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Provider 1871549741

NPI: 1871549741Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.4M

$11,373,099

Total Claims

406K

Beneficiaries

389K

1.0 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$569K
+290%
2019
$2.2M
-21%
2020
$1.8M
+16%
2021
$2.0M
-20%
2022
$1.6M
+3%
2023
$1.7M
-12%
2024
$1.5M

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.

99214Normal range

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

$3.0M

40K claims · 26.3%

Your Cost: $74.59/claim|Median: $53.41
1.4× median
99213Normal range

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

$1.7M

32K claims · 15.0%

Your Cost: $53.29/claim|Median: $37.81
1.4× median
S0302Top 10%

$890K

21K claims · 7.8%

Your Cost: $43.26/claim|Median: $9.05
4.8× median
99215Normal range

Office/outpatient visit, high complexity

$622K

5,997 claims · 5.5%

Your Cost: $103.76/claim|Median: $74.09
1.4× median
99392Normal range

Preventive medicine, established patient, age 1-4

$552K

7,507 claims · 4.9%

Your Cost: $73.53/claim|Median: $75.18
1.0× median
90471Normal range

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

$419K

31K claims · 3.7%

Your Cost: $13.71/claim|Median: $9.80
1.4× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$396K

6,852 claims · 3.5%

Your Cost: $57.80/claim|Median: $69.35
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$281K

3,827 claims · 2.5%

Your Cost: $73.39/claim|Median: $74.82
1.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$252K

8,199 claims · 2.2%

Your Cost: $30.77/claim|Median: $17.85
1.7× median
X5622Normal range

$242K

7,330 claims · 2.1%

Your Cost: $33.08/claim|Median: $52.61
0.6× median
90472Normal range

Immunization administration, each additional vaccine

$166K

10K claims · 1.5%

Your Cost: $16.36/claim|Median: $11.79
1.4× median
36415Top 25%

Collection of venous blood by venipuncture

$163K

40K claims · 1.4%

Your Cost: $4.10/claim|Median: $1.57
2.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$160K

2,040 claims · 1.4%

Your Cost: $78.44/claim|Median: $80.15
1.0× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$121K

1,229 claims · 1.1%

Your Cost: $98.13/claim|Median: $76.06
1.3× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$114K

5,428 claims · 1.0%

Your Cost: $21.03/claim|Median: $17.67
1.2× median
99188Normal range

$106K

11K claims · 0.9%

Your Cost: $9.57/claim|Median: $12.80
0.7× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$103K

4,610 claims · 0.9%

Your Cost: $22.25/claim|Median: $6.93
3.2× median
91320Normal range

$94K

1,117 claims · 0.8%

Your Cost: $83.99/claim|Median: $72.65
1.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$90K

15K claims · 0.8%

Your Cost: $6.22/claim|Median: $7.18
0.9× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$89K

9,927 claims · 0.8%

Your Cost: $8.92/claim|Median: $5.50
1.6× median
99395Normal range

Preventive medicine, established patient, age 18-39

$88K

1,040 claims · 0.8%

Your Cost: $84.78/claim|Median: $72.71
1.2× median
80061Top 25%

Lipid panel

$77K

5,957 claims · 0.7%

Your Cost: $12.86/claim|Median: $8.41
1.5× median
90682Top 25%

$69K

1,307 claims · 0.6%

Your Cost: $52.51/claim|Median: $34.72
1.5× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$65K

1,023 claims · 0.6%

Your Cost: $63.39/claim|Median: $41.92
1.5× median
92551Normal range

Screening audiometry, pure tone, air only

$63K

9,529 claims · 0.6%

Your Cost: $6.61/claim|Median: $6.61
1.0× median
90651Top 25%

HPV vaccine, 9-valent

$60K

1,874 claims · 0.5%

Your Cost: $32.26/claim|Median: $8.93
3.6× median
90480Normal range

$56K

1,814 claims · 0.5%

Your Cost: $30.85/claim|Median: $25.29
1.2× median
90662Top 25%

$54K

1,221 claims · 0.5%

Your Cost: $44.20/claim|Median: $6.55
6.7× median
U0003Top 25%

Infectious disease detection (COVID-19)

$53K

655 claims · 0.5%

Your Cost: $80.40/claim|Median: $63.08
1.3× median
77067Normal range

Screening mammography, bilateral, including CAD

$49K

908 claims · 0.4%

Your Cost: $53.87/claim|Median: $39.33
1.4× median
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