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Provider 1871526459

NPI: 1871526459Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.0M

$15,951,506

Total Claims

275K

Beneficiaries

180K

1.5 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$2.1M
-7%
2019
$1.9M
+5%
2020
$2.0M
+21%
2021
$2.5M
-4%
2022
$2.4M
+9%
2023
$2.6M
-9%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (J2357 (Injection, omalizumab, 5 mg)) accounts for 41% of total spending.

J2357Normal range

Injection, omalizumab, 5 mg

$6.5M

6,581 claims · 40.8%

Your Cost: $987.94/claim|Median: $920.37
1.1× median
99213Normal range

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

$2.3M

50K claims · 14.5%

Your Cost: $46.37/claim|Median: $37.81
1.2× median
95165Normal range

Professional services for allergen immunotherapy, per injection

$2.1M

11K claims · 12.9%

Your Cost: $189.80/claim|Median: $144.04
1.3× median
95004Normal range

Percutaneous allergy skin tests, each

$1.5M

12K claims · 9.3%

Your Cost: $125.29/claim|Median: $134.97
0.9× median
99204Normal range

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

$938K

9,984 claims · 5.9%

Your Cost: $93.93/claim|Median: $84.03
1.1× median
94060Normal range

$702K

26K claims · 4.4%

Your Cost: $27.50/claim|Median: $25.18
1.1× median
95117Normal range

$698K

109K claims · 4.4%

Your Cost: $6.42/claim|Median: $8.34
0.8× median
95024Normal range

$553K

7,376 claims · 3.5%

Your Cost: $75.03/claim|Median: $60.31
1.2× median
99214Normal range

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

$155K

2,237 claims · 1.0%

Your Cost: $69.20/claim|Median: $53.41
1.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$144K

11K claims · 0.9%

Your Cost: $12.97/claim|Median: $9.56
1.4× median
95115Normal range

$103K

19K claims · 0.6%

Your Cost: $5.29/claim|Median: $6.96
0.8× median
96401Top 25%

$98K

1,246 claims · 0.6%

Your Cost: $78.93/claim|Median: $40.24
2.0× median
J0517Normal range

Injection, benralizumab, one milligram

$56K

26 claims · 0.3%

Your Cost: $2,144.46/claim|Median: $2,255.19
1.0× median
95044Normal range

$55K

277 claims · 0.3%

Your Cost: $198.10/claim|Median: $209.40
0.9× median
90674Top 25%

$18K

679 claims · 0.1%

Your Cost: $27.12/claim|Median: $15.16
1.8× median
94726Top 25%

$16K

480 claims · 0.1%

Your Cost: $34.19/claim|Median: $13.41
2.5× median
94729Top 25%

$16K

450 claims · 0.1%

Your Cost: $34.70/claim|Median: $12.24
2.8× median
G0008Top 25%

$10K

1,072 claims · 0.1%

Your Cost: $9.77/claim|Median: $2.54
3.8× median
94010Normal range

$5K

264 claims · 0.0%

Your Cost: $19.44/claim|Median: $18.11
1.1× median
90688Top 25%

$4K

230 claims · 0.0%

Your Cost: $17.85/claim|Median: $9.00
2.0× median
99203Normal range

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

$3K

52 claims · 0.0%

Your Cost: $60.31/claim|Median: $57.85
1.0× median
94664Normal range

$3K

1,168 claims · 0.0%

Your Cost: $2.52/claim|Median: $8.88
0.3× median
90661Top 10%

$3K

85 claims · 0.0%

Your Cost: $34.25/claim|Median: $14.37
2.4× median
99211Normal range

Office/outpatient visit, minimal complexity

$2K

467 claims · 0.0%

Your Cost: $5.02/claim|Median: $12.93
0.4× median
90756Top 5%

Influenza virus vaccine, quadrivalent

$2K

68 claims · 0.0%

Your Cost: $29.18/claim|Median: $14.34
2.0× median
J0702Normal range

$1K

118 claims · 0.0%

Your Cost: $12.07/claim|Median: $7.64
1.6× median
95076Normal range

$883

13 claims · 0.0%

Your Cost: $67.93/claim|Median: $70.83
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$653

34 claims · 0.0%

Your Cost: $19.19/claim|Median: $25.06
0.8× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$246

31 claims · 0.0%

Your Cost: $7.95/claim|Median: $11.48
0.7× median
G9903Normal range

$1

586 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
0.1× median
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