Provider 1881089886
Total Paid
$7.5M
$7,507,422
Total Claims
182K
Beneficiaries
162K
1.1 claims/patient
Avg Cost/Claim
$41
Monthly Spending Trend
Yearly Spending
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 24% of total spending.
$1.8M
22K claims
$82.80
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$1.8M
22K claims · 24.2%
$1.8M
17K claims
$103.24
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$1.8M
17K claims · 23.5%
$359K
3,242 claims
$110.83
$65.64
Influenza virus detection, reverse transcription, amplified probe
$359K
3,242 claims · 4.8%
$349K
6,781 claims
$51.45
$17.85
Immunization administration, first vaccine/toxoid, with counseling
$349K
6,781 claims · 4.6%
$340K
3,205 claims
$105.94
$22.44
Telephone E/M by physician, 11-20 minutes
$340K
3,205 claims · 4.5%
$274K
2,622 claims
$104.67
$69.35
Preventive medicine, established patient, infant (under 1)
$274K
2,622 claims · 3.7%
$247K
3,739 claims
$65.94
$6.93
Immunization admin, additional vaccine, counseling
$247K
3,739 claims · 3.3%
$243K
5,740 claims
$42.26
$25.06
Office/outpatient visit, low complexity
$243K
5,740 claims · 3.2%
$239K
2,314 claims
$103.36
$75.18
Preventive medicine, established patient, age 1-4
$239K
2,314 claims · 3.2%
$213K
5,610 claims
$38.03
$28.46
Streptococcus Group A detection, nucleic acid, amplified probe
$213K
5,610 claims · 2.8%
$152K
828 claims
$183.25
$74.09
Office/outpatient visit, high complexity
$152K
828 claims · 2.0%
$141K
4,894 claims · 1.9%
$128K
1,238 claims
$103.02
$74.82
Preventive medicine, established patient, age 5-11
$128K
1,238 claims · 1.7%
$110K
2,428 claims
$45.44
$30.04
SARS-CoV-2 COVID-19 antigen detection, immunoassay
$110K
2,428 claims · 1.5%
$84K
1,202 claims · 1.1%
$82K
5,994 claims
$13.72
$9.10
Developmental screening, per standardized instrument
$82K
5,994 claims · 1.1%
$72K
2,606 claims · 1.0%
$66K
13K claims · 0.9%
$61K
584 claims
$104.12
$57.85
Office/outpatient visit, new patient, low-mod complexity
$61K
584 claims · 0.8%
$58K
1,105 claims
$52.40
$39.70
COVID-19 SARS-CoV-2 amplified probe detection
$58K
1,105 claims · 0.8%
Online digital E/M, 11-20 min
$46K
763 claims · 0.6%
$42K
418 claims
$101.19
$80.15
Preventive medicine, established patient, age 12-17
$42K
418 claims · 0.6%
Psychiatric diagnostic evaluation
$40K
153 claims · 0.5%
$39K
2,924 claims · 0.5%
$38K
1,995 claims
$19.19
$9.56
Therapeutic injection, subcutaneous/intramuscular
$38K
1,995 claims · 0.5%
$38K
1,336 claims
$28.35
$15.37
Telehealth originating site facility fee
$38K
1,336 claims · 0.5%
Psychotherapy, 60 minutes
$36K
226 claims · 0.5%
$30K
1,305 claims
$23.37
$12.93
Office/outpatient visit, minimal complexity
$30K
1,305 claims · 0.4%
$30K
1,896 claims
$15.81
$11.48
Streptococcus, Group A, rapid antigen detection
$30K
1,896 claims · 0.4%
$29K
628 claims · 0.4%