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Provider 1871594622

NPI: 1871594622Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.7M

$7,742,047

Total Claims

738K

Beneficiaries

664K

1.1 claims/patient

Avg Cost/Claim

$10

Monthly Spending Trend

Yearly Spending

2018
$806K
-6%
2019
$756K
-20%
2020
$609K
+103%
2021
$1.2M
+23%
2022
$1.5M
-7%
2023
$1.4M
-2%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99199 (Unlisted special service, procedure, or report)) accounts for 39% of total spending.

99199Normal range

Unlisted special service, procedure, or report

$3.0M

578K claims · 38.7%

Your Cost: $5.18/claim|Median: $5.39
1.0× median
99213Top 25%

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

$831K

12K claims · 10.7%

Your Cost: $70.36/claim|Median: $37.81
1.9× median
59426Top 25%

Antepartum care only, high risk, additional visits

$657K

824 claims · 8.5%

Your Cost: $797.06/claim|Median: $122.30
6.5× median
99215Top 10%

Office/outpatient visit, high complexity

$444K

2,909 claims · 5.7%

Your Cost: $152.80/claim|Median: $74.09
2.1× median
99214Top 10%

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

$427K

4,092 claims · 5.5%

Your Cost: $104.41/claim|Median: $53.41
2.0× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$308K

2,944 claims · 4.0%

Your Cost: $104.68/claim|Median: $72.71
1.4× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$239K

6,695 claims · 3.1%

Your Cost: $35.65/claim|Median: $41.92
0.9× median
99211Top 25%

Office/outpatient visit, minimal complexity

$233K

8,679 claims · 3.0%

Your Cost: $26.85/claim|Median: $12.93
2.1× median
S0280Normal range

Medical home program, comprehensive care management

$170K

3,721 claims · 2.2%

Your Cost: $45.59/claim|Median: $48.38
0.9× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$131K

1,298 claims · 1.7%

Your Cost: $101.02/claim|Median: $58.16
1.7× median
S0281Normal range

$117K

933 claims · 1.5%

Your Cost: $125.75/claim|Median: $92.97
1.4× median
59430Normal range

$92K

831 claims · 1.2%

Your Cost: $110.45/claim|Median: $80.32
1.4× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$76K

1,872 claims · 1.0%

Your Cost: $40.58/claim|Median: $33.72
1.2× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$70K

1,583 claims · 0.9%

Your Cost: $44.25/claim|Median: $36.70
1.2× median
D1351Normal range

Sealant, per tooth

$56K

2,243 claims · 0.7%

Your Cost: $25.10/claim|Median: $26.10
1.0× median
90715Top 25%

Tdap vaccine

$54K

2,322 claims · 0.7%

Your Cost: $23.13/claim|Median: $10.32
2.2× median
90471Normal range

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

$52K

4,492 claims · 0.7%

Your Cost: $11.62/claim|Median: $9.80
1.2× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$48K

577 claims · 0.6%

Your Cost: $83.74/claim|Median: $58.55
1.4× median
81025Normal range

Urine pregnancy test

$48K

7,427 claims · 0.6%

Your Cost: $6.50/claim|Median: $4.81
1.4× median
90472Top 25%

Immunization administration, each additional vaccine

$44K

1,879 claims · 0.6%

Your Cost: $23.16/claim|Median: $11.79
2.0× median
86592Top 25%

$39K

8,746 claims · 0.5%

Your Cost: $4.50/claim|Median: $3.35
1.3× median
T1002Normal range

RN services, per 15 minutes

$36K

1,705 claims · 0.5%

Your Cost: $20.83/claim|Median: $37.42
0.6× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$32K

328 claims · 0.4%

Your Cost: $99.02/claim|Median: $74.78
1.3× median
85018Top 25%

$32K

12K claims · 0.4%

Your Cost: $2.65/claim|Median: $1.71
1.5× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$28K

461 claims · 0.4%

Your Cost: $60.74/claim|Median: $36.79
1.7× median
36415Normal range

Collection of venous blood by venipuncture

$27K

11K claims · 0.4%

Your Cost: $2.43/claim|Median: $1.57
1.5× median
99502Normal range

$27K

473 claims · 0.3%

Your Cost: $56.83/claim|Median: $59.00
1.0× median
81003Top 25%

Urinalysis, automated without microscopy

$26K

10K claims · 0.3%

Your Cost: $2.53/claim|Median: $1.48
1.7× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$24K

5,289 claims · 0.3%

Your Cost: $4.46/claim|Median: $3.67
1.2× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$21K

464 claims · 0.3%

Your Cost: $46.23/claim|Median: $32.07
1.4× median
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