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Provider 1841683067

NPI: 1841683067Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.5M

$16,525,110

Total Claims

1.4M

Beneficiaries

1.1M

1.3 claims/patient

Avg Cost/Claim

$12

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+8%
2019
$1.3M
+60%
2020
$2.1M
+49%
2021
$3.2M
+5%
2022
$3.3M
-17%
2023
$2.8M
-7%
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 46% of total spending.

99213Top 5%

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

$7.7M

63K claims · 46.3%

Your Cost: $121.23/claim|Median: $37.81
3.2× median
99212Top 5%

Office/outpatient visit, low complexity

$2.3M

20K claims · 13.8%

Your Cost: $114.03/claim|Median: $25.06
4.6× median
99214Top 10%

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

$1.4M

12K claims · 8.5%

Your Cost: $112.91/claim|Median: $53.41
2.1× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$566K

4,829 claims · 3.4%

Your Cost: $117.29/claim|Median: $75.18
1.6× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$523K

5,593 claims · 3.2%

Your Cost: $93.46/claim|Median: $69.35
1.3× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$521K

4,428 claims · 3.2%

Your Cost: $117.69/claim|Median: $74.82
1.6× median
D0999Normal range

Unspecified diagnostic procedure, by report

$504K

4,114 claims · 3.0%

Your Cost: $122.45/claim|Median: $101.33
1.2× median
99203Top 10%

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

$437K

4,013 claims · 2.6%

Your Cost: $108.80/claim|Median: $57.85
1.9× median
90832Top 10%

Psychotherapy, 30 minutes

$420K

4,157 claims · 2.5%

Your Cost: $101.10/claim|Median: $41.28
2.4× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$403K

3,478 claims · 2.4%

Your Cost: $116.00/claim|Median: $80.15
1.4× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$311K

2,880 claims · 1.9%

Your Cost: $107.84/claim|Median: $40.11
2.7× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$221K

11K claims · 1.3%

Your Cost: $20.27/claim|Median: $17.85
1.1× median
99204Normal range

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

$128K

1,374 claims · 0.8%

Your Cost: $93.30/claim|Median: $84.03
1.1× median
D0330Normal range

Panoramic radiographic image

$101K

2,240 claims · 0.6%

Your Cost: $45.10/claim|Median: $37.36
1.2× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$100K

2,216 claims · 0.6%

Your Cost: $45.01/claim|Median: $41.92
1.1× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$83K

928 claims · 0.5%

Your Cost: $88.91/claim|Median: $73.46
1.2× median
D1120Top 10%

Prophylaxis, adult

$72K

1,528 claims · 0.4%

Your Cost: $47.10/claim|Median: $33.86
1.4× median
99395Normal range

Preventive medicine, established patient, age 18-39

$67K

801 claims · 0.4%

Your Cost: $83.87/claim|Median: $72.71
1.2× median
87811Normal range

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

$46K

2,053 claims · 0.3%

Your Cost: $22.59/claim|Median: $30.53
0.7× median
99383Top 25%

Preventive visit, new patient, late childhood (5-11 yr)

$43K

373 claims · 0.3%

Your Cost: $114.50/claim|Median: $81.92
1.4× median
D7140Normal range

Extraction, erupted tooth or exposed root

$42K

861 claims · 0.3%

Your Cost: $48.35/claim|Median: $57.39
0.8× median
99215Top 25%

Office/outpatient visit, high complexity

$40K

345 claims · 0.2%

Your Cost: $116.12/claim|Median: $74.09
1.6× median
90471Normal range

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

$35K

4,972 claims · 0.2%

Your Cost: $6.95/claim|Median: $9.80
0.7× median
99211Top 5%

Office/outpatient visit, minimal complexity

$32K

311 claims · 0.2%

Your Cost: $102.95/claim|Median: $12.93
8.0× median
99384Top 25%

Preventive visit, new patient, adolescent (12-17 yr)

$28K

235 claims · 0.2%

Your Cost: $118.82/claim|Median: $83.63
1.4× median
87426Normal range

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

$27K

1,057 claims · 0.2%

Your Cost: $25.81/claim|Median: $30.04
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$24K

1,455 claims · 0.1%

Your Cost: $16.81/claim|Median: $32.07
0.5× median
90472Normal range

Immunization administration, each additional vaccine

$23K

2,162 claims · 0.1%

Your Cost: $10.41/claim|Median: $11.79
0.9× median
D1110Normal range

Prophylaxis, adult cleaning

$22K

655 claims · 0.1%

Your Cost: $33.46/claim|Median: $43.38
0.8× median
59409Normal range

Vaginal delivery only

$19K

30 claims · 0.1%

Your Cost: $637.94/claim|Median: $619.91
1.0× median
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