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Provider 1932252244

NPI: 1932252244Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.8M

$8,782,333

Total Claims

274K

Beneficiaries

254K

1.1 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$908K
+17%
2019
$1.1M
-13%
2020
$929K
+76%
2021
$1.6M
+32%
2022
$2.2M
-33%
2023
$1.4M
-56%
2024
$635K

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 28% of total spending.

99213Top 25%

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

$2.4M

36K claims · 27.5%

Your Cost: $67.75/claim|Median: $37.81
1.8× median
99214Top 10%

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

$1.7M

16K claims · 18.9%

Your Cost: $103.47/claim|Median: $53.41
1.9× median
90460Top 5%

Immunization administration, first vaccine/toxoid, with counseling

$1.0M

20K claims · 11.9%

Your Cost: $52.11/claim|Median: $17.85
2.9× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$882K

9,421 claims · 10.0%

Your Cost: $93.62/claim|Median: $69.35
1.3× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$841K

8,193 claims · 9.6%

Your Cost: $102.63/claim|Median: $75.18
1.4× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$339K

3,335 claims · 3.9%

Your Cost: $101.67/claim|Median: $74.82
1.4× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$315K

5,960 claims · 3.6%

Your Cost: $52.92/claim|Median: $39.70
1.3× median
99429Normal range

$259K

17K claims · 3.0%

Your Cost: $15.24/claim|Median: $28.58
0.5× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$205K

3,532 claims · 2.3%

Your Cost: $57.97/claim|Median: $65.64
0.9× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$125K

1,142 claims · 1.4%

Your Cost: $109.14/claim|Median: $80.15
1.4× median
99212Top 25%

Office/outpatient visit, low complexity

$109K

2,859 claims · 1.2%

Your Cost: $38.04/claim|Median: $25.06
1.5× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$84K

17K claims · 1.0%

Your Cost: $4.98/claim|Median: $12.70
0.4× median
G0447Normal range

$76K

15K claims · 0.9%

Your Cost: $5.00/claim|Median: $5.19
1.0× median
80061Top 10%

Lipid panel

$72K

3,987 claims · 0.8%

Your Cost: $17.96/claim|Median: $8.41
2.1× median
85018Top 10%

$50K

16K claims · 0.6%

Your Cost: $3.01/claim|Median: $1.71
1.8× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$49K

3,226 claims · 0.6%

Your Cost: $15.08/claim|Median: $11.48
1.3× median
96110Normal range

Developmental screening, per standardized instrument

$47K

3,806 claims · 0.5%

Your Cost: $12.42/claim|Median: $9.10
1.4× median
87634Top 10%

$38K

529 claims · 0.4%

Your Cost: $72.08/claim|Median: $48.78
1.5× median
87804Normal range

Influenza virus detection, rapid test

$30K

2,012 claims · 0.3%

Your Cost: $14.93/claim|Median: $12.59
1.2× median
99051Top 25%

$22K

1,112 claims · 0.3%

Your Cost: $20.04/claim|Median: $7.89
2.5× median
96161Normal range

$20K

5,434 claims · 0.2%

Your Cost: $3.74/claim|Median: $2.49
1.5× median
90471Top 10%

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

$18K

845 claims · 0.2%

Your Cost: $21.82/claim|Median: $9.80
2.2× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$17K

1,725 claims · 0.2%

Your Cost: $9.95/claim|Median: $4.71
2.1× median
99050Top 25%

$13K

568 claims · 0.1%

Your Cost: $22.20/claim|Median: $11.81
1.9× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$11K

2,149 claims · 0.1%

Your Cost: $5.04/claim|Median: $3.67
1.4× median
96160Normal range

Patient-focused health risk assessment

$9K

2,567 claims · 0.1%

Your Cost: $3.49/claim|Median: $2.10
1.7× median
83655Normal range

$5K

465 claims · 0.1%

Your Cost: $10.71/claim|Median: $10.49
1.0× median
0071ANormal range

$5K

128 claims · 0.1%

Your Cost: $35.33/claim|Median: $38.71
0.9× median
0072ANormal range

$3K

85 claims · 0.0%

Your Cost: $38.07/claim|Median: $39.57
1.0× median
99188Normal range

$3K

184 claims · 0.0%

Your Cost: $17.54/claim|Median: $12.80
1.4× median
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