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Provider 1891775128

NPI: 1891775128Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.4M

$13,363,737

Total Claims

347K

Beneficiaries

312K

1.1 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+226%
2019
$5.1M
-79%
2020
$1.1M
-24%
2021
$824K
+78%
2022
$1.5M
-6%
2023
$1.4M
+36%
2024
$1.9M

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 31% of total spending.

99213Normal range

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

$4.2M

94K claims · 31.4%

Your Cost: $44.58/claim|Median: $37.81
1.2× median
99214Normal range

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

$3.1M

52K claims · 23.3%

Your Cost: $60.14/claim|Median: $53.41
1.1× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$1.0M

27K claims · 7.6%

Your Cost: $38.09/claim|Median: $121.16
0.3× median
90832Normal range

Psychotherapy, 30 minutes

$897K

18K claims · 6.7%

Your Cost: $50.91/claim|Median: $41.28
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$356K

6,529 claims · 2.7%

Your Cost: $54.55/claim|Median: $69.35
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$319K

5,414 claims · 2.4%

Your Cost: $58.85/claim|Median: $75.18
0.8× median
87428Normal range

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

$238K

4,400 claims · 1.8%

Your Cost: $54.15/claim|Median: $39.63
1.4× median
V2020Top 10%

Frames, purchases

$237K

5,446 claims · 1.8%

Your Cost: $43.45/claim|Median: $19.33
2.2× median
G0467Top 25%

Federally qualified health center visit, mental health

$219K

6,166 claims · 1.6%

Your Cost: $35.48/claim|Median: $21.91
1.6× median
90471Normal range

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

$202K

26K claims · 1.5%

Your Cost: $7.81/claim|Median: $9.80
0.8× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$193K

5,087 claims · 1.4%

Your Cost: $37.89/claim|Median: $47.08
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$175K

2,990 claims · 1.3%

Your Cost: $58.65/claim|Median: $74.82
0.8× median
90472Normal range

Immunization administration, each additional vaccine

$166K

10K claims · 1.2%

Your Cost: $15.97/claim|Median: $11.79
1.4× median
87804Normal range

Influenza virus detection, rapid test

$108K

11K claims · 0.8%

Your Cost: $10.03/claim|Median: $12.59
0.8× median
V2103Top 25%

Lens, sphere-cylinder, single vision, plus or minus 4.00

$107K

2,854 claims · 0.8%

Your Cost: $37.55/claim|Median: $18.82
2.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$103K

1,566 claims · 0.8%

Your Cost: $65.68/claim|Median: $80.15
0.8× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$98K

10K claims · 0.7%

Your Cost: $9.39/claim|Median: $11.48
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$92K

951 claims · 0.7%

Your Cost: $97.17/claim|Median: $74.09
1.3× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$92K

635 claims · 0.7%

Your Cost: $145.25/claim|Median: $108.91
1.3× median
99051Top 25%

$85K

3,629 claims · 0.6%

Your Cost: $23.50/claim|Median: $7.89
3.0× median
99212Normal range

Office/outpatient visit, low complexity

$85K

2,667 claims · 0.6%

Your Cost: $31.96/claim|Median: $25.06
1.3× median
2000F

$71K

523 claims · 0.5%

2001FTop 1%

$69K

506 claims · 0.5%

Your Cost: $136.65/claim|Median: $0.02
6832.3× median
90834Normal range

Psychotherapy, 45 minutes

$69K

888 claims · 0.5%

Your Cost: $77.62/claim|Median: $63.65
1.2× median
92340Normal range

Fitting of spectacles, except for aphakia

$67K

3,999 claims · 0.5%

Your Cost: $16.84/claim|Median: $19.46
0.9× median
3008FTop 1%

$67K

499 claims · 0.5%

Your Cost: $134.22/claim|Median: $0.06
2237.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$66K

1,269 claims · 0.5%

Your Cost: $52.37/claim|Median: $72.71
0.7× median
83036Top 5%

Hemoglobin A1c (glycated hemoglobin)

$60K

3,911 claims · 0.4%

Your Cost: $15.21/claim|Median: $5.50
2.8× median
S0580Normal range

$59K

2,638 claims · 0.4%

Your Cost: $22.19/claim|Median: $17.72
1.3× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$50K

834 claims · 0.4%

Your Cost: $59.86/claim|Median: $41.92
1.4× median
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