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Provider 1861050635

NPI: 1861050635Share
Active Billing Period:2020-01→2024-12(60 months)

Total Paid

$15.1M

$15,112,120

Total Claims

380K

Beneficiaries

310K

1.2 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2020
$2.8M
+7%
2021
$3.0M
+10%
2022
$3.2M
-1%
2023
$3.2M
-9%
2024
$2.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 53% of total spending.

99214Normal range

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

$8.0M

121K claims · 52.7%

Your Cost: $65.80/claim|Median: $53.41
1.2× median
99213Normal range

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

$3.3M

65K claims · 21.5%

Your Cost: $50.29/claim|Median: $37.81
1.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$759K

12K claims · 5.0%

Your Cost: $63.29/claim|Median: $69.35
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$732K

11K claims · 4.8%

Your Cost: $69.37/claim|Median: $75.18
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$340K

5,154 claims · 2.2%

Your Cost: $65.89/claim|Median: $74.82
0.9× median
99204Normal range

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

$331K

3,809 claims · 2.2%

Your Cost: $86.80/claim|Median: $84.03
1.0× median
99309Normal range

Nursing facility care, subsequent, low complexity

$312K

23K claims · 2.1%

Your Cost: $13.59/claim|Median: $14.00
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$130K

1,714 claims · 0.9%

Your Cost: $75.76/claim|Median: $74.09
1.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$103K

10K claims · 0.7%

Your Cost: $10.30/claim|Median: $7.18
1.4× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$94K

1,242 claims · 0.6%

Your Cost: $75.67/claim|Median: $65.64
1.2× median
99203Normal range

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

$94K

1,502 claims · 0.6%

Your Cost: $62.32/claim|Median: $57.85
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$84K

1,297 claims · 0.6%

Your Cost: $64.80/claim|Median: $80.15
0.8× median
90670Normal range

$73K

6,066 claims · 0.5%

Your Cost: $12.03/claim|Median: $5.94
2.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$52K

1,245 claims · 0.3%

Your Cost: $41.79/claim|Median: $39.70
1.1× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$50K

1,580 claims · 0.3%

Your Cost: $31.90/claim|Median: $28.46
1.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$47K

18K claims · 0.3%

Your Cost: $2.66/claim|Median: $17.85
0.1× median
90698Normal range

$42K

4,245 claims · 0.3%

Your Cost: $9.79/claim|Median: $6.32
1.5× median
87804Normal range

Influenza virus detection, rapid test

$40K

3,413 claims · 0.3%

Your Cost: $11.74/claim|Median: $12.59
0.9× median
92551Normal range

Screening audiometry, pure tone, air only

$36K

4,489 claims · 0.2%

Your Cost: $7.92/claim|Median: $6.61
1.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$31K

2,761 claims · 0.2%

Your Cost: $11.12/claim|Median: $11.48
1.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$28K

4,647 claims · 0.2%

Your Cost: $6.09/claim|Median: $5.50
1.1× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$27K

904 claims · 0.2%

Your Cost: $30.17/claim|Median: $23.99
1.3× median
90633Normal range

$25K

2,719 claims · 0.2%

Your Cost: $9.19/claim|Median: $3.56
2.6× median
99396Normal range

Preventive medicine, established patient, age 40-64

$25K

315 claims · 0.2%

Your Cost: $79.09/claim|Median: $76.06
1.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$24K

350 claims · 0.2%

Your Cost: $69.85/claim|Median: $72.71
1.0× median
83655Normal range

$23K

2,572 claims · 0.2%

Your Cost: $8.92/claim|Median: $10.49
0.9× median
96110Normal range

Developmental screening, per standardized instrument

$22K

2,769 claims · 0.1%

Your Cost: $7.95/claim|Median: $9.10
0.9× median
90744Top 25%

$18K

1,882 claims · 0.1%

Your Cost: $9.82/claim|Median: $5.00
2.0× median
85018Normal range

$17K

9,527 claims · 0.1%

Your Cost: $1.77/claim|Median: $1.71
1.0× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$16K

665 claims · 0.1%

Your Cost: $24.25/claim|Median: $22.44
1.1× median
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