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Provider 1851357560

NPI: 1851357560Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.8M

$9,814,769

Total Claims

342K

Beneficiaries

320K

1.1 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$909K
+12%
2019
$1.0M
+25%
2020
$1.3M
+46%
2021
$1.8M
+9%
2022
$2.0M
-20%
2023
$1.6M
-28%
2024
$1.2M

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 21% of total spending.

99213Top 25%

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

$2.0M

30K claims · 20.6%

Your Cost: $67.08/claim|Median: $37.81
1.8× median
99214Top 25%

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

$1.7M

17K claims · 16.9%

Your Cost: $98.42/claim|Median: $53.41
1.8× median
99212Top 25%

Office/outpatient visit, low complexity

$614K

14K claims · 6.3%

Your Cost: $42.61/claim|Median: $25.06
1.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$600K

16K claims · 6.1%

Your Cost: $37.32/claim|Median: $39.70
0.9× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$484K

15K claims · 4.9%

Your Cost: $32.20/claim|Median: $17.85
1.8× median
92552Top 25%

Pure tone audiometry, air only, each ear

$338K

12K claims · 3.4%

Your Cost: $27.52/claim|Median: $12.63
2.2× median
99401Normal range

$322K

15K claims · 3.3%

Your Cost: $22.18/claim|Median: $16.53
1.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$322K

4,789 claims · 3.3%

Your Cost: $67.16/claim|Median: $74.82
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$317K

4,674 claims · 3.2%

Your Cost: $67.91/claim|Median: $75.18
0.9× median
94060Normal range

$291K

6,918 claims · 3.0%

Your Cost: $42.01/claim|Median: $25.18
1.7× median
86328Top 25%

$285K

8,278 claims · 2.9%

Your Cost: $34.37/claim|Median: $20.52
1.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$261K

4,326 claims · 2.7%

Your Cost: $60.36/claim|Median: $69.35
0.9× median
G0447Top 25%

$220K

11K claims · 2.2%

Your Cost: $19.89/claim|Median: $5.19
3.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$216K

2,952 claims · 2.2%

Your Cost: $73.12/claim|Median: $80.15
0.9× median
87804Normal range

Influenza virus detection, rapid test

$146K

9,413 claims · 1.5%

Your Cost: $15.55/claim|Median: $12.59
1.2× median
G0270Top 25%

Medical nutrition therapy, reassessment, individual

$122K

10K claims · 1.2%

Your Cost: $12.17/claim|Median: $1.61
7.6× median
99223Top 25%

Initial hospital care, per day, high complexity

$103K

973 claims · 1.0%

Your Cost: $105.85/claim|Median: $67.32
1.6× median
92081Top 10%

$102K

3,178 claims · 1.0%

Your Cost: $31.99/claim|Median: $11.63
2.8× median
86580Top 25%

Tuberculosis (TB) skin test

$94K

12K claims · 1.0%

Your Cost: $8.03/claim|Median: $4.46
1.8× median
90461Normal range

Immunization admin, additional vaccine, counseling

$92K

4,612 claims · 0.9%

Your Cost: $19.86/claim|Median: $6.93
2.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$87K

15K claims · 0.9%

Your Cost: $5.88/claim|Median: $4.71
1.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$77K

6,774 claims · 0.8%

Your Cost: $11.44/claim|Median: $11.48
1.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$76K

985 claims · 0.8%

Your Cost: $76.79/claim|Median: $72.71
1.1× median
G0444Top 25%

Annual depression screening, fifteen minutes

$75K

5,993 claims · 0.8%

Your Cost: $12.58/claim|Median: $4.23
3.0× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$58K

1,017 claims · 0.6%

Your Cost: $57.33/claim|Median: $43.85
1.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$58K

5,865 claims · 0.6%

Your Cost: $9.85/claim|Median: $9.56
1.0× median
92015Normal range

Determination of refractive state

$57K

5,716 claims · 0.6%

Your Cost: $9.90/claim|Median: $10.36
1.0× median
99204Top 25%

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

$55K

421 claims · 0.6%

Your Cost: $129.58/claim|Median: $84.03
1.5× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$52K

893 claims · 0.5%

Your Cost: $58.05/claim|Median: $35.30
1.6× median
36410Normal range

$52K

7,931 claims · 0.5%

Your Cost: $6.53/claim|Median: $5.72
1.1× median
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