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Provider 1912928169

NPI: 1912928169Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.0M

$9,013,714

Total Claims

352K

Beneficiaries

313K

1.1 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-1%
2019
$1.4M
-11%
2020
$1.2M
+3%
2021
$1.3M
+11%
2022
$1.4M
-17%
2023
$1.2M
+2%
2024
$1.2M

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 34% of total spending.

99213Top 25%

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

$3.1M

52K claims · 34.0%

Your Cost: $59.23/claim|Median: $37.81
1.6× median
99214Normal range

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

$1.9M

28K claims · 21.3%

Your Cost: $68.83/claim|Median: $53.41
1.3× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$679K

20K claims · 7.5%

Your Cost: $34.58/claim|Median: $17.85
1.9× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$603K

5,099 claims · 6.7%

Your Cost: $118.32/claim|Median: $75.18
1.6× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$451K

4,146 claims · 5.0%

Your Cost: $108.74/claim|Median: $74.82
1.5× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$368K

3,296 claims · 4.1%

Your Cost: $111.63/claim|Median: $80.15
1.4× median
99309Top 10%

Nursing facility care, subsequent, low complexity

$326K

7,661 claims · 3.6%

Your Cost: $42.50/claim|Median: $14.00
3.0× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$314K

3,068 claims · 3.5%

Your Cost: $102.37/claim|Median: $69.35
1.5× median
99308Top 10%

Nursing facility care, subsequent, straightforward

$235K

8,081 claims · 2.6%

Your Cost: $29.08/claim|Median: $9.79
3.0× median
96110Top 25%

Developmental screening, per standardized instrument

$166K

8,986 claims · 1.8%

Your Cost: $18.47/claim|Median: $9.10
2.0× median
87633Top 25%

Respiratory virus detection, 12-25 targets, nucleic acid

$103K

309 claims · 1.1%

Your Cost: $334.67/claim|Median: $169.17
2.0× median
92015Top 5%

Determination of refractive state

$75K

2,015 claims · 0.8%

Your Cost: $37.37/claim|Median: $10.36
3.6× median
96127Top 5%

Brief emotional/behavioral assessment, per standardized instrument

$74K

4,104 claims · 0.8%

Your Cost: $18.06/claim|Median: $3.67
4.9× median
92587Normal range

$73K

2,339 claims · 0.8%

Your Cost: $31.15/claim|Median: $19.24
1.6× median
92551Normal range

Screening audiometry, pure tone, air only

$68K

12K claims · 0.8%

Your Cost: $5.75/claim|Median: $6.61
0.9× median
99306Top 10%

$60K

686 claims · 0.7%

Your Cost: $87.65/claim|Median: $29.97
2.9× median
99173Top 25%

$57K

8,197 claims · 0.6%

Your Cost: $6.92/claim|Median: $2.16
3.2× median
99215Normal range

Office/outpatient visit, high complexity

$39K

444 claims · 0.4%

Your Cost: $87.93/claim|Median: $74.09
1.2× median
36416Top 25%

$32K

10K claims · 0.4%

Your Cost: $3.15/claim|Median: $1.31
2.4× median
G8510Normal range

$28K

3,364 claims · 0.3%

Your Cost: $8.35/claim|Median: $1.96
4.3× median
99305Top 10%

$27K

399 claims · 0.3%

Your Cost: $66.88/claim|Median: $19.28
3.5× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$23K

5,357 claims · 0.3%

Your Cost: $4.34/claim|Median: $5.50
0.8× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$22K

2,164 claims · 0.2%

Your Cost: $9.98/claim|Median: $11.48
0.9× median
85013Normal range

$16K

7,960 claims · 0.2%

Your Cost: $2.07/claim|Median: $2.44
0.8× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$16K

666 claims · 0.2%

Your Cost: $24.40/claim|Median: $57.30
0.4× median
99177Top 10%

$16K

970 claims · 0.2%

Your Cost: $16.45/claim|Median: $3.74
4.4× median
90674Normal range

$12K

759 claims · 0.1%

Your Cost: $15.62/claim|Median: $15.16
1.0× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$12K

124 claims · 0.1%

Your Cost: $93.35/claim|Median: $72.71
1.3× median
82962Normal range

Blood glucose test by monitoring device

$10K

9,871 claims · 0.1%

Your Cost: $1.04/claim|Median: $1.40
0.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$10K

218 claims · 0.1%

Your Cost: $46.18/claim|Median: $39.70
1.2× median
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