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Provider 1962442244

NPI: 1962442244Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.4M

$9,386,231

Total Claims

91K

Beneficiaries

87K

1.1 claims/patient

Avg Cost/Claim

$103

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+7%
2019
$1.3M
-25%
2020
$935K
+23%
2021
$1.1M
+16%
2022
$1.3M
+38%
2023
$1.8M
-8%
2024
$1.7M

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 56% of total spending.

99213Top 5%

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

$5.3M

39K claims · 55.9%

Your Cost: $135.52/claim|Median: $37.81
3.6× median
99214Top 5%

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

$1.5M

11K claims · 15.6%

Your Cost: $136.18/claim|Median: $53.41
2.5× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$565K

4,227 claims · 6.0%

Your Cost: $133.72/claim|Median: $75.18
1.8× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$480K

3,632 claims · 5.1%

Your Cost: $132.10/claim|Median: $69.35
1.9× median
90460Top 10%

Immunization administration, first vaccine/toxoid, with counseling

$389K

8,730 claims · 4.1%

Your Cost: $44.50/claim|Median: $17.85
2.5× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$294K

2,455 claims · 3.1%

Your Cost: $119.64/claim|Median: $97.61
1.2× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$231K

1,732 claims · 2.5%

Your Cost: $133.25/claim|Median: $74.82
1.8× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$228K

1,752 claims · 2.4%

Your Cost: $129.93/claim|Median: $80.15
1.6× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$174K

1,498 claims · 1.8%

Your Cost: $115.88/claim|Median: $121.16
1.0× median
99212Top 5%

Office/outpatient visit, low complexity

$111K

837 claims · 1.2%

Your Cost: $132.39/claim|Median: $25.06
5.3× median
87428Top 25%

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

$88K

1,443 claims · 0.9%

Your Cost: $60.94/claim|Median: $39.63
1.5× median
99215Top 25%

Office/outpatient visit, high complexity

$38K

291 claims · 0.4%

Your Cost: $131.44/claim|Median: $74.09
1.8× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$8K

1,165 claims · 0.1%

Your Cost: $6.79/claim|Median: $12.70
0.5× median
90837Top 5%

Psychotherapy, 60 minutes

$8K

44 claims · 0.1%

Your Cost: $173.68/claim|Median: $85.66
2.0× median
90461Normal range

Immunization admin, additional vaccine, counseling

$7K

1,386 claims · 0.1%

Your Cost: $4.71/claim|Median: $6.93
0.7× median
G9153Normal range

$6K

358 claims · 0.1%

Your Cost: $16.51/claim|Median: $43.70
0.4× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$6K

179 claims · 0.1%

Your Cost: $31.82/claim|Median: $30.53
1.0× median
99406Normal range

$4K

887 claims · 0.0%

Your Cost: $5.02/claim|Median: $6.53
0.8× median
90630Normal range

$4K

258 claims · 0.0%

Your Cost: $17.22/claim|Median: $11.50
1.5× median
87426Normal range

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

$3K

117 claims · 0.0%

Your Cost: $29.76/claim|Median: $30.04
1.0× median
90671Normal range

$3K

480 claims · 0.0%

Your Cost: $6.70/claim|Median: $8.59
0.8× median
90651Normal range

HPV vaccine, 9-valent

$3K

151 claims · 0.0%

Your Cost: $21.04/claim|Median: $8.93
2.4× median
0071ANormal range

$3K

79 claims · 0.0%

Your Cost: $39.49/claim|Median: $38.71
1.0× median
81003Normal range

Urinalysis, automated without microscopy

$3K

4,232 claims · 0.0%

Your Cost: $0.65/claim|Median: $1.48
0.4× median
90834Top 5%

Psychotherapy, 45 minutes

$2K

12 claims · 0.0%

Your Cost: $193.81/claim|Median: $63.65
3.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$2K

1,407 claims · 0.0%

Your Cost: $1.47/claim|Median: $11.48
0.1× median
90670Normal range

$2K

690 claims · 0.0%

Your Cost: $2.83/claim|Median: $5.94
0.5× median
99188Normal range

$2K

275 claims · 0.0%

Your Cost: $7.10/claim|Median: $12.80
0.6× median
87804Normal range

Influenza virus detection, rapid test

$2K

957 claims · 0.0%

Your Cost: $1.81/claim|Median: $12.59
0.1× median
87807Normal range

$2K

337 claims · 0.0%

Your Cost: $4.66/claim|Median: $10.06
0.5× median
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