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Provider 1942532189

NPI: 1942532189Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$12.1M

$12,122,122

Total Claims

455K

Beneficiaries

438K

1.0 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$749K
+65%
2019
$1.2M
-27%
2020
$903K
+80%
2021
$1.6M
+50%
2022
$2.4M
+45%
2023
$3.5M
-53%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90460 (Immunization administration, first vaccine/toxoid, with counseling)) accounts for 39% of total spending.

90460Top 10%

Immunization administration, first vaccine/toxoid, with counseling

$4.7M

105K claims · 38.9%

Your Cost: $45.04/claim|Median: $17.85
2.5× median
90739Top 25%

$997K

7,347 claims · 8.2%

Your Cost: $135.66/claim|Median: $74.43
1.8× median
90716Top 5%

$955K

18K claims · 7.9%

Your Cost: $53.51/claim|Median: $6.18
8.7× median
90651Top 25%

HPV vaccine, 9-valent

$703K

30K claims · 5.8%

Your Cost: $23.79/claim|Median: $8.93
2.7× median
90471Top 5%

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

$679K

30K claims · 5.6%

Your Cost: $22.83/claim|Median: $9.80
2.3× median
90707Top 5%

MMR vaccine

$614K

14K claims · 5.1%

Your Cost: $42.44/claim|Median: $5.76
7.4× median
90632Normal range

$494K

12K claims · 4.1%

Your Cost: $40.82/claim|Median: $40.43
1.0× median
90472Top 25%

Immunization administration, each additional vaccine

$319K

11K claims · 2.6%

Your Cost: $27.90/claim|Median: $11.79
2.4× median
91322Normal range

$282K

2,683 claims · 2.3%

Your Cost: $105.09/claim|Median: $76.28
1.4× median
90715Normal range

Tdap vaccine

$243K

36K claims · 2.0%

Your Cost: $6.75/claim|Median: $10.32
0.7× median
0071ATop 5%

$195K

2,512 claims · 1.6%

Your Cost: $77.82/claim|Median: $38.71
2.0× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$155K

3,736 claims · 1.3%

Your Cost: $41.59/claim|Median: $33.72
1.2× median
90480Normal range

$152K

4,962 claims · 1.3%

Your Cost: $30.59/claim|Median: $25.29
1.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$132K

29K claims · 1.1%

Your Cost: $4.54/claim|Median: $7.18
0.6× median
0072ATop 5%

$130K

1,664 claims · 1.1%

Your Cost: $77.88/claim|Median: $39.57
2.0× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$128K

2,494 claims · 1.1%

Your Cost: $51.31/claim|Median: $36.70
1.4× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$108K

3,702 claims · 0.9%

Your Cost: $29.14/claim|Median: $25.93
1.1× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$102K

3,015 claims · 0.8%

Your Cost: $33.85/claim|Median: $33.85
1.0× median
0124ATop 5%

$99K

1,357 claims · 0.8%

Your Cost: $73.20/claim|Median: $34.32
2.1× median
0064ATop 10%

$84K

1,283 claims · 0.7%

Your Cost: $65.65/claim|Median: $34.17
1.9× median
0051ATop 5%

$75K

927 claims · 0.6%

Your Cost: $80.63/claim|Median: $36.92
2.2× median
0004ATop 5%

$75K

1,022 claims · 0.6%

Your Cost: $73.07/claim|Median: $35.62
2.1× median
0052ATop 5%

$74K

917 claims · 0.6%

Your Cost: $80.69/claim|Median: $37.79
2.1× median
0054ATop 5%

$63K

850 claims · 0.5%

Your Cost: $74.51/claim|Median: $35.83
2.1× median
90750Normal range

$51K

365 claims · 0.4%

Your Cost: $139.53/claim|Median: $96.16
1.5× median
90620Normal range

$49K

3,283 claims · 0.4%

Your Cost: $14.98/claim|Median: $6.49
2.3× median
0031ATop 25%

COVID-19 vaccine admin, J&J, single dose

$49K

1,073 claims · 0.4%

Your Cost: $45.78/claim|Median: $32.49
1.4× median
91320Normal range

$45K

611 claims · 0.4%

Your Cost: $73.41/claim|Median: $72.65
1.0× median
0134ATop 25%

$42K

728 claims · 0.3%

Your Cost: $57.81/claim|Median: $33.54
1.7× median
90674Normal range

$38K

3,605 claims · 0.3%

Your Cost: $10.59/claim|Median: $15.16
0.7× median