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Provider 1831387117

NPI: 1831387117Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.8M

$13,815,159

Total Claims

452K

Beneficiaries

365K

1.2 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+34%
2019
$1.3M
+64%
2020
$2.2M
+15%
2021
$2.5M
-8%
2022
$2.3M
+7%
2023
$2.5M
-23%
2024
$1.9M

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 28% of total spending.

99213Normal range

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

$3.8M

132K claims · 27.8%

Your Cost: $29.10/claim|Median: $37.81
0.8× median
99214Normal range

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

$3.6M

84K claims · 26.3%

Your Cost: $43.15/claim|Median: $53.41
0.8× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$633K

26K claims · 4.6%

Your Cost: $24.66/claim|Median: $23.99
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$575K

11K claims · 4.2%

Your Cost: $54.47/claim|Median: $69.35
0.8× median
87428Top 10%

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

$477K

7,018 claims · 3.5%

Your Cost: $67.96/claim|Median: $39.63
1.7× median
99291Normal range

Critical care, first 30-74 minutes

$471K

5,088 claims · 3.4%

Your Cost: $92.55/claim|Median: $101.24
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$410K

7,761 claims · 3.0%

Your Cost: $52.80/claim|Median: $75.18
0.7× median
99233Normal range

Subsequent hospital care, per day, high complexity

$374K

12K claims · 2.7%

Your Cost: $30.21/claim|Median: $35.30
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$363K

6,759 claims · 2.6%

Your Cost: $53.66/claim|Median: $74.82
0.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$304K

5,577 claims · 2.2%

Your Cost: $54.49/claim|Median: $80.15
0.7× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$227K

5,144 claims · 1.6%

Your Cost: $44.16/claim|Median: $54.68
0.8× median
99204Normal range

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

$216K

3,749 claims · 1.6%

Your Cost: $57.52/claim|Median: $84.03
0.7× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$151K

16K claims · 1.1%

Your Cost: $9.60/claim|Median: $11.48
0.8× median
99203Normal range

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

$146K

3,258 claims · 1.1%

Your Cost: $44.77/claim|Median: $57.85
0.8× median
80050Normal range

General health panel

$139K

4,566 claims · 1.0%

Your Cost: $30.46/claim|Median: $25.59
1.2× median
87804Normal range

Influenza virus detection, rapid test

$132K

7,958 claims · 1.0%

Your Cost: $16.63/claim|Median: $12.59
1.3× median
87426Normal range

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

$107K

3,352 claims · 0.8%

Your Cost: $31.80/claim|Median: $30.04
1.1× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$105K

4,881 claims · 0.8%

Your Cost: $21.50/claim|Median: $121.16
0.2× median
69436Normal range

Tympanostomy, general anesthesia

$88K

711 claims · 0.6%

Your Cost: $123.87/claim|Median: $205.50
0.6× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$74K

3,720 claims · 0.5%

Your Cost: $19.93/claim|Median: $36.13
0.6× median
99223Normal range

Initial hospital care, per day, high complexity

$73K

1,209 claims · 0.5%

Your Cost: $60.79/claim|Median: $67.32
0.9× median
80061Normal range

Lipid panel

$69K

6,619 claims · 0.5%

Your Cost: $10.47/claim|Median: $8.41
1.2× median
87400Normal range

$57K

5,707 claims · 0.4%

Your Cost: $9.93/claim|Median: $8.40
1.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$52K

5,588 claims · 0.4%

Your Cost: $9.37/claim|Median: $7.18
1.3× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$52K

7,044 claims · 0.4%

Your Cost: $7.38/claim|Median: $5.50
1.3× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$52K

483 claims · 0.4%

Your Cost: $106.82/claim|Median: $74.78
1.4× median
90670Normal range

$49K

5,240 claims · 0.4%

Your Cost: $9.37/claim|Median: $5.94
1.6× median
64493Normal range

$45K

531 claims · 0.3%

Your Cost: $85.03/claim|Median: $103.44
0.8× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$42K

478 claims · 0.3%

Your Cost: $87.17/claim|Median: $111.09
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$40K

2,119 claims · 0.3%

Your Cost: $18.65/claim|Median: $25.06
0.7× median
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