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Provider 1851668800

NPI: 1851668800Share
Active Billing Period:2018-01→2024-10(73 months)

Total Paid

$10.1M

$10,140,394

Total Claims

237K

Beneficiaries

231K

1.0 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$128K
+1317%
2019
$1.8M
-38%
2020
$1.1M
-49%
2021
$574K
+201%
2022
$1.7M
+41%
2023
$2.4M
-4%
2024
$2.3M

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 34% of total spending.

99213Top 5%

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

$3.5M

40K claims · 34.3%

Your Cost: $87.92/claim|Median: $37.81
2.3× median
99442Top 10%

Telephone E/M by physician, 11-20 minutes

$1.5M

20K claims · 15.2%

Your Cost: $78.61/claim|Median: $22.44
3.5× median
99214Top 5%

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

$879K

6,698 claims · 8.7%

Your Cost: $131.23/claim|Median: $53.41
2.5× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$407K

14K claims · 4.0%

Your Cost: $30.11/claim|Median: $12.70
2.4× median
99396Top 5%

Preventive medicine, established patient, age 40-64

$375K

2,255 claims · 3.7%

Your Cost: $166.37/claim|Median: $76.06
2.2× median
99212Top 10%

Office/outpatient visit, low complexity

$370K

5,564 claims · 3.6%

Your Cost: $66.43/claim|Median: $25.06
2.7× median
99441Top 10%

Telephone E/M by physician, 5-10 min

$305K

5,550 claims · 3.0%

Your Cost: $54.94/claim|Median: $13.30
4.1× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$264K

2,027 claims · 2.6%

Your Cost: $130.47/claim|Median: $72.71
1.8× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$202K

1,925 claims · 2.0%

Your Cost: $104.79/claim|Median: $75.18
1.4× median
81003Top 5%

Urinalysis, automated without microscopy

$175K

22K claims · 1.7%

Your Cost: $7.84/claim|Median: $1.48
5.3× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$170K

1,376 claims · 1.7%

Your Cost: $123.70/claim|Median: $69.35
1.8× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$168K

1,346 claims · 1.7%

Your Cost: $124.94/claim|Median: $80.15
1.6× median
81025Top 5%

Urine pregnancy test

$161K

13K claims · 1.6%

Your Cost: $12.02/claim|Median: $4.81
2.5× median
99058Normal range

$155K

7,132 claims · 1.5%

Your Cost: $21.70/claim|Median: $15.38
1.4× median
90670Top 5%

$133K

1,523 claims · 1.3%

Your Cost: $87.21/claim|Median: $5.94
14.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$125K

1,702 claims · 1.2%

Your Cost: $73.64/claim|Median: $74.82
1.0× median
90710Top 1%

MMRV vaccine

$106K

669 claims · 1.0%

Your Cost: $158.06/claim|Median: $7.00
22.6× median
82948Top 5%

$98K

8,618 claims · 1.0%

Your Cost: $11.35/claim|Median: $1.78
6.4× median
90649Top 5%

$97K

901 claims · 1.0%

Your Cost: $107.59/claim|Median: $6.42
16.8× median
92551Top 5%

Screening audiometry, pure tone, air only

$87K

4,468 claims · 0.9%

Your Cost: $19.50/claim|Median: $6.61
2.9× median
99173Top 25%

$87K

13K claims · 0.9%

Your Cost: $6.74/claim|Median: $2.16
3.1× median
85018Top 5%

$82K

6,949 claims · 0.8%

Your Cost: $11.81/claim|Median: $1.71
6.9× median
90734Top 1%

$69K

674 claims · 0.7%

Your Cost: $102.58/claim|Median: $6.40
16.0× median
G9920Top 25%

$67K

2,311 claims · 0.7%

Your Cost: $28.88/claim|Median: $6.56
4.4× median
99211Top 10%

Office/outpatient visit, minimal complexity

$36K

650 claims · 0.4%

Your Cost: $55.31/claim|Median: $12.93
4.3× median
90633Top 1%

$28K

958 claims · 0.3%

Your Cost: $29.06/claim|Median: $3.56
8.2× median
99215Top 5%

Office/outpatient visit, high complexity

$26K

131 claims · 0.3%

Your Cost: $200.95/claim|Median: $74.09
2.7× median
90647Top 5%

$24K

1,168 claims · 0.2%

Your Cost: $20.81/claim|Median: $4.31
4.8× median
90736Top 10%

$23K

105 claims · 0.2%

Your Cost: $219.20/claim|Median: $52.37
4.2× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$23K

1,367 claims · 0.2%

Your Cost: $16.55/claim|Median: $9.70
1.7× median
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