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Provider 1861530750

NPI: 1861530750Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.4M

$9,406,215

Total Claims

227K

Beneficiaries

214K

1.1 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$756K
+8%
2019
$814K
-1%
2020
$804K
+27%
2021
$1.0M
+56%
2022
$1.6M
+2%
2023
$1.6M
+70%
2024
$2.8M

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 26% of total spending.

99214Top 10%

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

$2.5M

23K claims · 26.2%

Your Cost: $109.18/claim|Median: $53.41
2.0× median
99213Top 10%

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

$2.3M

30K claims · 24.2%

Your Cost: $75.11/claim|Median: $37.81
2.0× median
90460Top 1%

Immunization administration, first vaccine/toxoid, with counseling

$1.2M

18K claims · 12.6%

Your Cost: $66.23/claim|Median: $17.85
3.7× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$709K

5,982 claims · 7.5%

Your Cost: $118.53/claim|Median: $75.18
1.6× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$619K

5,374 claims · 6.6%

Your Cost: $115.12/claim|Median: $69.35
1.7× median
96160Top 5%

Patient-focused health risk assessment

$444K

17K claims · 4.7%

Your Cost: $25.82/claim|Median: $2.10
12.3× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$379K

8,208 claims · 4.0%

Your Cost: $46.14/claim|Median: $39.70
1.2× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$240K

3,458 claims · 2.6%

Your Cost: $69.50/claim|Median: $65.64
1.1× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$200K

1,793 claims · 2.1%

Your Cost: $111.33/claim|Median: $74.82
1.5× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$142K

4,914 claims · 1.5%

Your Cost: $28.83/claim|Median: $28.46
1.0× median
99174Top 10%

$131K

7,260 claims · 1.4%

Your Cost: $18.02/claim|Median: $5.27
3.4× median
96127Top 5%

Brief emotional/behavioral assessment, per standardized instrument

$73K

3,843 claims · 0.8%

Your Cost: $18.89/claim|Median: $3.67
5.1× median
90471Top 5%

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

$73K

3,120 claims · 0.8%

Your Cost: $23.26/claim|Median: $9.80
2.4× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$69K

571 claims · 0.7%

Your Cost: $121.44/claim|Median: $80.15
1.5× median
99215Top 25%

Office/outpatient visit, high complexity

$63K

484 claims · 0.7%

Your Cost: $130.12/claim|Median: $74.09
1.8× median
92551Normal range

Screening audiometry, pure tone, air only

$46K

8,076 claims · 0.5%

Your Cost: $5.72/claim|Median: $6.61
0.9× median
36416Top 25%

$45K

15K claims · 0.5%

Your Cost: $3.10/claim|Median: $1.31
2.4× median
96110Top 25%

Developmental screening, per standardized instrument

$38K

1,818 claims · 0.4%

Your Cost: $20.76/claim|Median: $9.10
2.3× median
87804Top 25%

Influenza virus detection, rapid test

$31K

1,716 claims · 0.3%

Your Cost: $17.79/claim|Median: $12.59
1.4× median
99051Normal range

$30K

3,868 claims · 0.3%

Your Cost: $7.81/claim|Median: $7.89
1.0× median
99211Top 25%

Office/outpatient visit, minimal complexity

$22K

926 claims · 0.2%

Your Cost: $23.42/claim|Median: $12.93
1.8× median
87280Normal range

$21K

1,988 claims · 0.2%

Your Cost: $10.53/claim|Median: $7.30
1.4× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$21K

224 claims · 0.2%

Your Cost: $92.98/claim|Median: $97.61
1.0× median
83718Normal range

HDL cholesterol, lipoprotein blood test

$20K

2,896 claims · 0.2%

Your Cost: $6.86/claim|Median: $6.11
1.1× median
99173Top 25%

$14K

2,120 claims · 0.2%

Your Cost: $6.73/claim|Median: $2.16
3.1× median
82465Normal range

$11K

2,896 claims · 0.1%

Your Cost: $3.64/claim|Median: $3.41
1.1× median
99212Top 25%

Office/outpatient visit, low complexity

$10K

267 claims · 0.1%

Your Cost: $36.98/claim|Median: $25.06
1.5× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$9K

843 claims · 0.1%

Your Cost: $10.10/claim|Median: $11.48
0.9× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$7K

4,548 claims · 0.1%

Your Cost: $1.46/claim|Median: $0.79
1.8× median
83655Normal range

$4K

395 claims · 0.0%

Your Cost: $10.20/claim|Median: $10.49
1.0× median
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