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Provider 1922155217

NPI: 1922155217Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.6M

$7,589,742

Total Claims

241K

Beneficiaries

205K

1.2 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$1.2M
-45%
2019
$646K
+47%
2020
$947K
+15%
2021
$1.1M
+32%
2022
$1.4M
-12%
2023
$1.3M
-18%
2024
$1.0M

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 36% of total spending.

99213Normal range

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

$2.7M

54K claims · 36.0%

Your Cost: $50.20/claim|Median: $37.81
1.3× median
99214Normal range

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

$2.1M

42K claims · 28.2%

Your Cost: $51.18/claim|Median: $53.41
1.0× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$303K

9,188 claims · 4.0%

Your Cost: $33.02/claim|Median: $16.77
2.0× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$274K

6,782 claims · 3.6%

Your Cost: $40.42/claim|Median: $23.99
1.7× median
99204Normal range

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

$261K

3,040 claims · 3.4%

Your Cost: $85.97/claim|Median: $84.03
1.0× median
99223Top 25%

Initial hospital care, per day, high complexity

$194K

1,853 claims · 2.6%

Your Cost: $104.52/claim|Median: $67.32
1.6× median
99222Normal range

Initial hospital care, per day, moderate complexity

$177K

2,664 claims · 2.3%

Your Cost: $66.52/claim|Median: $51.25
1.3× median
99203Normal range

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

$175K

2,585 claims · 2.3%

Your Cost: $67.79/claim|Median: $57.85
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$114K

3,671 claims · 1.5%

Your Cost: $31.05/claim|Median: $25.06
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$98K

1,055 claims · 1.3%

Your Cost: $93.19/claim|Median: $74.09
1.3× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$94K

805 claims · 1.2%

Your Cost: $116.80/claim|Median: $111.09
1.1× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$92K

2,002 claims · 1.2%

Your Cost: $46.05/claim|Median: $40.11
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$63K

880 claims · 0.8%

Your Cost: $71.25/claim|Median: $75.18
0.9× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$60K

2,071 claims · 0.8%

Your Cost: $29.12/claim|Median: $39.63
0.7× median
90471Normal range

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

$55K

3,948 claims · 0.7%

Your Cost: $13.84/claim|Median: $9.80
1.4× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$54K

1,025 claims · 0.7%

Your Cost: $52.66/claim|Median: $47.65
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$51K

824 claims · 0.7%

Your Cost: $61.35/claim|Median: $69.35
0.9× median
99395Normal range

Preventive medicine, established patient, age 18-39

$48K

609 claims · 0.6%

Your Cost: $78.04/claim|Median: $72.71
1.1× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$46K

734 claims · 0.6%

Your Cost: $62.30/claim|Median: $58.55
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$40K

568 claims · 0.5%

Your Cost: $70.73/claim|Median: $74.82
0.9× median
90472Top 25%

Immunization administration, each additional vaccine

$36K

1,597 claims · 0.5%

Your Cost: $22.54/claim|Median: $11.79
1.9× median
80305Top 5%

$30K

867 claims · 0.4%

Your Cost: $34.93/claim|Median: $7.44
4.7× median
76830Normal range

Ultrasound, transvaginal

$29K

436 claims · 0.4%

Your Cost: $65.94/claim|Median: $57.47
1.1× median
99221Normal range

Initial hospital care, straightforward/low

$27K

529 claims · 0.4%

Your Cost: $51.17/claim|Median: $39.96
1.3× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$25K

1,680 claims · 0.3%

Your Cost: $15.13/claim|Median: $11.48
1.3× median
3008FTop 25%

$25K

12K claims · 0.3%

Your Cost: $2.11/claim|Median: $0.06
35.2× median
99396Normal range

Preventive medicine, established patient, age 40-64

$23K

279 claims · 0.3%

Your Cost: $82.46/claim|Median: $76.06
1.1× median
87804Normal range

Influenza virus detection, rapid test

$23K

1,352 claims · 0.3%

Your Cost: $16.83/claim|Median: $12.59
1.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$21K

1,873 claims · 0.3%

Your Cost: $11.22/claim|Median: $9.56
1.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$18K

1,751 claims · 0.2%

Your Cost: $10.19/claim|Median: $7.18
1.4× median
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