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Provider 1902911050

NPI: 1902911050Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.1M

$15,083,215

Total Claims

337K

Beneficiaries

269K

1.3 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$800K
+88%
2019
$1.5M
-45%
2020
$835K
+225%
2021
$2.7M
+46%
2022
$4.0M
-29%
2023
$2.8M
-12%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (87633 (Respiratory virus detection, 12-25 targets, nucleic acid)) accounts for 24% of total spending.

87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$3.7M

13K claims · 24.5%

Your Cost: $292.72/claim|Median: $169.17
1.7× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$2.9M

12K claims · 19.5%

Your Cost: $241.44/claim|Median: $144.30
1.7× median
99213Normal range

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

$2.6M

54K claims · 17.1%

Your Cost: $48.06/claim|Median: $37.81
1.3× median
99214Normal range

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

$1.5M

20K claims · 9.8%

Your Cost: $73.19/claim|Median: $53.41
1.4× median
99392Normal range

Preventive medicine, established patient, age 1-4

$520K

6,976 claims · 3.4%

Your Cost: $74.51/claim|Median: $75.18
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$431K

5,879 claims · 2.9%

Your Cost: $73.26/claim|Median: $74.82
1.0× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$423K

27K claims · 2.8%

Your Cost: $15.44/claim|Median: $11.48
1.3× median
99203Normal range

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

$413K

8,940 claims · 2.7%

Your Cost: $46.20/claim|Median: $57.85
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$345K

5,161 claims · 2.3%

Your Cost: $66.84/claim|Median: $69.35
1.0× median
96110Top 25%

Developmental screening, per standardized instrument

$229K

13K claims · 1.5%

Your Cost: $18.25/claim|Median: $9.10
2.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$227K

2,847 claims · 1.5%

Your Cost: $79.78/claim|Median: $80.15
1.0× median
99204Normal range

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

$217K

2,994 claims · 1.4%

Your Cost: $72.46/claim|Median: $84.03
0.9× median
99381Normal range

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

$92K

1,100 claims · 0.6%

Your Cost: $84.00/claim|Median: $73.46
1.1× median
94760Top 25%

Pulse oximetry, single reading, noninvasive

$86K

36K claims · 0.6%

Your Cost: $2.39/claim|Median: $0.79
3.0× median
87804Top 25%

Influenza virus detection, rapid test

$79K

4,202 claims · 0.5%

Your Cost: $18.78/claim|Median: $12.59
1.5× median
92587Normal range

$78K

6,423 claims · 0.5%

Your Cost: $12.18/claim|Median: $19.24
0.6× median
90670Top 25%

$70K

4,028 claims · 0.5%

Your Cost: $17.30/claim|Median: $5.94
2.9× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$69K

6,967 claims · 0.5%

Your Cost: $9.87/claim|Median: $3.67
2.7× median
D1206Top 25%

Topical application of fluoride varnish

$65K

2,643 claims · 0.4%

Your Cost: $24.61/claim|Median: $18.12
1.4× median
99212Normal range

Office/outpatient visit, low complexity

$63K

2,515 claims · 0.4%

Your Cost: $25.02/claim|Median: $25.06
1.0× median
99383Normal range

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

$62K

709 claims · 0.4%

Your Cost: $87.28/claim|Median: $81.92
1.1× median
95004Normal range

Percutaneous allergy skin tests, each

$61K

1,157 claims · 0.4%

Your Cost: $52.70/claim|Median: $134.97
0.4× median
99000Top 10%

$46K

2,438 claims · 0.3%

Your Cost: $18.88/claim|Median: $2.30
8.2× median
90648Top 25%

$34K

3,414 claims · 0.2%

Your Cost: $10.10/claim|Median: $4.08
2.5× median
99215Normal range

Office/outpatient visit, high complexity

$33K

661 claims · 0.2%

Your Cost: $50.59/claim|Median: $74.09
0.7× median
83655Normal range

$32K

2,733 claims · 0.2%

Your Cost: $11.67/claim|Median: $10.49
1.1× median
90633Normal range

$31K

3,420 claims · 0.2%

Your Cost: $9.17/claim|Median: $3.56
2.6× median
96160Top 25%

Patient-focused health risk assessment

$30K

2,354 claims · 0.2%

Your Cost: $12.56/claim|Median: $2.10
6.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$29K

2,526 claims · 0.2%

Your Cost: $11.61/claim|Median: $12.93
0.9× median
87637Top 25%

Respiratory virus detection, 3-5 targets, nucleic acid

$29K

216 claims · 0.2%

Your Cost: $134.94/claim|Median: $100.62
1.3× median
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