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Provider 1902357163

NPI: 1902357163Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.8M

$7,823,797

Total Claims

209K

Beneficiaries

189K

1.1 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$906K
+14%
2019
$1.0M
-24%
2020
$783K
+33%
2021
$1.0M
+17%
2022
$1.2M
+8%
2023
$1.3M
+14%
2024
$1.5M

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 28% of total spending.

99213Top 10%

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

$2.2M

29K claims · 28.1%

Your Cost: $74.85/claim|Median: $37.81
2.0× median
99214Top 10%

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

$933K

8,113 claims · 11.9%

Your Cost: $114.96/claim|Median: $53.41
2.2× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$735K

6,333 claims · 9.4%

Your Cost: $116.07/claim|Median: $75.18
1.5× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$677K

5,980 claims · 8.7%

Your Cost: $113.25/claim|Median: $74.82
1.5× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$651K

16K claims · 8.3%

Your Cost: $40.32/claim|Median: $17.85
2.3× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$462K

3,767 claims · 5.9%

Your Cost: $122.69/claim|Median: $80.15
1.5× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$450K

4,006 claims · 5.8%

Your Cost: $112.39/claim|Median: $69.35
1.6× median
96127Top 5%

Brief emotional/behavioral assessment, per standardized instrument

$342K

18K claims · 4.4%

Your Cost: $19.07/claim|Median: $3.67
5.2× median
99177Top 10%

$200K

11K claims · 2.6%

Your Cost: $17.58/claim|Median: $3.74
4.7× median
96110Top 25%

Developmental screening, per standardized instrument

$156K

7,810 claims · 2.0%

Your Cost: $20.00/claim|Median: $9.10
2.2× median
96160Top 5%

Patient-focused health risk assessment

$136K

6,601 claims · 1.7%

Your Cost: $20.63/claim|Median: $2.10
9.8× median
90471Top 5%

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

$89K

3,637 claims · 1.1%

Your Cost: $24.40/claim|Median: $9.80
2.5× median
99212Top 25%

Office/outpatient visit, low complexity

$88K

1,992 claims · 1.1%

Your Cost: $44.27/claim|Median: $25.06
1.8× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$88K

3,057 claims · 1.1%

Your Cost: $28.79/claim|Median: $28.46
1.0× median
96161Top 5%

$80K

4,035 claims · 1.0%

Your Cost: $19.86/claim|Median: $2.49
8.0× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$59K

471 claims · 0.8%

Your Cost: $125.59/claim|Median: $91.47
1.4× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$46K

478 claims · 0.6%

Your Cost: $96.93/claim|Median: $65.45
1.5× median
36416Top 25%

$46K

15K claims · 0.6%

Your Cost: $2.98/claim|Median: $1.31
2.3× median
92558Top 25%

$45K

2,173 claims · 0.6%

Your Cost: $20.89/claim|Median: $6.67
3.1× median
87804Normal range

Influenza virus detection, rapid test

$44K

4,613 claims · 0.6%

Your Cost: $9.58/claim|Median: $12.59
0.8× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$37K

805 claims · 0.5%

Your Cost: $45.58/claim|Median: $39.70
1.1× median
92551Normal range

Screening audiometry, pure tone, air only

$36K

6,400 claims · 0.5%

Your Cost: $5.59/claim|Median: $6.61
0.8× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$35K

537 claims · 0.5%

Your Cost: $65.81/claim|Median: $65.64
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$27K

2,812 claims · 0.3%

Your Cost: $9.66/claim|Median: $11.48
0.8× median
99188Top 25%

$18K

870 claims · 0.2%

Your Cost: $21.01/claim|Median: $12.80
1.6× median
99203Top 5%

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

$18K

143 claims · 0.2%

Your Cost: $125.88/claim|Median: $57.85
2.2× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$15K

701 claims · 0.2%

Your Cost: $22.02/claim|Median: $57.30
0.4× median
83655Normal range

$14K

1,347 claims · 0.2%

Your Cost: $10.20/claim|Median: $10.49
1.0× median
99383Top 10%

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

$13K

99 claims · 0.2%

Your Cost: $135.15/claim|Median: $81.92
1.6× median
G8510Top 5%

$13K

682 claims · 0.2%

Your Cost: $18.61/claim|Median: $1.96
9.5× median
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