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Provider 1962459644

NPI: 1962459644Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.2M

$8,171,771

Total Claims

493K

Beneficiaries

454K

1.1 claims/patient

Avg Cost/Claim

$17

Monthly Spending Trend

Yearly Spending

2018
$47K
+1677%
2019
$833K
+158%
2020
$2.1M
-3%
2021
$2.1M
-51%
2022
$1.0M
-30%
2023
$708K
+92%
2024
$1.4M

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 25% of total spending.

99213Top 10%

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

$2.1M

24K claims · 25.3%

Your Cost: $85.67/claim|Median: $37.81
2.3× median
99214Top 25%

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

$929K

10K claims · 11.4%

Your Cost: $89.61/claim|Median: $53.41
1.7× median
99212Top 10%

Office/outpatient visit, low complexity

$580K

7,665 claims · 7.1%

Your Cost: $75.71/claim|Median: $25.06
3.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$573K

6,732 claims · 7.0%

Your Cost: $85.10/claim|Median: $74.82
1.1× median
92551Top 5%

Screening audiometry, pure tone, air only

$538K

12K claims · 6.6%

Your Cost: $44.63/claim|Median: $6.61
6.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$523K

6,024 claims · 6.4%

Your Cost: $86.89/claim|Median: $75.18
1.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$420K

5,557 claims · 5.1%

Your Cost: $75.54/claim|Median: $80.15
0.9× median
99173Top 5%

$273K

11K claims · 3.3%

Your Cost: $25.64/claim|Median: $2.16
11.9× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$247K

2,897 claims · 3.0%

Your Cost: $85.26/claim|Median: $69.35
1.2× median
99395Normal range

Preventive medicine, established patient, age 18-39

$234K

3,250 claims · 2.9%

Your Cost: $71.87/claim|Median: $72.71
1.0× median
96110Top 5%

Developmental screening, per standardized instrument

$186K

1,659 claims · 2.3%

Your Cost: $111.90/claim|Median: $9.10
12.3× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$125K

2,008 claims · 1.5%

Your Cost: $62.13/claim|Median: $22.44
2.8× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$108K

19K claims · 1.3%

Your Cost: $5.58/claim|Median: $17.85
0.3× median
99396Normal range

Preventive medicine, established patient, age 40-64

$108K

1,528 claims · 1.3%

Your Cost: $70.39/claim|Median: $76.06
0.9× median
G0447Top 1%

$99K

1,191 claims · 1.2%

Your Cost: $83.10/claim|Median: $5.19
16.0× median
99441Top 25%

Telephone E/M by physician, 5-10 min

$97K

2,233 claims · 1.2%

Your Cost: $43.43/claim|Median: $13.30
3.3× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$94K

7,164 claims · 1.1%

Your Cost: $13.08/claim|Median: $7.18
1.8× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$69K

7,490 claims · 0.8%

Your Cost: $9.25/claim|Median: $24.95
0.4× median
1126FTop 10%

$59K

25K claims · 0.7%

Your Cost: $2.38/claim|Median: $0.02
119.0× median
83655Top 25%

$52K

4,221 claims · 0.6%

Your Cost: $12.41/claim|Median: $10.49
1.2× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$49K

1,231 claims · 0.6%

Your Cost: $39.50/claim|Median: $12.70
3.1× median
99443Top 25%

Telephone E/M by physician, 21-30 min

$46K

744 claims · 0.6%

Your Cost: $61.97/claim|Median: $32.55
1.9× median
36415Normal range

Collection of venous blood by venipuncture

$42K

18K claims · 0.5%

Your Cost: $2.30/claim|Median: $1.57
1.5× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$42K

6,194 claims · 0.5%

Your Cost: $6.72/claim|Median: $23.39
0.3× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$34K

8,345 claims · 0.4%

Your Cost: $4.06/claim|Median: $18.03
0.2× median
82652Normal range

$33K

2,494 claims · 0.4%

Your Cost: $13.41/claim|Median: $18.13
0.7× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$30K

12K claims · 0.4%

Your Cost: $2.58/claim|Median: $3.67
0.7× median
80053Normal range

Comprehensive metabolic panel

$28K

7,643 claims · 0.3%

Your Cost: $3.63/claim|Median: $7.24
0.5× median
80061Normal range

Lipid panel

$28K

11K claims · 0.3%

Your Cost: $2.56/claim|Median: $8.41
0.3× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$26K

752 claims · 0.3%

Your Cost: $34.79/claim|Median: $24.33
1.4× median
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