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Provider 1912924705

NPI: 1912924705Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.0M

$9,960,405

Total Claims

397K

Beneficiaries

373K

1.1 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-11%
2019
$1.8M
-22%
2020
$1.4M
+16%
2021
$1.6M
+3%
2022
$1.7M
-44%
2023
$937K
-45%
2024
$513K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 56% of total spending.

99214Normal range

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

$5.5M

113K claims · 55.6%

Your Cost: $49.05/claim|Median: $53.41
0.9× median
99213Normal range

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

$2.4M

59K claims · 23.9%

Your Cost: $39.97/claim|Median: $37.81
1.1× median
90834Normal range

Psychotherapy, 45 minutes

$315K

3,980 claims · 3.2%

Your Cost: $79.07/claim|Median: $63.65
1.2× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$192K

6,146 claims · 1.9%

Your Cost: $31.26/claim|Median: $35.43
0.9× median
92340Top 25%

Fitting of spectacles, except for aphakia

$100K

3,540 claims · 1.0%

Your Cost: $28.39/claim|Median: $19.46
1.5× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$96K

2,493 claims · 1.0%

Your Cost: $38.61/claim|Median: $47.08
0.8× median
90471Top 25%

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

$89K

5,460 claims · 0.9%

Your Cost: $16.25/claim|Median: $9.80
1.7× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$76K

1,379 claims · 0.8%

Your Cost: $55.44/claim|Median: $59.72
0.9× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$73K

6,806 claims · 0.7%

Your Cost: $10.78/claim|Median: $7.18
1.5× median
99215Normal range

Office/outpatient visit, high complexity

$72K

1,515 claims · 0.7%

Your Cost: $47.37/claim|Median: $74.09
0.6× median
99396Normal range

Preventive medicine, established patient, age 40-64

$63K

702 claims · 0.6%

Your Cost: $89.38/claim|Median: $76.06
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$50K

2,033 claims · 0.5%

Your Cost: $24.81/claim|Median: $25.06
1.0× median
92341Top 10%

$50K

1,429 claims · 0.5%

Your Cost: $35.07/claim|Median: $22.77
1.5× median
84443Normal range

Thyroid stimulating hormone (TSH)

$49K

5,323 claims · 0.5%

Your Cost: $9.18/claim|Median: $9.87
0.9× median
92015Normal range

Determination of refractive state

$46K

3,761 claims · 0.5%

Your Cost: $12.34/claim|Median: $10.36
1.2× median
U0003Normal range

Infectious disease detection (COVID-19)

$44K

724 claims · 0.4%

Your Cost: $60.49/claim|Median: $63.08
1.0× median
80061Normal range

Lipid panel

$38K

19K claims · 0.4%

Your Cost: $2.02/claim|Median: $8.41
0.2× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$37K

9,636 claims · 0.4%

Your Cost: $3.89/claim|Median: $5.50
0.7× median
85025Normal range

Complete blood count (CBC) with differential, automated

$37K

9,457 claims · 0.4%

Your Cost: $3.89/claim|Median: $4.71
0.8× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$36K

4,170 claims · 0.4%

Your Cost: $8.66/claim|Median: $3.67
2.4× median
77067Normal range

Screening mammography, bilateral, including CAD

$34K

600 claims · 0.3%

Your Cost: $56.83/claim|Median: $39.33
1.4× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$30K

324 claims · 0.3%

Your Cost: $93.06/claim|Median: $108.91
0.9× median
99203Normal range

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

$30K

471 claims · 0.3%

Your Cost: $62.95/claim|Median: $57.85
1.1× median
99204Normal range

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

$29K

291 claims · 0.3%

Your Cost: $98.51/claim|Median: $84.03
1.2× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$26K

570 claims · 0.3%

Your Cost: $46.32/claim|Median: $24.33
1.9× median
G0108Normal range

Diabetes self-management training, individual

$25K

1,375 claims · 0.3%

Your Cost: $18.50/claim|Median: $35.89
0.5× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$24K

664 claims · 0.2%

Your Cost: $36.14/claim|Median: $40.11
0.9× median
20611Normal range

Aspiration or injection of intermediate joint or bursa

$24K

538 claims · 0.2%

Your Cost: $44.37/claim|Median: $42.51
1.0× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$24K

2,093 claims · 0.2%

Your Cost: $11.40/claim|Median: $22.44
0.5× median
90837Normal range

Psychotherapy, 60 minutes

$23K

243 claims · 0.2%

Your Cost: $95.69/claim|Median: $85.66
1.1× median
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