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Provider 1881801835

NPI: 1881801835Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$8.0M

$8,044,780

Total Claims

341K

Beneficiaries

335K

1.0 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+10%
2019
$1.2M
+11%
2020
$1.3M
+22%
2021
$1.6M
-6%
2022
$1.5M
-27%
2023
$1.1M
-66%
2024
$372K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (96156) accounts for 15% of total spending.

96156Top 25%

$1.2M

19K claims · 15.5%

Your Cost: $67.26/claim|Median: $22.36
3.0× median
99213Normal range

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

$963K

27K claims · 12.0%

Your Cost: $35.58/claim|Median: $37.81
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$873K

31K claims · 10.9%

Your Cost: $28.45/claim|Median: $25.06
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$511K

8,107 claims · 6.4%

Your Cost: $63.02/claim|Median: $80.15
0.8× median
99214Normal range

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

$480K

8,750 claims · 6.0%

Your Cost: $54.85/claim|Median: $53.41
1.0× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$449K

20K claims · 5.6%

Your Cost: $22.28/claim|Median: $12.70
1.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$380K

7,368 claims · 4.7%

Your Cost: $51.53/claim|Median: $74.82
0.7× median
G9920Top 25%

$335K

16K claims · 4.2%

Your Cost: $21.58/claim|Median: $6.56
3.3× median
92551Top 25%

Screening audiometry, pure tone, air only

$252K

21K claims · 3.1%

Your Cost: $11.90/claim|Median: $6.61
1.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$252K

5,547 claims · 3.1%

Your Cost: $45.35/claim|Median: $75.18
0.6× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$178K

1,447 claims · 2.2%

Your Cost: $123.31/claim|Median: $72.71
1.7× median
96110Top 5%

Developmental screening, per standardized instrument

$174K

2,705 claims · 2.2%

Your Cost: $64.24/claim|Median: $9.10
7.1× median
96151Normal range

Health behavior reassessment

$157K

7,094 claims · 1.9%

Your Cost: $22.11/claim|Median: $15.43
1.4× median
80061Normal range

Lipid panel

$152K

14K claims · 1.9%

Your Cost: $11.14/claim|Median: $8.41
1.3× median
G0444Top 5%

Annual depression screening, fifteen minutes

$132K

7,436 claims · 1.6%

Your Cost: $17.79/claim|Median: $4.23
4.2× median
G0442Top 25%

$127K

9,431 claims · 1.6%

Your Cost: $13.44/claim|Median: $4.91
2.7× median
G8510Top 10%

$126K

8,581 claims · 1.6%

Your Cost: $14.65/claim|Median: $1.96
7.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$119K

2,435 claims · 1.5%

Your Cost: $48.90/claim|Median: $69.35
0.7× median
99406Top 25%

$119K

11K claims · 1.5%

Your Cost: $11.07/claim|Median: $6.53
1.7× median
99173Top 10%

$111K

6,638 claims · 1.4%

Your Cost: $16.65/claim|Median: $2.16
7.7× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$110K

9,797 claims · 1.4%

Your Cost: $11.27/claim|Median: $3.67
3.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$80K

8,287 claims · 1.0%

Your Cost: $9.64/claim|Median: $7.18
1.3× median
85018Top 10%

$77K

25K claims · 1.0%

Your Cost: $3.14/claim|Median: $1.71
1.8× median
81005Top 10%

$59K

22K claims · 0.7%

Your Cost: $2.74/claim|Median: $1.10
2.5× median
90620Normal range

$42K

3,156 claims · 0.5%

Your Cost: $13.29/claim|Median: $6.49
2.0× median
90651Normal range

HPV vaccine, 9-valent

$37K

3,466 claims · 0.5%

Your Cost: $10.74/claim|Median: $8.93
1.2× median
96160Top 5%

Patient-focused health risk assessment

$36K

1,715 claims · 0.4%

Your Cost: $20.77/claim|Median: $2.10
9.9× median
90619Top 25%

$32K

1,110 claims · 0.4%

Your Cost: $29.25/claim|Median: $8.36
3.5× median
H0049Top 25%

$31K

1,297 claims · 0.4%

Your Cost: $23.75/claim|Median: $9.27
2.6× median
90672Top 25%

$26K

1,783 claims · 0.3%

Your Cost: $14.67/claim|Median: $3.59
4.1× median
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