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Provider 1881990802

NPI: 1881990802Share
Active Billing Period:2018-12→2024-12(73 months)

Total Paid

$10.2M

$10,205,297

Total Claims

274K

Beneficiaries

221K

1.2 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$19K
+3655%
2019
$712K
+43%
2020
$1.0M
+49%
2021
$1.5M
+45%
2022
$2.2M
+54%
2023
$3.4M
-60%
2024
$1.4M

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 37% of total spending.

99213Top 25%

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

$3.8M

59K claims · 36.8%

Your Cost: $64.04/claim|Median: $37.81
1.7× median
99214Top 10%

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

$2.7M

26K claims · 26.4%

Your Cost: $102.56/claim|Median: $53.41
1.9× median
99212Top 25%

Office/outpatient visit, low complexity

$809K

18K claims · 7.9%

Your Cost: $44.57/claim|Median: $25.06
1.8× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$743K

6,585 claims · 7.3%

Your Cost: $112.86/claim|Median: $75.18
1.5× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$589K

5,423 claims · 5.8%

Your Cost: $108.68/claim|Median: $69.35
1.6× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$430K

4,071 claims · 4.2%

Your Cost: $105.56/claim|Median: $74.82
1.4× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$296K

14K claims · 2.9%

Your Cost: $21.73/claim|Median: $17.85
1.2× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$294K

2,445 claims · 2.9%

Your Cost: $120.18/claim|Median: $80.15
1.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$88K

3,248 claims · 0.9%

Your Cost: $27.24/claim|Median: $39.70
0.7× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$62K

772 claims · 0.6%

Your Cost: $80.33/claim|Median: $73.46
1.1× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$60K

8,797 claims · 0.6%

Your Cost: $6.80/claim|Median: $24.33
0.3× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$46K

10K claims · 0.4%

Your Cost: $4.50/claim|Median: $12.70
0.4× median
90461Normal range

Immunization admin, additional vaccine, counseling

$44K

5,830 claims · 0.4%

Your Cost: $7.47/claim|Median: $6.93
1.1× median
99383Top 10%

Preventive visit, new patient, late childhood (5-11 yr)

$37K

312 claims · 0.4%

Your Cost: $119.85/claim|Median: $81.92
1.5× median
99051Normal range

$29K

5,856 claims · 0.3%

Your Cost: $4.91/claim|Median: $7.89
0.6× median
87804Normal range

Influenza virus detection, rapid test

$29K

3,571 claims · 0.3%

Your Cost: $7.99/claim|Median: $12.59
0.6× median
H0049Normal range

$18K

2,832 claims · 0.2%

Your Cost: $6.52/claim|Median: $9.27
0.7× median
99204Top 10%

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

$18K

116 claims · 0.2%

Your Cost: $154.53/claim|Median: $84.03
1.8× median
92558Normal range

$18K

5,036 claims · 0.2%

Your Cost: $3.48/claim|Median: $6.67
0.5× median
99401Normal range

$17K

1,427 claims · 0.2%

Your Cost: $12.10/claim|Median: $16.53
0.7× median
99211Top 25%

Office/outpatient visit, minimal complexity

$14K

508 claims · 0.1%

Your Cost: $27.65/claim|Median: $12.93
2.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$14K

3,003 claims · 0.1%

Your Cost: $4.59/claim|Median: $11.48
0.4× median
99382Top 25%

Preventive visit, new patient, early childhood (1-4 yr)

$13K

123 claims · 0.1%

Your Cost: $109.16/claim|Median: $79.89
1.4× median
96160Normal range

Patient-focused health risk assessment

$12K

4,970 claims · 0.1%

Your Cost: $2.47/claim|Median: $2.10
1.2× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$11K

114 claims · 0.1%

Your Cost: $100.85/claim|Median: $83.63
1.2× median
G2012Normal range

Brief communication technology-based service

$8K

1,208 claims · 0.1%

Your Cost: $7.00/claim|Median: $8.79
0.8× median
99188Normal range

$7K

593 claims · 0.1%

Your Cost: $11.35/claim|Median: $12.80
0.9× median
36415Top 25%

Collection of venous blood by venipuncture

$6K

1,989 claims · 0.1%

Your Cost: $3.08/claim|Median: $1.57
2.0× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$6K

1,630 claims · 0.1%

Your Cost: $3.66/claim|Median: $10.88
0.3× median
G0447Normal range

$5K

1,974 claims · 0.0%

Your Cost: $2.33/claim|Median: $5.19
0.4× median
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