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Provider 1851846661

NPI: 1851846661Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.7M

$10,736,398

Total Claims

209K

Beneficiaries

201K

1.0 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+25%
2019
$2.2M
-22%
2020
$1.7M
-33%
2021
$1.2M
-6%
2022
$1.1M
-9%
2023
$995K
+75%
2024
$1.7M

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 15% of total spending.

99213Top 10%

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

$1.6M

21K claims · 15.3%

Your Cost: $76.90/claim|Median: $37.81
2.0× median
94760Top 1%

Pulse oximetry, single reading, noninvasive

$1.1M

12K claims · 10.4%

Your Cost: $89.60/claim|Median: $0.79
113.4× median
36415Top 1%

Collection of venous blood by venipuncture

$956K

6,091 claims · 8.9%

Your Cost: $156.93/claim|Median: $1.57
100.0× median
99212Top 10%

Office/outpatient visit, low complexity

$921K

11K claims · 8.6%

Your Cost: $85.16/claim|Median: $25.06
3.4× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$814K

9,102 claims · 7.6%

Your Cost: $89.45/claim|Median: $69.35
1.3× median
96372Top 1%

Therapeutic injection, subcutaneous/intramuscular

$758K

363 claims · 7.1%

Your Cost: $2,088.18/claim|Median: $9.56
218.4× median
99215Top 1%

Office/outpatient visit, high complexity

$608K

1,182 claims · 5.7%

Your Cost: $514.45/claim|Median: $74.09
6.9× median
83655Top 1%

$559K

4,205 claims · 5.2%

Your Cost: $133.05/claim|Median: $10.49
12.7× median
99214Normal range

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

$509K

11K claims · 4.7%

Your Cost: $48.35/claim|Median: $53.41
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$489K

7,034 claims · 4.6%

Your Cost: $69.52/claim|Median: $74.82
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$396K

9,821 claims · 3.7%

Your Cost: $40.29/claim|Median: $75.18
0.5× median
C9803Top 1%

$304K

1,906 claims · 2.8%

Your Cost: $159.43/claim|Median: $13.20
12.1× median
96110Top 5%

Developmental screening, per standardized instrument

$261K

2,759 claims · 2.4%

Your Cost: $94.74/claim|Median: $9.10
10.4× median
99188Top 1%

$242K

4,496 claims · 2.3%

Your Cost: $53.91/claim|Median: $12.80
4.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$224K

3,641 claims · 2.1%

Your Cost: $61.46/claim|Median: $80.15
0.8× median
87804Top 1%

Influenza virus detection, rapid test

$193K

2,512 claims · 1.8%

Your Cost: $76.76/claim|Median: $12.59
6.1× median
99174Top 1%

$162K

1,534 claims · 1.5%

Your Cost: $105.85/claim|Median: $5.27
20.1× median
85018Top 5%

$67K

4,567 claims · 0.6%

Your Cost: $14.66/claim|Median: $1.71
8.6× median
87070Top 1%

Bacterial culture, any source except blood or urine

$66K

431 claims · 0.6%

Your Cost: $152.46/claim|Median: $5.89
25.9× median
99211Top 5%

Office/outpatient visit, minimal complexity

$55K

689 claims · 0.5%

Your Cost: $80.51/claim|Median: $12.93
6.2× median
81003Top 1%

Urinalysis, automated without microscopy

$48K

1,072 claims · 0.4%

Your Cost: $44.96/claim|Median: $1.48
30.4× median
96127Top 1%

Brief emotional/behavioral assessment, per standardized instrument

$44K

451 claims · 0.4%

Your Cost: $96.56/claim|Median: $3.67
26.3× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$37K

169 claims · 0.3%

Your Cost: $220.53/claim|Median: $144.30
1.5× median
96161Top 1%

$36K

344 claims · 0.3%

Your Cost: $105.66/claim|Median: $2.49
42.4× median
87880Top 5%

Streptococcus, Group A, rapid antigen detection

$26K

936 claims · 0.2%

Your Cost: $28.10/claim|Median: $11.48
2.4× median
87081Top 5%

Culture screening for pathogenic organisms

$21K

221 claims · 0.2%

Your Cost: $96.77/claim|Median: $5.09
19.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$15K

820 claims · 0.1%

Your Cost: $18.42/claim|Median: $39.70
0.5× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$14K

21K claims · 0.1%

Your Cost: $0.67/claim|Median: $17.85
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$13K

8,301 claims · 0.1%

Your Cost: $1.62/claim|Median: $7.18
0.2× median
88720Top 1%

$12K

84 claims · 0.1%

Your Cost: $145.11/claim|Median: $3.88
37.4× median
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