Total Paid
$22.4M
$22,359,500
Total Claims
1.1M
Beneficiaries
732K
1.5 claims/patient
Avg Cost/Claim
$20
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 25% of total spending.
$5.7M
72K claims
$78.11
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$5.7M
72K claims · 25.3%
$3.8M
76K claims
$50.01
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$3.8M
76K claims · 16.9%
$2.9M
484K claims
$6.01
$5.39
Unlisted special service, procedure, or report
$2.9M
484K claims · 13.0%
$1.6M
23K claims
$70.07
$69.35
Preventive medicine, established patient, infant (under 1)
$1.6M
23K claims · 7.2%
$1.5M
21K claims
$72.80
$75.18
Preventive medicine, established patient, age 1-4
$1.5M
21K claims · 6.7%
$1.1M
14K claims
$76.47
$74.82
Preventive medicine, established patient, age 5-11
$1.1M
14K claims · 5.0%
$929K
31K claims
$30.17
$11.79
Immunization administration, each additional vaccine
$929K
31K claims · 4.2%
$718K
8,919 claims
$80.50
$80.15
Preventive medicine, established patient, age 12-17
$718K
8,919 claims · 3.2%
$658K
42K claims
$15.53
$9.80
Immunization administration, 1 vaccine, percutaneous/ID/SC/IM
$658K
42K claims · 2.9%
$474K
4,284 claims
$110.54
$97.61
Respiratory virus detection, 6-11 targets, nucleic acid
$474K
4,284 claims · 2.1%
$436K
14K claims
$30.85
$57.30
Oral evaluation for patient under 3 years, counseling
$436K
14K claims · 2.0%
$238K
31K claims
$7.73
$9.10
Developmental screening, per standardized instrument
$238K
31K claims · 1.1%
$235K
8,894 claims
$26.41
$25.06
Office/outpatient visit, low complexity
$235K
8,894 claims · 1.1%
$210K
19K claims
$10.76
$12.59
Influenza virus detection, rapid test
$210K
19K claims · 0.9%
$193K
14K claims
$13.53
$18.12
Topical application of fluoride varnish
$193K
14K claims · 0.9%
$193K
8,282 claims · 0.9%
$154K
2,305 claims
$66.74
$62.48
Initial hospital or birthing center care, newborn, per day
$154K
2,305 claims · 0.7%
$150K
1,361 claims
$110.14
$74.09
Office/outpatient visit, high complexity
$150K
1,361 claims · 0.7%
$148K
20K claims
$7.36
$4.71
Complete blood count (CBC) with differential, automated
$148K
20K claims · 0.7%
$138K
13K claims
$10.87
$11.48
Streptococcus, Group A, rapid antigen detection
$138K
13K claims · 0.6%
$135K
1,669 claims
$81.13
$43.85
Hospital discharge day management, more than 30 minutes
$135K
1,669 claims · 0.6%
$134K
2,342 claims
$57.31
$39.63
SARS-CoV-2 COVID-19 antigen detection, immunoassay, each
$134K
2,342 claims · 0.6%
$120K
5,521 claims · 0.5%
$50K
958 claims
$51.83
$37.22
Hospital discharge day management, 30 minutes or less
$50K
958 claims · 0.2%
$42K
1,500 claims
$27.87
$30.04
SARS-CoV-2 COVID-19 antigen detection, immunoassay
$42K
1,500 claims · 0.2%
$40K
2,811 claims · 0.2%
$38K
3,490 claims · 0.2%
$32K
2,416 claims
$13.15
$17.15
Specimen collection for COVID-19 testing
$32K
2,416 claims · 0.1%
HPV vaccine, 9-valent
$29K
3,929 claims · 0.1%
$27K
25K claims
$1.10
$6.61
Screening audiometry, pure tone, air only
$27K
25K claims · 0.1%
$24K
4,161 claims
$5.65
$5.09
Culture screening for pathogenic organisms
$24K
4,161 claims · 0.1%
$22K
776 claims · 0.1%
$18K
34K claims · 0.1%
$18K
6,406 claims · 0.1%
$18K
1,767 claims · 0.1%
$18K
1,070 claims
$16.60
$12.93
Office/outpatient visit, minimal complexity
$18K
1,070 claims · 0.1%
$17K
4,383 claims
$3.84
$3.67
Brief emotional/behavioral assessment, per standardized instrument
$17K
4,383 claims · 0.1%
$16K
873 claims · 0.1%
$12K
495 claims
$24.57
$13.30
Telephone E/M by physician, 5-10 min
$12K
495 claims · 0.1%
$10K
111 claims
$88.29
$73.46
Preventive visit, new patient, infant (<1 yr)
$10K
111 claims · 0.0%
$10K
16K claims · 0.0%
$10K
2,365 claims · 0.0%
$9K
1,852 claims · 0.0%
$8K
793 claims
$10.16
$10.88
Pressurized or nonpressurized inhalation treatment
$8K
793 claims · 0.0%
$8K
246 claims
$32.33
$17.85
Immunization administration, first vaccine/toxoid, with counseling
$8K
246 claims · 0.0%
$7K
192 claims
$38.48
$23.99
Subsequent hospital care, per day, moderate complexity
$7K
192 claims · 0.0%
$6K
540 claims
$11.06
$9.56
Therapeutic injection, subcutaneous/intramuscular
$6K
540 claims · 0.0%
$6K
2,098 claims
$2.72
$2.03
Urinalysis, automated, with microscopy
$6K
2,098 claims · 0.0%
$5K
58 claims · 0.0%
$5K
144 claims · 0.0%
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