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Provider 1851317218

NPI: 1851317218Share
Active Billing Period:2018-12→2024-12(73 months)

Total Paid

$10.0M

$9,966,539

Total Claims

347K

Beneficiaries

236K

1.5 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$1K
+104705%
2019
$1.3M
+16%
2020
$1.5M
+17%
2021
$1.8M
+9%
2022
$2.0M
+4%
2023
$2.0M
-33%
2024
$1.4M

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 29% of total spending.

99213Top 25%

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

$2.9M

44K claims · 29.2%

Your Cost: $66.80/claim|Median: $37.81
1.8× median
99214Top 25%

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

$2.5M

26K claims · 25.4%

Your Cost: $97.17/claim|Median: $53.41
1.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$791K

9,225 claims · 7.9%

Your Cost: $85.71/claim|Median: $74.82
1.1× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$778K

7,981 claims · 7.8%

Your Cost: $97.53/claim|Median: $75.18
1.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$547K

7,201 claims · 5.5%

Your Cost: $75.95/claim|Median: $80.15
0.9× median
99401Top 1%

$520K

3,639 claims · 5.2%

Your Cost: $142.85/claim|Median: $16.53
8.6× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$436K

4,172 claims · 4.4%

Your Cost: $104.43/claim|Median: $69.35
1.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$344K

14K claims · 3.5%

Your Cost: $24.02/claim|Median: $39.70
0.6× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$327K

36K claims · 3.3%

Your Cost: $9.16/claim|Median: $17.85
0.5× median
87804Normal range

Influenza virus detection, rapid test

$201K

36K claims · 2.0%

Your Cost: $5.52/claim|Median: $12.59
0.4× median
92552Normal range

Pure tone audiometry, air only, each ear

$179K

21K claims · 1.8%

Your Cost: $8.70/claim|Median: $12.63
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$133K

4,405 claims · 1.3%

Your Cost: $30.30/claim|Median: $25.06
1.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$104K

20K claims · 1.0%

Your Cost: $5.22/claim|Median: $11.48
0.5× median
90671Top 1%

$33K

134 claims · 0.3%

Your Cost: $245.94/claim|Median: $8.59
28.6× median
99211Normal range

Office/outpatient visit, minimal complexity

$31K

2,491 claims · 0.3%

Your Cost: $12.47/claim|Median: $12.93
1.0× median
81003Normal range

Urinalysis, automated without microscopy

$15K

17K claims · 0.2%

Your Cost: $0.90/claim|Median: $1.48
0.6× median
96110Normal range

Developmental screening, per standardized instrument

$9K

3,974 claims · 0.1%

Your Cost: $2.29/claim|Median: $9.10
0.3× median
92567Normal range

$8K

1,715 claims · 0.1%

Your Cost: $4.45/claim|Median: $11.50
0.4× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$7K

12K claims · 0.1%

Your Cost: $0.60/claim|Median: $3.67
0.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$7K

10K claims · 0.1%

Your Cost: $0.64/claim|Median: $7.18
0.1× median
90648Normal range

$6K

3,069 claims · 0.1%

Your Cost: $2.09/claim|Median: $4.08
0.5× median
0071ANormal range

$5K

123 claims · 0.0%

Your Cost: $37.07/claim|Median: $38.71
1.0× median
90716Normal range

$5K

915 claims · 0.0%

Your Cost: $4.95/claim|Median: $6.18
0.8× median
91300Top 10%

COVID-19 vaccine (Pfizer), first dose

$4K

605 claims · 0.0%

Your Cost: $6.85/claim|Median: $0.01
685.3× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$4K

1,529 claims · 0.0%

Your Cost: $2.60/claim|Median: $10.88
0.2× median
A4208Top 25%

$4K

5,435 claims · 0.0%

Your Cost: $0.70/claim|Median: $0.12
5.8× median
0072ANormal range

$4K

118 claims · 0.0%

Your Cost: $30.37/claim|Median: $39.57
0.8× median
91307Top 10%

$3K

577 claims · 0.0%

Your Cost: $5.36/claim|Median: $0.01
536.1× median
90633Normal range

$3K

1,155 claims · 0.0%

Your Cost: $2.67/claim|Median: $3.56
0.8× median
99051Normal range

$3K

1,430 claims · 0.0%

Your Cost: $2.11/claim|Median: $7.89
0.3× median
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