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Provider 1922599117

NPI: 1922599117Share
Active Billing Period:2018-09→2024-12(76 months)

Total Paid

$8.6M

$8,553,099

Total Claims

128K

Beneficiaries

123K

1.0 claims/patient

Avg Cost/Claim

$67

Monthly Spending Trend

Yearly Spending

2018
$347K
+421%
2019
$1.8M
-29%
2020
$1.3M
+18%
2021
$1.5M
+46%
2022
$2.2M
-60%
2023
$884K
-42%
2024
$515K

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 59% of total spending.

99213Top 5%

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

$5.0M

56K claims · 58.8%

Your Cost: $89.42/claim|Median: $37.81
2.4× median
99214Top 10%

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

$2.6M

24K claims · 29.9%

Your Cost: $105.62/claim|Median: $53.41
2.0× median
U0003Normal range

Infectious disease detection (COVID-19)

$135K

1,801 claims · 1.6%

Your Cost: $74.83/claim|Median: $63.08
1.2× median
99203Top 5%

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

$118K

803 claims · 1.4%

Your Cost: $146.96/claim|Median: $57.85
2.5× median
99050Normal range

$96K

6,339 claims · 1.1%

Your Cost: $15.07/claim|Median: $11.81
1.3× median
99211Top 5%

Office/outpatient visit, minimal complexity

$94K

994 claims · 1.1%

Your Cost: $94.38/claim|Median: $12.93
7.3× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$74K

2,464 claims · 0.9%

Your Cost: $29.93/claim|Median: $23.39
1.3× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$73K

2,438 claims · 0.9%

Your Cost: $29.93/claim|Median: $24.95
1.2× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$57K

1,017 claims · 0.7%

Your Cost: $55.80/claim|Median: $10.88
5.1× median
U0005Top 10%

Infectious disease detection, COVID-19, antigen

$45K

1,799 claims · 0.5%

Your Cost: $24.88/claim|Median: $15.76
1.6× median
G2023Top 25%

Specimen collection for COVID-19 testing

$43K

1,849 claims · 0.5%

Your Cost: $23.40/claim|Median: $17.15
1.4× median
99215Top 25%

Office/outpatient visit, high complexity

$41K

357 claims · 0.5%

Your Cost: $116.11/claim|Median: $74.09
1.6× median
99212Top 5%

Office/outpatient visit, low complexity

$26K

201 claims · 0.3%

Your Cost: $127.74/claim|Median: $25.06
5.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$25K

2,023 claims · 0.3%

Your Cost: $12.56/claim|Median: $11.48
1.1× median
81025Normal range

Urine pregnancy test

$16K

2,492 claims · 0.2%

Your Cost: $6.52/claim|Median: $4.81
1.4× median
99204Normal range

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

$16K

377 claims · 0.2%

Your Cost: $41.25/claim|Median: $84.03
0.5× median
87210Normal range

$15K

3,312 claims · 0.2%

Your Cost: $4.43/claim|Median: $3.65
1.2× median
87220Top 25%

$13K

3,273 claims · 0.2%

Your Cost: $3.97/claim|Median: $2.74
1.4× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$11K

507 claims · 0.1%

Your Cost: $22.35/claim|Median: $18.03
1.2× median
99051Normal range

$10K

2,514 claims · 0.1%

Your Cost: $3.82/claim|Median: $7.89
0.5× median
86485Normal range

$8K

327 claims · 0.1%

Your Cost: $24.36/claim|Median: $24.36
1.0× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$7K

879 claims · 0.1%

Your Cost: $7.48/claim|Median: $4.71
1.6× median
80053Normal range

Comprehensive metabolic panel

$6K

629 claims · 0.1%

Your Cost: $10.26/claim|Median: $7.24
1.4× median
J1885Top 25%

Injection, ketorolac tromethamine, fifteen milligrams

$6K

1,487 claims · 0.1%

Your Cost: $4.12/claim|Median: $0.91
4.5× median
81003Top 25%

Urinalysis, automated without microscopy

$5K

2,591 claims · 0.1%

Your Cost: $2.12/claim|Median: $1.48
1.4× median
86780Normal range

$5K

376 claims · 0.1%

Your Cost: $12.41/claim|Median: $9.83
1.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$3K

2,299 claims · 0.0%

Your Cost: $1.52/claim|Median: $9.56
0.2× median
90658Top 5%

$3K

106 claims · 0.0%

Your Cost: $26.94/claim|Median: $8.96
3.0× median
81001Normal range

Urinalysis, automated, with microscopy

$3K

943 claims · 0.0%

Your Cost: $3.01/claim|Median: $2.03
1.5× median
86803Normal range

Hepatitis C antibody

$3K

211 claims · 0.0%

Your Cost: $12.64/claim|Median: $10.17
1.2× median
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