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Provider 1932194230

NPI: 1932194230Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$9.0M

$9,036,087

Total Claims

348K

Beneficiaries

336K

1.0 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$988K
-8%
2019
$912K
+16%
2020
$1.1M
+38%
2021
$1.5M
+8%
2022
$1.6M
-2%
2023
$1.6M
-5%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (96110 (Developmental screening, per standardized instrument)) accounts for 16% of total spending.

96110Top 1%

Developmental screening, per standardized instrument

$1.4M

13K claims · 16.0%

Your Cost: $113.73/claim|Median: $9.10
12.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.3M

16K claims · 14.5%

Your Cost: $84.26/claim|Median: $74.82
1.1× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$1.1M

11K claims · 12.2%

Your Cost: $104.42/claim|Median: $80.15
1.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.0M

14K claims · 11.3%

Your Cost: $72.67/claim|Median: $75.18
1.0× median
92551Top 5%

Screening audiometry, pure tone, air only

$697K

33K claims · 7.7%

Your Cost: $21.18/claim|Median: $6.61
3.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$554K

8,047 claims · 6.1%

Your Cost: $68.80/claim|Median: $69.35
1.0× median
G9920Top 25%

$385K

13K claims · 4.3%

Your Cost: $28.88/claim|Median: $6.56
4.4× median
99188Top 5%

$231K

8,824 claims · 2.6%

Your Cost: $26.17/claim|Median: $12.80
2.0× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$218K

13K claims · 2.4%

Your Cost: $17.32/claim|Median: $7.18
2.4× median
99213Normal range

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

$199K

50K claims · 2.2%

Your Cost: $3.99/claim|Median: $37.81
0.1× median
99173Top 25%

$195K

29K claims · 2.2%

Your Cost: $6.65/claim|Median: $2.16
3.1× median
87428Top 25%

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

$188K

3,254 claims · 2.1%

Your Cost: $57.65/claim|Median: $39.63
1.5× median
99214Normal range

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

$154K

32K claims · 1.7%

Your Cost: $4.83/claim|Median: $53.41
0.1× median
G0442Top 5%

$122K

5,009 claims · 1.3%

Your Cost: $24.26/claim|Median: $4.91
4.9× median
90670Top 25%

$107K

5,928 claims · 1.2%

Your Cost: $18.00/claim|Median: $5.94
3.0× median
90698Top 25%

$92K

5,183 claims · 1.0%

Your Cost: $17.81/claim|Median: $6.32
2.8× median
90680Top 10%

$78K

4,357 claims · 0.9%

Your Cost: $17.82/claim|Median: $5.58
3.2× median
90633Top 10%

$66K

3,777 claims · 0.7%

Your Cost: $17.35/claim|Median: $3.56
4.9× median
90744Top 10%

$64K

3,641 claims · 0.7%

Your Cost: $17.65/claim|Median: $5.00
3.5× median
90707Top 25%

MMR vaccine

$61K

3,479 claims · 0.7%

Your Cost: $17.39/claim|Median: $5.76
3.0× median
90716Top 25%

$60K

3,462 claims · 0.7%

Your Cost: $17.36/claim|Median: $6.18
2.8× median
99381Normal range

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

$60K

668 claims · 0.7%

Your Cost: $89.67/claim|Median: $73.46
1.2× median
G8510Top 5%

$51K

3,189 claims · 0.6%

Your Cost: $15.91/claim|Median: $1.96
8.1× median
90651Normal range

HPV vaccine, 9-valent

$48K

2,780 claims · 0.5%

Your Cost: $17.18/claim|Median: $8.93
1.9× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$41K

594 claims · 0.4%

Your Cost: $68.24/claim|Median: $35.30
1.9× median
Q3014Top 5%

Telehealth originating site facility fee

$40K

1,211 claims · 0.4%

Your Cost: $33.10/claim|Median: $15.37
2.2× median
83655Normal range

$39K

4,002 claims · 0.4%

Your Cost: $9.80/claim|Median: $10.49
0.9× median
87804Normal range

Influenza virus detection, rapid test

$31K

3,395 claims · 0.3%

Your Cost: $9.27/claim|Median: $12.59
0.7× median
81003Normal range

Urinalysis, automated without microscopy

$31K

18K claims · 0.3%

Your Cost: $1.67/claim|Median: $1.48
1.1× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$27K

3,857 claims · 0.3%

Your Cost: $6.97/claim|Median: $3.67
1.9× median
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