.0× median
99501Normal range

$18K

376 claims · 0.2%

Your Cost: $49.03/claim|Median: $76.03
0.6× median
99204Top 5%

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

$17K

106 claims · 0.2%

Your Cost: $163.49/claim|Median: $84.03
1.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$16K

420 claims · 0.1%

Your Cost: $38.17/claim|Median: $39.70
1.0× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$14K

321 claims · 0.1%

Your Cost: $44.88/claim|Median: $33.85
1.3× median
99502Normal range

$14K

244 claims · 0.1%

Your Cost: $58.03/claim|Median: $59.00
1.0× median
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