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Provider 1912161134

NPI: 1912161134Share
Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$11.9M

$11,914,058

Total Claims

311K

Beneficiaries

283K

1.1 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$964K
+22%
2019
$1.2M
-7%
2020
$1.1M
+62%
2021
$1.8M
+20%
2022
$2.1M
+30%
2023
$2.8M
-27%
2024
$2.0M

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 50% of total spending.

99213Top 25%

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

$6.0M

90K claims · 50.1%

Your Cost: $66.01/claim|Median: $37.81
1.7× median
99212Top 25%

Office/outpatient visit, low complexity

$1.5M

33K claims · 12.6%

Your Cost: $45.10/claim|Median: $25.06
1.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$719K

8,889 claims · 6.0%

Your Cost: $80.89/claim|Median: $74.82
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$711K

8,796 claims · 6.0%

Your Cost: $80.80/claim|Median: $75.18
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$509K

7,032 claims · 4.3%

Your Cost: $72.33/claim|Median: $69.35
1.0× median
99214Top 25%

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

$432K

4,826 claims · 3.6%

Your Cost: $89.45/claim|Median: $53.41
1.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$429K

4,835 claims · 3.6%

Your Cost: $88.66/claim|Median: $80.15
1.1× median
90471Normal range

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

$323K

30K claims · 2.7%

Your Cost: $10.84/claim|Median: $9.80
1.1× median
90472Top 25%

Immunization administration, each additional vaccine

$297K

13K claims · 2.5%

Your Cost: $22.73/claim|Median: $11.79
1.9× median
99381Normal range

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

$119K

1,363 claims · 1.0%

Your Cost: $87.12/claim|Median: $73.46
1.2× median
87804Normal range

Influenza virus detection, rapid test

$95K

7,214 claims · 0.8%

Your Cost: $13.23/claim|Median: $12.59
1.1× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$77K

2,143 claims · 0.7%

Your Cost: $36.14/claim|Median: $36.70
1.0× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$77K

2,157 claims · 0.6%

Your Cost: $35.65/claim|Median: $33.72
1.1× median
90691Top 25%

$76K

804 claims · 0.6%

Your Cost: $95.13/claim|Median: $60.44
1.6× median
99395Normal range

Preventive medicine, established patient, age 18-39

$75K

831 claims · 0.6%

Your Cost: $90.07/claim|Median: $72.71
1.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$62K

5,696 claims · 0.5%

Your Cost: $10.84/claim|Median: $11.48
0.9× median
99051Normal range

$59K

7,760 claims · 0.5%

Your Cost: $7.63/claim|Median: $7.89
1.0× median
0003ANormal range

COVID-19 vaccine admin, Pfizer, 3rd dose

$58K

1,537 claims · 0.5%

Your Cost: $37.49/claim|Median: $36.49
1.0× median
99441Top 25%

Telephone E/M by physician, 5-10 min

$47K

1,401 claims · 0.4%

Your Cost: $33.89/claim|Median: $13.30
2.5× median
0071ANormal range

$41K

1,160 claims · 0.3%

Your Cost: $35.14/claim|Median: $38.71
0.9× median
0072ANormal range

$36K

1,047 claims · 0.3%

Your Cost: $34.74/claim|Median: $39.57
0.9× median
36415Top 25%

Collection of venous blood by venipuncture

$32K

8,538 claims · 0.3%

Your Cost: $3.69/claim|Median: $1.57
2.4× median
17250Top 25%

$21K

383 claims · 0.2%

Your Cost: $54.52/claim|Median: $19.69
2.8× median
90671Top 10%

$16K

146 claims · 0.1%

Your Cost: $109.09/claim|Median: $8.59
12.7× median
90473Normal range

Immunization admin, intranasal, first

$15K

1,265 claims · 0.1%

Your Cost: $11.88/claim|Median: $9.17
1.3× median
90688Normal range

$12K

7,091 claims · 0.1%

Your Cost: $1.72/claim|Median: $9.00
0.2× median
99383Normal range

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

$12K

137 claims · 0.1%

Your Cost: $87.42/claim|Median: $81.92
1.1× median
G2023Normal range

Specimen collection for COVID-19 testing

$11K

1,268 claims · 0.1%

Your Cost: $8.54/claim|Median: $17.15
0.5× median
90677Normal range

$10K

477 claims · 0.1%

Your Cost: $21.97/claim|Median: $12.96
1.7× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$9K

6,285 claims · 0.1%

Your Cost: $1.39/claim|Median: $7.18
0.2× median
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