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Provider 1952326019

NPI: 1952326019Share
Active Billing Period:2018-012024-06(67 months)

Total Paid

$16.5M

$16,489,007

Total Claims

466K

Beneficiaries

235K

2.0 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$17K
+38%
2019
$23K
-86%
2020
$3K
+794%
2021
$29K
+22783%
2022
$6.5M
+46%
2023
$9.5M
-96%
2024
$365K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (99212 (Office/outpatient visit, low complexity)) accounts for 23% of total spending.

99212Normal range

Office/outpatient visit, low complexity

$3.8M

155K claims · 23.1%

Your Cost: $24.52/claim|Median: $25.06
1.0× median
87636Top 10%

Respiratory virus detection, 6-11 targets, nucleic acid

$3.2M

23K claims · 19.7%

Your Cost: $142.57/claim|Median: $97.61
1.5× median
G2023Normal range

Specimen collection for COVID-19 testing

$2.7M

116K claims · 16.3%

Your Cost: $23.28/claim|Median: $17.15
1.4× median
U0003Normal range

Infectious disease detection (COVID-19)

$2.0M

27K claims · 12.0%

Your Cost: $74.39/claim|Median: $63.08
1.2× median
87637Top 25%

Respiratory virus detection, 3-5 targets, nucleic acid

$1.2M

8,697 claims · 7.5%

Your Cost: $142.61/claim|Median: $100.62
1.4× median
99203Normal range

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

$1.1M

23K claims · 6.5%

Your Cost: $45.82/claim|Median: $57.85
0.8× median
99000Top 5%

$764K

33K claims · 4.6%

Your Cost: $23.45/claim|Median: $2.30
10.2× median
99211Normal range

Office/outpatient visit, minimal complexity

$692K

58K claims · 4.2%

Your Cost: $11.88/claim|Median: $12.93
0.9× median
87634Normal range

$570K

11K claims · 3.5%

Your Cost: $51.97/claim|Median: $48.78
1.1× median
99214Normal range

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

$193K

2,813 claims · 1.2%

Your Cost: $68.78/claim|Median: $53.41
1.3× median
87426Normal range

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

$129K

3,954 claims · 0.8%

Your Cost: $32.63/claim|Median: $30.04
1.1× median
99213Normal range

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

$48K

1,090 claims · 0.3%

Your Cost: $44.46/claim|Median: $37.81
1.2× median
G2010Top 25%

Remote evaluation of patient video/images

$26K

2,882 claims · 0.2%

Your Cost: $9.06/claim|Median: $3.26
2.8× median
99285Normal range

Emergency dept visit, high/urgent complexity

$16K

437 claims · 0.1%

Your Cost: $36.17/claim|Median: $85.65
0.4× median
99283Normal range

Emergency dept visit, moderate complexity

$7K

242 claims · 0.0%

Your Cost: $28.01/claim|Median: $42.48
0.7× median
99284Normal range

Emergency dept visit, high complexity

$5K

147 claims · 0.0%

Your Cost: $33.37/claim|Median: $69.51
0.5× median
99396Normal range

Preventive medicine, established patient, age 40-64

$3K

40 claims · 0.0%

Your Cost: $84.66/claim|Median: $76.06
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$3K

44 claims · 0.0%

Your Cost: $76.84/claim|Median: $74.82
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$1K

14 claims · 0.0%

Your Cost: $84.62/claim|Median: $80.15
1.1× median
99309Normal range

Nursing facility care, subsequent, low complexity

$108

18 claims · 0.0%

Your Cost: $6.00/claim|Median: $14.00
0.4× median