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Provider 1861412777

NPI: 1861412777Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.9M

$10,926,506

Total Claims

32K

Beneficiaries

29K

1.1 claims/patient

Avg Cost/Claim

$342

Monthly Spending Trend

Yearly Spending

2018
$1.9M
-4%
2019
$1.8M
-43%
2020
$1.0M
+30%
2021
$1.3M
+33%
2022
$1.8M
+0%
2023
$1.8M
-24%
2024
$1.3M

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 42% of total spending.

99213Top 1%

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

$4.6M

10K claims · 41.9%

Your Cost: $455.80/claim|Median: $37.81
12.1× median
99212Top 1%

Office/outpatient visit, low complexity

$865K

2,302 claims · 7.9%

Your Cost: $375.68/claim|Median: $25.06
15.0× median
90471Top 1%

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

$740K

1,628 claims · 6.8%

Your Cost: $454.28/claim|Median: $9.80
46.4× median
99214Top 1%

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

$660K

1,293 claims · 6.0%

Your Cost: $510.50/claim|Median: $53.41
9.6× median
D0140Top 1%

Limited oral evaluation, problem focused

$601K

1,071 claims · 5.5%

Your Cost: $561.55/claim|Median: $27.07
20.7× median
D0190Top 1%

$599K

810 claims · 5.5%

Your Cost: $739.34/claim|Median: $12.78
57.9× median
92014Top 1%

Ophthalmological exam, comprehensive, established patient

$371K

757 claims · 3.4%

Your Cost: $490.30/claim|Median: $47.08
10.4× median
99211Top 1%

Office/outpatient visit, minimal complexity

$359K

903 claims · 3.3%

Your Cost: $398.07/claim|Median: $12.93
30.8× median
D1206Top 1%

Topical application of fluoride varnish

$210K

635 claims · 1.9%

Your Cost: $331.29/claim|Median: $18.12
18.3× median
99394Top 1%

Preventive medicine, established patient, age 12-17

$168K

272 claims · 1.5%

Your Cost: $617.28/claim|Median: $80.15
7.7× median
0012ATop 1%

COVID-19 vaccine admin, Moderna, 2nd dose

$151K

291 claims · 1.4%

Your Cost: $517.22/claim|Median: $33.85
15.3× median
D0150Top 1%

Comprehensive oral evaluation, new or established patient

$132K

305 claims · 1.2%

Your Cost: $431.49/claim|Median: $32.07
13.5× median
90480Top 1%

$123K

332 claims · 1.1%

Your Cost: $369.70/claim|Median: $25.29
14.6× median
0011ATop 1%

COVID-19 vaccine admin, Moderna, 1st dose

$102K

199 claims · 0.9%

Your Cost: $513.58/claim|Median: $25.93
19.8× median
91307Top 1%

$100K

382 claims · 0.9%

Your Cost: $261.79/claim|Median: $0.01
26178.5× median
91306

$92K

345 claims · 0.8%

D0120Top 1%

Periodic oral evaluation, established patient

$91K

202 claims · 0.8%

Your Cost: $452.44/claim|Median: $24.34
18.6× median
0002ATop 1%

COVID-19 vaccine admin, Pfizer, 2nd dose

$77K

169 claims · 0.7%

Your Cost: $455.94/claim|Median: $36.70
12.4× median
0064ATop 5%

$62K

352 claims · 0.6%

Your Cost: $177.08/claim|Median: $34.17
5.2× median
0001ATop 1%

COVID-19 vaccine admin, Pfizer, 1st dose

$59K

126 claims · 0.5%

Your Cost: $466.41/claim|Median: $33.72
13.8× median
D1120Top 1%

Prophylaxis, adult

$58K

177 claims · 0.5%

Your Cost: $330.12/claim|Median: $33.86
9.7× median
91300Top 1%

COVID-19 vaccine (Pfizer), first dose

$56K

284 claims · 0.5%

Your Cost: $197.66/claim|Median: $0.01
19765.6× median
0124ATop 1%

$56K

96 claims · 0.5%

Your Cost: $582.77/claim|Median: $34.32
17.0× median
0134ATop 1%

$55K

98 claims · 0.5%

Your Cost: $564.18/claim|Median: $33.54
16.8× median
D1351Top 1%

Sealant, per tooth

$55K

445 claims · 0.5%

Your Cost: $122.94/claim|Median: $26.10
4.7× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$50K

115 claims · 0.5%

Your Cost: $437.83/claim|Median: $74.82
5.9× median
0003ATop 1%

COVID-19 vaccine admin, Pfizer, 3rd dose

$50K

108 claims · 0.5%

Your Cost: $462.74/claim|Median: $36.49
12.7× median
G0467Top 25%

Federally qualified health center visit, mental health

$43K

670 claims · 0.4%

Your Cost: $63.90/claim|Median: $21.91
2.9× median
0071ATop 1%

$38K

162 claims · 0.3%

Your Cost: $233.73/claim|Median: $38.71
6.0× median
D0145Top 1%

Oral evaluation for patient under 3 years, counseling

$32K

49 claims · 0.3%

Your Cost: $654.35/claim|Median: $57.30
11.4× median
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