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Provider 1851580492

NPI: 1851580492Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.0M

$10,030,391

Total Claims

255K

Beneficiaries

208K

1.2 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+19%
2019
$1.3M
+10%
2020
$1.4M
+27%
2021
$1.8M
+1%
2022
$1.8M
-12%
2023
$1.6M
-21%
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 72% of total spending.

99213Top 5%

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

$7.2M

77K claims · 71.7%

Your Cost: $93.22/claim|Median: $37.81
2.5× median
99214Top 5%

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

$668K

5,386 claims · 6.7%

Your Cost: $124.06/claim|Median: $53.41
2.3× median
99396Top 5%

Preventive medicine, established patient, age 40-64

$408K

3,096 claims · 4.1%

Your Cost: $131.67/claim|Median: $76.06
1.7× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$261K

2,127 claims · 2.6%

Your Cost: $122.50/claim|Median: $72.71
1.7× median
92552Top 10%

Pure tone audiometry, air only, each ear

$250K

7,706 claims · 2.5%

Your Cost: $32.40/claim|Median: $12.63
2.6× median
99401Normal range

$189K

8,444 claims · 1.9%

Your Cost: $22.43/claim|Median: $16.53
1.4× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$134K

1,108 claims · 1.3%

Your Cost: $121.37/claim|Median: $80.15
1.5× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$124K

6,693 claims · 1.2%

Your Cost: $18.50/claim|Median: $17.85
1.0× median
99051Normal range

$121K

23K claims · 1.2%

Your Cost: $5.35/claim|Median: $7.89
0.7× median
90471Top 25%

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

$104K

5,648 claims · 1.0%

Your Cost: $18.40/claim|Median: $9.80
1.9× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$84K

773 claims · 0.8%

Your Cost: $108.51/claim|Median: $74.82
1.5× median
94010Top 25%

$67K

2,052 claims · 0.7%

Your Cost: $32.85/claim|Median: $18.11
1.8× median
G8510Normal range

$56K

12K claims · 0.6%

Your Cost: $4.53/claim|Median: $1.96
2.3× median
H0001Normal range

Alcohol and/or drug assessment

$43K

6,854 claims · 0.4%

Your Cost: $6.27/claim|Median: $94.22
0.1× median
G0270Normal range

Medical nutrition therapy, reassessment, individual

$43K

7,397 claims · 0.4%

Your Cost: $5.77/claim|Median: $1.61
3.6× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$40K

3,656 claims · 0.4%

Your Cost: $10.86/claim|Median: $7.18
1.5× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$35K

2,283 claims · 0.4%

Your Cost: $15.50/claim|Median: $9.70
1.6× median
90746Top 10%

Hepatitis B vaccine, adult

$28K

403 claims · 0.3%

Your Cost: $69.50/claim|Median: $48.85
1.4× median
90715Top 5%

Tdap vaccine

$25K

555 claims · 0.3%

Your Cost: $45.65/claim|Median: $10.32
4.4× median
99203Top 5%

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

$24K

200 claims · 0.2%

Your Cost: $121.65/claim|Median: $57.85
2.1× median
90688Top 5%

$24K

1,141 claims · 0.2%

Your Cost: $21.14/claim|Median: $9.00
2.3× median
S9449Normal range

$19K

6,848 claims · 0.2%

Your Cost: $2.78/claim|Median: $0.93
3.0× median
S9451Normal range

$19K

6,844 claims · 0.2%

Your Cost: $2.79/claim|Median: $0.35
8.0× median
99406Top 10%

$11K

748 claims · 0.1%

Your Cost: $15.19/claim|Median: $6.53
2.3× median
90651Top 25%

HPV vaccine, 9-valent

$10K

245 claims · 0.1%

Your Cost: $40.57/claim|Median: $8.93
4.5× median
90756Top 25%

Influenza virus vaccine, quadrivalent

$9K

364 claims · 0.1%

Your Cost: $25.75/claim|Median: $14.34
1.8× median
36415Normal range

Collection of venous blood by venipuncture

$5K

10K claims · 0.1%

Your Cost: $0.53/claim|Median: $1.57
0.3× median
90658Top 10%

$5K

247 claims · 0.1%

Your Cost: $21.35/claim|Median: $8.96
2.4× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$5K

231 claims · 0.0%

Your Cost: $20.80/claim|Median: $9.56
2.2× median
0011ATop 10%

COVID-19 vaccine admin, Moderna, 1st dose

$3K

73 claims · 0.0%

Your Cost: $42.09/claim|Median: $25.93
1.6× median
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