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Provider 1952526626

NPI: 1952526626Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.0M

$10,993,320

Total Claims

414K

Beneficiaries

335K

1.2 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$41K
-7%
2019
$38K
+739%
2020
$318K
+551%
2021
$2.1M
+56%
2022
$3.2M
-4%
2023
$3.1M
-30%
2024
$2.2M

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 21% of total spending.

99213Normal range

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

$2.3M

61K claims · 20.8%

Your Cost: $37.69/claim|Median: $37.81
1.0× median
87426Top 10%

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

$2.0M

47K claims · 18.0%

Your Cost: $42.41/claim|Median: $30.04
1.4× median
99214Normal range

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

$1.7M

31K claims · 15.0%

Your Cost: $52.66/claim|Median: $53.41
1.0× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$1.3M

18K claims · 12.1%

Your Cost: $75.52/claim|Median: $65.64
1.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$583K

7,127 claims · 5.3%

Your Cost: $81.76/claim|Median: $74.82
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$505K

5,657 claims · 4.6%

Your Cost: $89.26/claim|Median: $80.15
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$448K

5,803 claims · 4.1%

Your Cost: $77.19/claim|Median: $75.18
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$388K

30K claims · 3.5%

Your Cost: $13.11/claim|Median: $11.48
1.1× median
87804Normal range

Influenza virus detection, rapid test

$346K

26K claims · 3.1%

Your Cost: $13.20/claim|Median: $12.59
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$247K

3,293 claims · 2.2%

Your Cost: $74.90/claim|Median: $69.35
1.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$246K

24K claims · 2.2%

Your Cost: $10.39/claim|Median: $17.85
0.6× median
85025Normal range

Complete blood count (CBC) with differential, automated

$154K

24K claims · 1.4%

Your Cost: $6.32/claim|Median: $4.71
1.3× median
99429Normal range

$77K

2,334 claims · 0.7%

Your Cost: $32.91/claim|Median: $28.58
1.2× median
99051Normal range

$76K

18K claims · 0.7%

Your Cost: $4.26/claim|Median: $7.89
0.5× median
99204Normal range

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

$73K

812 claims · 0.7%

Your Cost: $89.95/claim|Median: $84.03
1.1× median
99203Normal range

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

$54K

889 claims · 0.5%

Your Cost: $60.86/claim|Median: $57.85
1.1× median
99000Top 25%

$41K

4,074 claims · 0.4%

Your Cost: $9.97/claim|Median: $2.30
4.3× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$33K

864 claims · 0.3%

Your Cost: $38.61/claim|Median: $33.72
1.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$33K

405 claims · 0.3%

Your Cost: $82.01/claim|Median: $72.71
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$33K

1,322 claims · 0.3%

Your Cost: $24.92/claim|Median: $25.06
1.0× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$33K

830 claims · 0.3%

Your Cost: $39.17/claim|Median: $36.70
1.1× median
87635Top 25%

COVID-19 SARS-CoV-2 amplified probe detection

$30K

607 claims · 0.3%

Your Cost: $49.98/claim|Median: $39.70
1.3× median
0071ANormal range

$29K

727 claims · 0.3%

Your Cost: $39.67/claim|Median: $38.71
1.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$27K

2,444 claims · 0.2%

Your Cost: $10.96/claim|Median: $12.93
0.8× median
90461Normal range

Immunization admin, additional vaccine, counseling

$26K

4,284 claims · 0.2%

Your Cost: $6.14/claim|Median: $6.93
0.9× median
96110Normal range

Developmental screening, per standardized instrument

$25K

3,171 claims · 0.2%

Your Cost: $7.96/claim|Median: $9.10
0.9× median
99381Normal range

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

$25K

319 claims · 0.2%

Your Cost: $78.13/claim|Median: $73.46
1.1× median
0072ANormal range

$24K

608 claims · 0.2%

Your Cost: $39.41/claim|Median: $39.57
1.0× median
90471Normal range

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

$20K

1,919 claims · 0.2%

Your Cost: $10.63/claim|Median: $9.80
1.1× median
92551Normal range

Screening audiometry, pure tone, air only

$19K

3,181 claims · 0.2%

Your Cost: $6.06/claim|Median: $6.61
0.9× median
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