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Provider 1881089886

NPI: 1881089886Share
Active Billing Period:2018-012024-12(84 months)

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

2018
$565K
+20%
2019
$676K
-9%
2020
$613K
+28%
2021
$782K
+35%
2022
$1.1M
+44%
2023
$1.5M
+50%
2024
$2.3M

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.

99213Top 10%

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

$1.8M

22K claims · 24.2%

Your Cost: $82.80/claim|Median: $37.81
2.2× median
99214Top 10%

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

$1.8M

17K claims · 23.5%

Your Cost: $103.24/claim|Median: $53.41
1.9× median
87502Top 5%

Influenza virus detection, reverse transcription, amplified probe

$359K

3,242 claims · 4.8%

Your Cost: $110.83/claim|Median: $65.64
1.7× median
90460Top 5%

Immunization administration, first vaccine/toxoid, with counseling

$349K

6,781 claims · 4.6%

Your Cost: $51.45/claim|Median: $17.85
2.9× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$340K

3,205 claims · 4.5%

Your Cost: $105.94/claim|Median: $22.44
4.7× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$274K

2,622 claims · 3.7%

Your Cost: $104.67/claim|Median: $69.35
1.5× median
90461Top 5%

Immunization admin, additional vaccine, counseling

$247K

3,739 claims · 3.3%

Your Cost: $65.94/claim|Median: $6.93
9.5× median
99212Top 25%

Office/outpatient visit, low complexity

$243K

5,740 claims · 3.2%

Your Cost: $42.26/claim|Median: $25.06
1.7× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$239K

2,314 claims · 3.2%

Your Cost: $103.36/claim|Median: $75.18
1.4× median
87651Top 25%

Streptococcus Group A detection, nucleic acid, amplified probe

$213K

5,610 claims · 2.8%

Your Cost: $38.03/claim|Median: $28.46
1.3× median
99215Top 5%

Office/outpatient visit, high complexity

$152K

828 claims · 2.0%

Your Cost: $183.25/claim|Median: $74.09
2.5× median
99177Top 5%

$141K

4,894 claims · 1.9%

Your Cost: $28.85/claim|Median: $3.74
7.7× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$128K

1,238 claims · 1.7%

Your Cost: $103.02/claim|Median: $74.82
1.4× median
87426Top 5%

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

$110K

2,428 claims · 1.5%

Your Cost: $45.44/claim|Median: $30.04
1.5× median
87634Top 10%

$84K

1,202 claims · 1.1%

Your Cost: $70.09/claim|Median: $48.78
1.4× median
96110Normal range

Developmental screening, per standardized instrument

$82K

5,994 claims · 1.1%

Your Cost: $13.72/claim|Median: $9.10
1.5× median
99173Top 5%

$72K

2,606 claims · 1.0%

Your Cost: $27.54/claim|Median: $2.16
12.7× median
88738Normal range

$66K

13K claims · 0.9%

Your Cost: $5.03/claim|Median: $4.06
1.2× median
99203Top 10%

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

$61K

584 claims · 0.8%

Your Cost: $104.12/claim|Median: $57.85
1.8× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$58K

1,105 claims · 0.8%

Your Cost: $52.40/claim|Median: $39.70
1.3× median
99422Top 5%

Online digital E/M, 11-20 min

$46K

763 claims · 0.6%

Your Cost: $60.72/claim|Median: $17.90
3.4× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$42K

418 claims · 0.6%

Your Cost: $101.19/claim|Median: $80.15
1.3× median
90791Top 5%

Psychiatric diagnostic evaluation

$40K

153 claims · 0.5%

Your Cost: $264.54/claim|Median: $99.21
2.7× median
83655Top 25%

$39K

2,924 claims · 0.5%

Your Cost: $13.34/claim|Median: $10.49
1.3× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$38K

1,995 claims · 0.5%

Your Cost: $19.19/claim|Median: $9.56
2.0× median
Q3014Top 10%

Telehealth originating site facility fee

$38K

1,336 claims · 0.5%

Your Cost: $28.35/claim|Median: $15.37
1.8× median
90837Top 5%

Psychotherapy, 60 minutes

$36K

226 claims · 0.5%

Your Cost: $157.24/claim|Median: $85.66
1.8× median
99211Top 25%

Office/outpatient visit, minimal complexity

$30K

1,305 claims · 0.4%

Your Cost: $23.37/claim|Median: $12.93
1.8× median
87880Top 10%

Streptococcus, Group A, rapid antigen detection

$30K

1,896 claims · 0.4%

Your Cost: $15.81/claim|Median: $11.48
1.4× median
86328Top 5%

$29K

628 claims · 0.4%

Your Cost: $46.36/claim|Median: $20.52
2.3× median