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Provider 1942235825

NPI: 1942235825Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$10.7M

$10,701,064

Total Claims

167K

Beneficiaries

150K

1.1 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+35%
2019
$2.2M
-71%
2020
$642K
+93%
2021
$1.2M
+35%
2022
$1.7M
+31%
2023
$2.2M
-51%
2024
$1.1M

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.

99213Top 5%

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

$3.5M

36K claims · 32.5%

Your Cost: $97.63/claim|Median: $37.81
2.6× median
99391Top 1%

Preventive medicine, established patient, infant (under 1)

$1.4M

5,592 claims · 12.9%

Your Cost: $246.42/claim|Median: $69.35
3.6× median
99392Top 1%

Preventive medicine, established patient, age 1-4

$1.2M

4,978 claims · 11.4%

Your Cost: $244.99/claim|Median: $75.18
3.3× median
99214Top 5%

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

$1.1M

6,648 claims · 10.7%

Your Cost: $172.63/claim|Median: $53.41
3.2× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$1.1M

4,478 claims · 10.3%

Your Cost: $246.43/claim|Median: $74.82
3.3× median
99394Top 1%

Preventive medicine, established patient, age 12-17

$925K

3,848 claims · 8.6%

Your Cost: $240.44/claim|Median: $80.15
3.0× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$269K

4,857 claims · 2.5%

Your Cost: $55.34/claim|Median: $41.92
1.3× median
G9008Normal range

Coordination of long-term care services, per month

$259K

4,816 claims · 2.4%

Your Cost: $53.71/claim|Median: $66.78
0.8× median
99205Top 5%

Office/outpatient visit, new patient, high complexity

$162K

690 claims · 1.5%

Your Cost: $234.39/claim|Median: $111.09
2.1× median
99401Normal range

$56K

4,571 claims · 0.5%

Your Cost: $12.24/claim|Median: $16.53
0.7× median
99212Top 25%

Office/outpatient visit, low complexity

$53K

1,357 claims · 0.5%

Your Cost: $39.29/claim|Median: $25.06
1.6× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$48K

6,549 claims · 0.4%

Your Cost: $7.31/claim|Median: $7.18
1.0× median
87426Normal range

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

$46K

1,912 claims · 0.4%

Your Cost: $24.30/claim|Median: $30.04
0.8× median
G9004Normal range

$46K

982 claims · 0.4%

Your Cost: $46.57/claim|Median: $55.49
0.8× median
S4993Normal range

$44K

3,579 claims · 0.4%

Your Cost: $12.27/claim|Median: $46.61
0.3× median
92551Normal range

Screening audiometry, pure tone, air only

$42K

9,593 claims · 0.4%

Your Cost: $4.42/claim|Median: $6.61
0.7× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$42K

3,652 claims · 0.4%

Your Cost: $11.50/claim|Median: $11.48
1.0× median
99173Normal range

$39K

10K claims · 0.4%

Your Cost: $3.81/claim|Median: $2.16
1.8× median
T1017Normal range

Targeted case management, per 15 min

$38K

822 claims · 0.4%

Your Cost: $46.07/claim|Median: $69.56
0.7× median
90670Normal range

$29K

3,894 claims · 0.3%

Your Cost: $7.36/claim|Median: $5.94
1.2× median
87804Normal range

Influenza virus detection, rapid test

$27K

2,806 claims · 0.2%

Your Cost: $9.47/claim|Median: $12.59
0.8× median
90651Normal range

HPV vaccine, 9-valent

$22K

2,076 claims · 0.2%

Your Cost: $10.75/claim|Median: $8.93
1.2× median
99203Top 25%

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

$22K

256 claims · 0.2%

Your Cost: $85.39/claim|Median: $57.85
1.5× median
81025Normal range

Urine pregnancy test

$20K

7,953 claims · 0.2%

Your Cost: $2.56/claim|Median: $4.81
0.5× median
96110Normal range

Developmental screening, per standardized instrument

$19K

1,758 claims · 0.2%

Your Cost: $10.54/claim|Median: $9.10
1.2× median
99402Normal range

$17K

1,557 claims · 0.2%

Your Cost: $10.70/claim|Median: $31.79
0.3× median
90698Normal range

$15K

2,148 claims · 0.1%

Your Cost: $7.21/claim|Median: $6.32
1.1× median
90633Normal range

$13K

1,761 claims · 0.1%

Your Cost: $7.26/claim|Median: $3.56
2.0× median
90680Normal range

$13K

1,756 claims · 0.1%

Your Cost: $7.15/claim|Median: $5.58
1.3× median
36416Normal range

$12K

5,611 claims · 0.1%

Your Cost: $2.21/claim|Median: $1.31
1.7× median
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