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Provider 1881648285

NPI: 1881648285Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.5M

$14,522,043

Total Claims

281K

Beneficiaries

250K

1.1 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018
$2.4M
+5%
2019
$2.5M
-17%
2020
$2.1M
-5%
2021
$2.0M
-21%
2022
$1.6M
+25%
2023
$2.0M
-13%
2024
$1.8M

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 37% of total spending.

99214Top 25%

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

$5.4M

66K claims · 37.4%

Your Cost: $82.75/claim|Median: $53.41
1.5× median
99213Top 25%

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

$2.5M

41K claims · 17.2%

Your Cost: $61.46/claim|Median: $37.81
1.6× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$1.1M

12K claims · 7.3%

Your Cost: $86.92/claim|Median: $69.35
1.3× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$726K

7,822 claims · 5.0%

Your Cost: $92.83/claim|Median: $75.18
1.2× median
97530Normal range

Therapeutic activities, each 15 min

$719K

16K claims · 5.0%

Your Cost: $45.48/claim|Median: $33.11
1.4× median
92507Normal range

Speech/hearing/language treatment

$572K

9,150 claims · 3.9%

Your Cost: $62.48/claim|Median: $49.45
1.3× median
59400Normal range

Routine obstetric care, vaginal delivery, including postpartum

$555K

329 claims · 3.8%

Your Cost: $1,686.20/claim|Median: $1,482.45
1.1× median
90472Top 5%

Immunization administration, each additional vaccine

$462K

13K claims · 3.2%

Your Cost: $34.59/claim|Median: $11.79
2.9× median
90471Top 25%

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

$427K

24K claims · 2.9%

Your Cost: $17.93/claim|Median: $9.80
1.8× median
97112Top 25%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$246K

7,931 claims · 1.7%

Your Cost: $31.00/claim|Median: $20.04
1.5× median
87804Top 10%

Influenza virus detection, rapid test

$235K

8,465 claims · 1.6%

Your Cost: $27.80/claim|Median: $12.59
2.2× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$225K

3,381 claims · 1.5%

Your Cost: $66.55/claim|Median: $54.68
1.2× median
99203Top 25%

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

$204K

2,608 claims · 1.4%

Your Cost: $78.24/claim|Median: $57.85
1.4× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$187K

13K claims · 1.3%

Your Cost: $14.21/claim|Median: $11.48
1.2× median
99204Normal range

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

$158K

1,477 claims · 1.1%

Your Cost: $106.87/claim|Median: $84.03
1.3× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$122K

1,315 claims · 0.8%

Your Cost: $92.88/claim|Median: $74.82
1.2× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$62K

872 claims · 0.4%

Your Cost: $71.01/claim|Median: $74.78
0.9× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$45K

323 claims · 0.3%

Your Cost: $138.38/claim|Median: $111.09
1.2× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$43K

1,666 claims · 0.3%

Your Cost: $25.77/claim|Median: $23.99
1.1× median
90474Top 25%

$37K

2,088 claims · 0.3%

Your Cost: $17.89/claim|Median: $8.42
2.1× median
69436Normal range

Tympanostomy, general anesthesia

$35K

212 claims · 0.2%

Your Cost: $163.24/claim|Median: $205.50
0.8× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$32K

1,797 claims · 0.2%

Your Cost: $17.85/claim|Median: $9.56
1.9× median
96110Normal range

Developmental screening, per standardized instrument

$31K

3,562 claims · 0.2%

Your Cost: $8.62/claim|Median: $9.10
0.9× median
87426Top 5%

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

$27K

605 claims · 0.2%

Your Cost: $45.13/claim|Median: $30.04
1.5× median
97533Normal range

$25K

458 claims · 0.2%

Your Cost: $54.45/claim|Median: $48.71
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$25K

306 claims · 0.2%

Your Cost: $80.36/claim|Median: $74.09
1.1× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$24K

282 claims · 0.2%

Your Cost: $84.80/claim|Median: $62.48
1.4× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$23K

222 claims · 0.2%

Your Cost: $102.13/claim|Median: $80.15
1.3× median
90962Normal range

$22K

729 claims · 0.2%

Your Cost: $30.26/claim|Median: $40.91
0.7× median
99238Top 10%

Hospital discharge day management, 30 minutes or less

$21K

326 claims · 0.1%

Your Cost: $64.57/claim|Median: $37.22
1.7× median
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