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Provider 1841385168

NPI: 1841385168Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$9.4M

$9,410,287

Total Claims

641K

Beneficiaries

510K

1.3 claims/patient

Avg Cost/Claim

$15

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+31%
2019
$1.6M
-37%
2020
$985K
+76%
2021
$1.7M
+10%
2022
$1.9M
-34%
2023
$1.3M
-37%
2024
$788K

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 37% of total spending.

99214Normal range

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

$3.5M

58K claims · 37.4%

Your Cost: $61.00/claim|Median: $53.41
1.1× median
99213Normal range

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

$1.7M

40K claims · 17.8%

Your Cost: $41.44/claim|Median: $37.81
1.1× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$1.5M

27K claims · 16.1%

Your Cost: $55.61/claim|Median: $65.64
0.8× median
87426Normal range

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

$651K

26K claims · 6.9%

Your Cost: $25.42/claim|Median: $30.04
0.8× median
87634Normal range

$318K

7,215 claims · 3.4%

Your Cost: $44.08/claim|Median: $48.78
0.9× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$255K

12K claims · 2.7%

Your Cost: $20.44/claim|Median: $28.46
0.7× median
99203Normal range

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

$252K

4,440 claims · 2.7%

Your Cost: $56.80/claim|Median: $57.85
1.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$192K

7,153 claims · 2.0%

Your Cost: $26.87/claim|Median: $39.70
0.7× median
87804Normal range

Influenza virus detection, rapid test

$173K

16K claims · 1.8%

Your Cost: $11.04/claim|Median: $12.59
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$146K

14K claims · 1.5%

Your Cost: $10.25/claim|Median: $11.48
0.9× median
99204Normal range

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

$143K

1,752 claims · 1.5%

Your Cost: $81.81/claim|Median: $84.03
1.0× median
87811Normal range

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

$122K

4,598 claims · 1.3%

Your Cost: $26.44/claim|Median: $30.53
0.9× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$110K

2,527 claims · 1.2%

Your Cost: $43.45/claim|Median: $40.11
1.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$106K

11K claims · 1.1%

Your Cost: $9.62/claim|Median: $9.56
1.0× median
J0702Normal range

$32K

2,475 claims · 0.3%

Your Cost: $12.82/claim|Median: $7.64
1.7× median
Q3014Normal range

Telehealth originating site facility fee

$30K

2,202 claims · 0.3%

Your Cost: $13.78/claim|Median: $15.37
0.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$21K

4,196 claims · 0.2%

Your Cost: $4.99/claim|Median: $4.71
1.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$21K

342 claims · 0.2%

Your Cost: $60.75/claim|Median: $72.71
0.8× median
80061Normal range

Lipid panel

$21K

2,183 claims · 0.2%

Your Cost: $9.46/claim|Median: $8.41
1.1× median
80048Normal range

Basic metabolic panel

$18K

2,924 claims · 0.2%

Your Cost: $6.21/claim|Median: $5.78
1.1× median
80076Normal range

Hepatic function panel

$15K

2,621 claims · 0.2%

Your Cost: $5.84/claim|Median: $4.59
1.3× median
87807Normal range

$14K

1,577 claims · 0.2%

Your Cost: $9.14/claim|Median: $10.06
0.9× median
99490Normal range

Chronic care management services, 20 minutes per month

$8K

973 claims · 0.1%

Your Cost: $8.26/claim|Median: $6.31
1.3× median
36415Normal range

Collection of venous blood by venipuncture

$7K

5,418 claims · 0.1%

Your Cost: $1.24/claim|Median: $1.57
0.8× median
81003Normal range

Urinalysis, automated without microscopy

$7K

4,978 claims · 0.1%

Your Cost: $1.31/claim|Median: $1.48
0.9× median
J0696Normal range

$6K

5,080 claims · 0.1%

Your Cost: $1.27/claim|Median: $1.34
0.9× median
74018Top 25%

$6K

331 claims · 0.1%

Your Cost: $17.31/claim|Median: $7.00
2.5× median
87428Normal range

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

$5K

113 claims · 0.0%

Your Cost: $41.20/claim|Median: $39.63
1.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$4K

591 claims · 0.0%

Your Cost: $7.10/claim|Median: $5.50
1.3× median
84443Normal range

Thyroid stimulating hormone (TSH)

$3K

240 claims · 0.0%

Your Cost: $14.42/claim|Median: $9.87
1.5× median