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Provider 1922139989

NPI: 1922139989Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.8M

$9,833,535

Total Claims

291K

Beneficiaries

262K

1.1 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+8%
2019
$1.4M
-10%
2020
$1.2M
+17%
2021
$1.4M
+10%
2022
$1.6M
+0%
2023
$1.6M
-14%
2024
$1.4M

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 32% of total spending.

99213Normal range

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

$3.1M

65K claims · 31.6%

Your Cost: $47.67/claim|Median: $37.81
1.3× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$1.1M

12K claims · 10.8%

Your Cost: $89.91/claim|Median: $75.18
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$864K

11K claims · 8.8%

Your Cost: $81.86/claim|Median: $69.35
1.2× median
99214Normal range

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

$843K

12K claims · 8.6%

Your Cost: $71.21/claim|Median: $53.41
1.3× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$696K

7,589 claims · 7.1%

Your Cost: $91.65/claim|Median: $74.82
1.2× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$576K

17K claims · 5.9%

Your Cost: $33.96/claim|Median: $17.85
1.9× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$329K

3,323 claims · 3.3%

Your Cost: $99.09/claim|Median: $80.15
1.2× median
90670Top 5%

$226K

4,009 claims · 2.3%

Your Cost: $56.29/claim|Median: $5.94
9.5× median
99381Normal range

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

$222K

2,772 claims · 2.3%

Your Cost: $80.23/claim|Median: $73.46
1.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$214K

16K claims · 2.2%

Your Cost: $12.96/claim|Median: $12.93
1.0× median
90471Normal range

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

$193K

14K claims · 2.0%

Your Cost: $14.11/claim|Median: $9.80
1.4× median
99188Top 25%

$156K

6,857 claims · 1.6%

Your Cost: $22.71/claim|Median: $12.80
1.8× median
90716Top 5%

$138K

2,940 claims · 1.4%

Your Cost: $47.08/claim|Median: $6.18
7.6× median
3008FTop 10%

$135K

16K claims · 1.4%

Your Cost: $8.64/claim|Median: $0.06
144.0× median
87081Normal range

Culture screening for pathogenic organisms

$124K

30K claims · 1.3%

Your Cost: $4.06/claim|Median: $5.09
0.8× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$114K

4,210 claims · 1.2%

Your Cost: $27.17/claim|Median: $6.93
3.9× median
99051Normal range

$107K

16K claims · 1.1%

Your Cost: $6.81/claim|Median: $7.89
0.9× median
90698Top 25%

$82K

4,396 claims · 0.8%

Your Cost: $18.61/claim|Median: $6.32
2.9× median
99212Normal range

Office/outpatient visit, low complexity

$76K

2,529 claims · 0.8%

Your Cost: $29.92/claim|Median: $25.06
1.2× median
90707Top 10%

MMR vaccine

$69K

2,738 claims · 0.7%

Your Cost: $25.36/claim|Median: $5.76
4.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$59K

6,957 claims · 0.6%

Your Cost: $8.54/claim|Median: $7.18
1.2× median
90680Top 25%

$53K

3,298 claims · 0.5%

Your Cost: $16.09/claim|Median: $5.58
2.9× median
90734Top 5%

$52K

1,130 claims · 0.5%

Your Cost: $45.89/claim|Median: $6.40
7.2× median
69210Normal range

$50K

1,996 claims · 0.5%

Your Cost: $25.27/claim|Median: $21.74
1.2× median
90677Normal range

$47K

1,681 claims · 0.5%

Your Cost: $27.98/claim|Median: $12.96
2.2× median
90620Top 5%

$35K

509 claims · 0.4%

Your Cost: $69.27/claim|Median: $6.49
10.7× median
90633Top 25%

$35K

2,772 claims · 0.4%

Your Cost: $12.61/claim|Median: $3.56
3.5× median
90472Normal range

Immunization administration, each additional vaccine

$30K

2,519 claims · 0.3%

Your Cost: $11.87/claim|Median: $11.79
1.0× median
83655Normal range

$25K

2,376 claims · 0.3%

Your Cost: $10.35/claim|Median: $10.49
1.0× median
90744Normal range

$16K

3,308 claims · 0.2%

Your Cost: $4.94/claim|Median: $5.00
1.0× median
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