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Provider 1942243951

NPI: 1942243951Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$7.9M

$7,948,053

Total Claims

378K

Beneficiaries

315K

1.2 claims/patient

Avg Cost/Claim

$21

Monthly Spending Trend

Yearly Spending

2018
$14K
-9%
2019
$13K
+3877%
2020
$508K
+287%
2021
$2.0M
+7%
2022
$2.1M
-13%
2023
$1.8M
-16%
2024
$1.5M

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.

99213Normal range

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

$2.2M

63K claims · 27.8%

Your Cost: $34.93/claim|Median: $37.81
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$613K

8,322 claims · 7.7%

Your Cost: $73.61/claim|Median: $75.18
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$546K

7,083 claims · 6.9%

Your Cost: $77.11/claim|Median: $74.82
1.0× median
87426Top 25%

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

$535K

13K claims · 6.7%

Your Cost: $41.46/claim|Median: $30.04
1.4× median
87811Top 25%

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$503K

13K claims · 6.3%

Your Cost: $40.08/claim|Median: $30.53
1.3× median
87804Normal range

Influenza virus detection, rapid test

$497K

38K claims · 6.3%

Your Cost: $13.10/claim|Median: $12.59
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$483K

6,217 claims · 6.1%

Your Cost: $77.67/claim|Median: $80.15
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$431K

5,986 claims · 5.4%

Your Cost: $72.00/claim|Median: $69.35
1.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$341K

33K claims · 4.3%

Your Cost: $10.32/claim|Median: $17.85
0.6× median
S8301Normal range

$329K

48K claims · 4.1%

Your Cost: $6.88/claim|Median: $8.32
0.8× median
99214Normal range

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

$222K

4,450 claims · 2.8%

Your Cost: $49.98/claim|Median: $53.41
0.9× median
99429Normal range

$221K

7,034 claims · 2.8%

Your Cost: $31.43/claim|Median: $28.58
1.1× median
87428Top 10%

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

$205K

3,087 claims · 2.6%

Your Cost: $66.33/claim|Median: $39.63
1.7× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$119K

8,945 claims · 1.5%

Your Cost: $13.34/claim|Median: $11.48
1.2× median
99203Normal range

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

$97K

1,679 claims · 1.2%

Your Cost: $57.88/claim|Median: $57.85
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$84K

3,703 claims · 1.1%

Your Cost: $22.66/claim|Median: $25.06
0.9× median
87634Normal range

$75K

1,298 claims · 0.9%

Your Cost: $57.83/claim|Median: $48.78
1.2× median
96110Normal range

Developmental screening, per standardized instrument

$56K

7,354 claims · 0.7%

Your Cost: $7.61/claim|Median: $9.10
0.8× median
90461Normal range

Immunization admin, additional vaccine, counseling

$41K

6,033 claims · 0.5%

Your Cost: $6.75/claim|Median: $6.93
1.0× median
99000Top 25%

$38K

3,941 claims · 0.5%

Your Cost: $9.68/claim|Median: $2.30
4.2× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$37K

1,233 claims · 0.5%

Your Cost: $29.63/claim|Median: $28.46
1.0× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$35K

2,710 claims · 0.4%

Your Cost: $12.83/claim|Median: $10.88
1.2× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$33K

1,236 claims · 0.4%

Your Cost: $26.48/claim|Median: $26.72
1.0× median
87807Normal range

$24K

2,297 claims · 0.3%

Your Cost: $10.28/claim|Median: $10.06
1.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$19K

2,050 claims · 0.2%

Your Cost: $9.12/claim|Median: $12.93
0.7× median
CP002Normal range

$18K

1,842 claims · 0.2%

Your Cost: $9.80/claim|Median: $9.76
1.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$17K

427 claims · 0.2%

Your Cost: $40.24/claim|Median: $40.11
1.0× median
99051Normal range

$15K

2,413 claims · 0.2%

Your Cost: $6.12/claim|Median: $7.89
0.8× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$12K

161 claims · 0.2%

Your Cost: $77.13/claim|Median: $65.64
1.2× median
G2023Normal range

Specimen collection for COVID-19 testing

$12K

813 claims · 0.1%

Your Cost: $14.24/claim|Median: $17.15
0.8× median
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