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Provider 1881763068

NPI: 1881763068Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.1M

$17,124,807

Total Claims

384K

Beneficiaries

363K

1.1 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+13%
2019
$1.5M
+28%
2020
$1.9M
+51%
2021
$2.9M
+13%
2022
$3.3M
+3%
2023
$3.4M
-16%
2024
$2.8M

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 26% of total spending.

99213Top 25%

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

$4.5M

71K claims · 26.1%

Your Cost: $63.11/claim|Median: $37.81
1.7× median
99214Top 25%

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

$4.4M

46K claims · 25.8%

Your Cost: $95.21/claim|Median: $53.41
1.8× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$1.1M

12K claims · 6.7%

Your Cost: $96.17/claim|Median: $75.18
1.3× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$1.0M

11K claims · 6.1%

Your Cost: $91.29/claim|Median: $74.82
1.2× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$983K

31K claims · 5.7%

Your Cost: $31.52/claim|Median: $17.85
1.8× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$806K

8,906 claims · 4.7%

Your Cost: $90.48/claim|Median: $69.35
1.3× median
G9153Normal range

$618K

15K claims · 3.6%

Your Cost: $42.51/claim|Median: $43.70
1.0× median
87428Top 25%

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

$601K

10K claims · 3.5%

Your Cost: $58.06/claim|Median: $39.63
1.5× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$571K

5,795 claims · 3.3%

Your Cost: $98.45/claim|Median: $80.15
1.2× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$547K

25K claims · 3.2%

Your Cost: $21.89/claim|Median: $12.70
1.7× median
90834Normal range

Psychotherapy, 45 minutes

$343K

4,983 claims · 2.0%

Your Cost: $68.82/claim|Median: $63.65
1.1× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$244K

34K claims · 1.4%

Your Cost: $7.17/claim|Median: $4.71
1.5× median
90461Normal range

Immunization admin, additional vaccine, counseling

$209K

15K claims · 1.2%

Your Cost: $14.13/claim|Median: $6.93
2.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$198K

15K claims · 1.2%

Your Cost: $13.25/claim|Median: $11.48
1.2× median
87502Top 25%

Influenza virus detection, reverse transcription, amplified probe

$186K

2,160 claims · 1.1%

Your Cost: $86.24/claim|Median: $65.64
1.3× median
G2023Normal range

Specimen collection for COVID-19 testing

$108K

7,492 claims · 0.6%

Your Cost: $14.36/claim|Median: $17.15
0.8× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$102K

1,246 claims · 0.6%

Your Cost: $81.64/claim|Median: $62.48
1.3× median
87070Normal range

Bacterial culture, any source except blood or urine

$78K

11K claims · 0.5%

Your Cost: $7.06/claim|Median: $5.89
1.2× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$72K

11K claims · 0.4%

Your Cost: $6.42/claim|Median: $3.67
1.8× median
87426Top 5%

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

$68K

1,440 claims · 0.4%

Your Cost: $46.88/claim|Median: $30.04
1.6× median
99238Top 10%

Hospital discharge day management, 30 minutes or less

$65K

1,035 claims · 0.4%

Your Cost: $63.05/claim|Median: $37.22
1.7× median
90791Top 25%

Psychiatric diagnostic evaluation

$58K

413 claims · 0.3%

Your Cost: $140.45/claim|Median: $99.21
1.4× median
90837Top 25%

Psychotherapy, 60 minutes

$29K

281 claims · 0.2%

Your Cost: $103.63/claim|Median: $85.66
1.2× median
90847Top 25%

Family psychotherapy with patient, 50 min

$26K

250 claims · 0.2%

Your Cost: $103.55/claim|Median: $77.33
1.3× median
99188Normal range

$23K

1,557 claims · 0.1%

Your Cost: $15.05/claim|Median: $12.80
1.2× median
82465Normal range

$23K

6,320 claims · 0.1%

Your Cost: $3.65/claim|Median: $3.41
1.1× median
87804Normal range

Influenza virus detection, rapid test

$20K

1,553 claims · 0.1%

Your Cost: $12.71/claim|Median: $12.59
1.0× median
96110Normal range

Developmental screening, per standardized instrument

$18K

2,628 claims · 0.1%

Your Cost: $6.91/claim|Median: $9.10
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$17K

454 claims · 0.1%

Your Cost: $36.63/claim|Median: $25.06
1.5× median
96161Top 25%

$16K

2,073 claims · 0.1%

Your Cost: $7.70/claim|Median: $2.49
3.1× median
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