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Provider 1861739161

NPI: 1861739161Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.3M

$9,270,639

Total Claims

408K

Beneficiaries

338K

1.2 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+5%
2019
$1.7M
-20%
2020
$1.4M
+11%
2021
$1.6M
-15%
2022
$1.3M
-16%
2023
$1.1M
-54%
2024
$505K

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 35% of total spending.

99213Normal range

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

$3.2M

73K claims · 34.8%

Your Cost: $44.28/claim|Median: $37.81
1.2× median
99214Normal range

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

$1.8M

35K claims · 19.8%

Your Cost: $52.33/claim|Median: $53.41
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.1M

14K claims · 11.8%

Your Cost: $76.71/claim|Median: $69.35
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$877K

11K claims · 9.5%

Your Cost: $77.78/claim|Median: $75.18
1.0× median
90472Normal range

Immunization administration, each additional vaccine

$252K

16K claims · 2.7%

Your Cost: $15.50/claim|Median: $11.79
1.3× median
87804Normal range

Influenza virus detection, rapid test

$238K

25K claims · 2.6%

Your Cost: $9.55/claim|Median: $12.59
0.8× median
90471Normal range

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

$221K

25K claims · 2.4%

Your Cost: $8.70/claim|Median: $9.80
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$209K

20K claims · 2.3%

Your Cost: $10.49/claim|Median: $11.48
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$200K

2,885 claims · 2.2%

Your Cost: $69.20/claim|Median: $74.82
0.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$136K

1,752 claims · 1.5%

Your Cost: $77.91/claim|Median: $80.15
1.0× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$118K

5,450 claims · 1.3%

Your Cost: $21.62/claim|Median: $30.04
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$116K

3,695 claims · 1.3%

Your Cost: $31.47/claim|Median: $25.06
1.3× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$114K

6,224 claims · 1.2%

Your Cost: $18.31/claim|Median: $28.46
0.6× median
99203Normal range

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

$104K

2,467 claims · 1.1%

Your Cost: $42.16/claim|Median: $57.85
0.7× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$63K

835 claims · 0.7%

Your Cost: $75.39/claim|Median: $62.48
1.2× median
87807Normal range

$60K

6,655 claims · 0.6%

Your Cost: $8.98/claim|Median: $10.06
0.9× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$55K

984 claims · 0.6%

Your Cost: $56.06/claim|Median: $37.22
1.5× median
90474Normal range

$49K

5,264 claims · 0.5%

Your Cost: $9.34/claim|Median: $8.42
1.1× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$41K

1,303 claims · 0.4%

Your Cost: $31.40/claim|Median: $38.83
0.8× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$37K

517 claims · 0.4%

Your Cost: $71.75/claim|Median: $108.91
0.7× median
99204Normal range

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

$31K

439 claims · 0.3%

Your Cost: $71.64/claim|Median: $84.03
0.9× median
86710Normal range

$21K

3,420 claims · 0.2%

Your Cost: $6.21/claim|Median: $12.47
0.5× median
99307Normal range

$19K

2,969 claims · 0.2%

Your Cost: $6.50/claim|Median: $6.57
1.0× median
83655Normal range

$17K

1,640 claims · 0.2%

Your Cost: $10.08/claim|Median: $10.49
1.0× median
92551Normal range

Screening audiometry, pure tone, air only

$13K

1,795 claims · 0.1%

Your Cost: $7.12/claim|Median: $6.61
1.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$13K

5,291 claims · 0.1%

Your Cost: $2.41/claim|Median: $4.71
0.5× median
36415Normal range

Collection of venous blood by venipuncture

$11K

11K claims · 0.1%

Your Cost: $0.98/claim|Median: $1.57
0.6× median
96161Normal range

$10K

4,357 claims · 0.1%

Your Cost: $2.32/claim|Median: $2.49
0.9× median
99173Normal range

$8K

4,302 claims · 0.1%

Your Cost: $1.93/claim|Median: $2.16
0.9× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$7K

4,309 claims · 0.1%

Your Cost: $1.74/claim|Median: $3.67
0.5× median
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