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Provider 1942364054

NPI: 1942364054Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.3M

$14,283,353

Total Claims

459K

Beneficiaries

439K

1.0 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$94K
+2569%
2019
$2.5M
-12%
2020
$2.2M
+9%
2021
$2.4M
+5%
2022
$2.5M
+3%
2023
$2.6M
-21%
2024
$2.0M

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 20% of total spending.

99213Top 25%

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

$2.9M

51K claims · 20.3%

Your Cost: $57.40/claim|Median: $37.81
1.5× median
90460Top 5%

Immunization administration, first vaccine/toxoid, with counseling

$2.6M

49K claims · 18.1%

Your Cost: $52.53/claim|Median: $17.85
2.9× median
99214Top 25%

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

$2.6M

30K claims · 18.0%

Your Cost: $85.93/claim|Median: $53.41
1.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.6M

20K claims · 11.4%

Your Cost: $81.77/claim|Median: $69.35
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.6M

18K claims · 11.1%

Your Cost: $87.25/claim|Median: $75.18
1.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.0M

12K claims · 7.3%

Your Cost: $87.27/claim|Median: $74.82
1.2× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$481K

5,028 claims · 3.4%

Your Cost: $95.72/claim|Median: $80.15
1.2× median
99058Normal range

$424K

25K claims · 3.0%

Your Cost: $17.28/claim|Median: $15.38
1.1× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$296K

3,948 claims · 2.1%

Your Cost: $75.06/claim|Median: $100.62
0.7× median
87804Top 25%

Influenza virus detection, rapid test

$95K

5,058 claims · 0.7%

Your Cost: $18.84/claim|Median: $12.59
1.5× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$62K

7,611 claims · 0.4%

Your Cost: $8.10/claim|Median: $11.48
0.7× median
90461Normal range

Immunization admin, additional vaccine, counseling

$61K

2,951 claims · 0.4%

Your Cost: $20.71/claim|Median: $6.93
3.0× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$56K

629 claims · 0.4%

Your Cost: $88.33/claim|Median: $81.92
1.1× median
94010Top 25%

$49K

1,752 claims · 0.3%

Your Cost: $27.84/claim|Median: $18.11
1.5× median
99212Normal range

Office/outpatient visit, low complexity

$48K

1,520 claims · 0.3%

Your Cost: $31.28/claim|Median: $25.06
1.2× median
96110Normal range

Developmental screening, per standardized instrument

$42K

6,644 claims · 0.3%

Your Cost: $6.39/claim|Median: $9.10
0.7× median
83655Normal range

$41K

5,226 claims · 0.3%

Your Cost: $7.75/claim|Median: $10.49
0.7× median
92567Normal range

$37K

3,406 claims · 0.3%

Your Cost: $10.90/claim|Median: $11.50
0.9× median
36416Normal range

$33K

13K claims · 0.2%

Your Cost: $2.65/claim|Median: $1.31
2.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$31K

692 claims · 0.2%

Your Cost: $44.25/claim|Median: $39.70
1.1× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$30K

374 claims · 0.2%

Your Cost: $79.39/claim|Median: $62.48
1.3× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$26K

5,993 claims · 0.2%

Your Cost: $4.31/claim|Median: $3.67
1.2× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$23K

379 claims · 0.2%

Your Cost: $61.16/claim|Median: $37.22
1.6× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$19K

189 claims · 0.1%

Your Cost: $100.81/claim|Median: $83.63
1.2× median
99381Normal range

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

$17K

203 claims · 0.1%

Your Cost: $83.48/claim|Median: $73.46
1.1× median
99382Normal range

Preventive visit, new patient, early childhood (1-4 yr)

$13K

149 claims · 0.1%

Your Cost: $89.68/claim|Median: $79.89
1.1× median
92587Normal range

$12K

34K claims · 0.1%

Your Cost: $0.36/claim|Median: $19.24
0.0× median
85018Normal range

$12K

8,008 claims · 0.1%

Your Cost: $1.47/claim|Median: $1.71
0.9× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$12K

828 claims · 0.1%

Your Cost: $13.96/claim|Median: $9.70
1.4× median
99188Normal range

$11K

909 claims · 0.1%

Your Cost: $11.72/claim|Median: $12.80
0.9× median
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