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Provider 1942317656

NPI: 1942317656Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.8M

$9,755,959

Total Claims

222K

Beneficiaries

174K

1.3 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$748K
+84%
2019
$1.4M
-26%
2020
$1.0M
+46%
2021
$1.5M
+35%
2022
$2.0M
+3%
2023
$2.1M
-48%
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 33% of total spending.

99213Normal range

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

$3.2M

75K claims · 32.9%

Your Cost: $43.09/claim|Median: $37.81
1.1× median
99214Normal range

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

$2.4M

43K claims · 25.0%

Your Cost: $56.73/claim|Median: $53.41
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$661K

8,655 claims · 6.8%

Your Cost: $76.33/claim|Median: $69.35
1.1× median
59425Normal range

Antepartum care only, 4-6 visits

$514K

9,507 claims · 5.3%

Your Cost: $54.05/claim|Median: $63.63
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$415K

4,884 claims · 4.3%

Your Cost: $84.97/claim|Median: $75.18
1.1× median
59426Normal range

Antepartum care only, high risk, additional visits

$373K

6,736 claims · 3.8%

Your Cost: $55.45/claim|Median: $122.30
0.5× median
99203Normal range

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

$329K

6,362 claims · 3.4%

Your Cost: $51.67/claim|Median: $57.85
0.9× median
99204Normal range

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

$312K

3,967 claims · 3.2%

Your Cost: $78.75/claim|Median: $84.03
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$148K

1,709 claims · 1.5%

Your Cost: $86.53/claim|Median: $74.82
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$116K

2,877 claims · 1.2%

Your Cost: $40.47/claim|Median: $63.65
0.6× median
76815Normal range

Ultrasound, pregnant uterus, limited

$114K

2,921 claims · 1.2%

Your Cost: $39.19/claim|Median: $36.79
1.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$106K

2,632 claims · 1.1%

Your Cost: $40.13/claim|Median: $39.70
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$77K

3,867 claims · 0.8%

Your Cost: $19.88/claim|Median: $25.06
0.8× median
90837Normal range

Psychotherapy, 60 minutes

$63K

1,054 claims · 0.6%

Your Cost: $59.93/claim|Median: $85.66
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$54K

614 claims · 0.6%

Your Cost: $88.21/claim|Median: $74.09
1.2× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$50K

946 claims · 0.5%

Your Cost: $52.94/claim|Median: $58.55
0.9× median
99309Normal range

Nursing facility care, subsequent, low complexity

$48K

4,506 claims · 0.5%

Your Cost: $10.55/claim|Median: $14.00
0.8× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$47K

439 claims · 0.5%

Your Cost: $106.73/claim|Median: $111.09
1.0× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$46K

3,258 claims · 0.5%

Your Cost: $14.05/claim|Median: $11.48
1.2× median
95886Normal range

$45K

642 claims · 0.5%

Your Cost: $69.54/claim|Median: $67.70
1.0× median
87804Normal range

Influenza virus detection, rapid test

$39K

2,742 claims · 0.4%

Your Cost: $14.12/claim|Median: $12.59
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$38K

455 claims · 0.4%

Your Cost: $82.73/claim|Median: $80.15
1.0× median
11721Normal range

$36K

3,705 claims · 0.4%

Your Cost: $9.65/claim|Median: $8.56
1.1× median
96110Normal range

Developmental screening, per standardized instrument

$33K

5,156 claims · 0.3%

Your Cost: $6.32/claim|Median: $9.10
0.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$31K

575 claims · 0.3%

Your Cost: $53.09/claim|Median: $72.71
0.7× median
97110Normal range

Therapeutic exercises, each 15 min

$29K

1,080 claims · 0.3%

Your Cost: $26.70/claim|Median: $24.49
1.1× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$28K

925 claims · 0.3%

Your Cost: $30.72/claim|Median: $37.22
0.8× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$25K

1,037 claims · 0.3%

Your Cost: $24.27/claim|Median: $29.03
0.8× median
99308Normal range

Nursing facility care, subsequent, straightforward

$23K

2,600 claims · 0.2%

Your Cost: $8.73/claim|Median: $9.79
0.9× median
31575Normal range

$21K

363 claims · 0.2%

Your Cost: $56.51/claim|Median: $68.78
0.8× median
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