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Provider 1861555294

NPI: 1861555294Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$9.4M

$9,387,138

Total Claims

720K

Beneficiaries

611K

1.2 claims/patient

Avg Cost/Claim

$13

Monthly Spending Trend

Yearly Spending

2018
$1.8M
-25%
2019
$1.4M
+41%
2020
$1.9M
-4%
2021
$1.8M
-20%
2022
$1.5M
-76%
2023
$352K
+65%
2024
$580K

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 36% of total spending.

99214Normal range

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

$3.4M

58K claims · 36.5%

Your Cost: $58.62/claim|Median: $53.41
1.1× median
99213Normal range

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

$3.2M

66K claims · 33.9%

Your Cost: $48.10/claim|Median: $37.81
1.3× median
99401Normal range

$359K

18K claims · 3.8%

Your Cost: $20.40/claim|Median: $16.53
1.2× median
99396Normal range

Preventive medicine, established patient, age 40-64

$176K

2,937 claims · 1.9%

Your Cost: $59.79/claim|Median: $76.06
0.8× median
99395Normal range

Preventive medicine, established patient, age 18-39

$168K

2,912 claims · 1.8%

Your Cost: $57.72/claim|Median: $72.71
0.8× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$162K

8,515 claims · 1.7%

Your Cost: $19.05/claim|Median: $17.85
1.1× median
59409Top 25%

Vaginal delivery only

$153K

183 claims · 1.6%

Your Cost: $834.34/claim|Median: $619.91
1.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$128K

3,331 claims · 1.4%

Your Cost: $38.46/claim|Median: $74.82
0.5× median
99394Normal range

Preventive medicine, established patient, age 12-17

$122K

3,138 claims · 1.3%

Your Cost: $38.73/claim|Median: $80.15
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$117K

1,209 claims · 1.2%

Your Cost: $96.89/claim|Median: $74.09
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$115K

3,567 claims · 1.2%

Your Cost: $32.37/claim|Median: $25.06
1.3× median
99354Normal range

$114K

2,141 claims · 1.2%

Your Cost: $53.33/claim|Median: $54.96
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$106K

2,740 claims · 1.1%

Your Cost: $38.87/claim|Median: $75.18
0.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$89K

2,280 claims · 1.0%

Your Cost: $39.19/claim|Median: $69.35
0.6× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$69K

2,940 claims · 0.7%

Your Cost: $23.60/claim|Median: $6.93
3.4× median
G0101Normal range

Cervical/vaginal cancer screening; pelvic exam

$65K

3,182 claims · 0.7%

Your Cost: $20.40/claim|Median: $21.28
1.0× median
96110Top 25%

Developmental screening, per standardized instrument

$61K

3,959 claims · 0.6%

Your Cost: $15.30/claim|Median: $9.10
1.7× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$53K

5,246 claims · 0.6%

Your Cost: $10.14/claim|Median: $12.70
0.8× median
G0444Normal range

Annual depression screening, fifteen minutes

$39K

5,009 claims · 0.4%

Your Cost: $7.72/claim|Median: $4.23
1.8× median
90471Normal range

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

$38K

3,763 claims · 0.4%

Your Cost: $10.07/claim|Median: $9.80
1.0× median
92551Top 25%

Screening audiometry, pure tone, air only

$35K

3,659 claims · 0.4%

Your Cost: $9.43/claim|Median: $6.61
1.4× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$34K

1,179 claims · 0.4%

Your Cost: $28.56/claim|Median: $22.44
1.3× median
99204Normal range

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

$33K

361 claims · 0.3%

Your Cost: $90.64/claim|Median: $84.03
1.1× median
99223Normal range

Initial hospital care, per day, high complexity

$32K

350 claims · 0.3%

Your Cost: $90.74/claim|Median: $67.32
1.3× median
99402Normal range

$31K

978 claims · 0.3%

Your Cost: $31.38/claim|Median: $31.79
1.0× median
99203Normal range

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

$29K

431 claims · 0.3%

Your Cost: $67.01/claim|Median: $57.85
1.2× median
99406Normal range

$29K

4,952 claims · 0.3%

Your Cost: $5.79/claim|Median: $6.53
0.9× median
Q0091Normal range

$29K

2,252 claims · 0.3%

Your Cost: $12.70/claim|Median: $11.15
1.1× median
99349Normal range

$27K

627 claims · 0.3%

Your Cost: $42.50/claim|Median: $24.29
1.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$25K

622 claims · 0.3%

Your Cost: $40.08/claim|Median: $39.70
1.0× median
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