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Provider 1962501627

NPI: 1962501627Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.7M

$9,685,108

Total Claims

309K

Beneficiaries

270K

1.1 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+2%
2019
$1.5M
-17%
2020
$1.2M
+8%
2021
$1.3M
-0%
2022
$1.3M
+24%
2023
$1.6M
-26%
2024
$1.2M

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 44% of total spending.

99213Normal range

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

$4.3M

110K claims · 43.9%

Your Cost: $38.54/claim|Median: $37.81
1.0× median
99214Normal range

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

$2.6M

47K claims · 26.3%

Your Cost: $54.50/claim|Median: $53.41
1.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$514K

28K claims · 5.3%

Your Cost: $18.62/claim|Median: $17.85
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$495K

9,129 claims · 5.1%

Your Cost: $54.17/claim|Median: $75.18
0.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$374K

7,760 claims · 3.9%

Your Cost: $48.15/claim|Median: $69.35
0.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$270K

5,106 claims · 2.8%

Your Cost: $52.93/claim|Median: $74.82
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$132K

4,067 claims · 1.4%

Your Cost: $32.48/claim|Median: $25.06
1.3× median
87811Normal range

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

$122K

4,383 claims · 1.3%

Your Cost: $27.86/claim|Median: $30.53
0.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$115K

1,953 claims · 1.2%

Your Cost: $58.67/claim|Median: $80.15
0.7× median
92558Normal range

$87K

8,514 claims · 0.9%

Your Cost: $10.25/claim|Median: $6.67
1.5× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$82K

3,758 claims · 0.8%

Your Cost: $21.69/claim|Median: $28.46
0.8× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$71K

1,214 claims · 0.7%

Your Cost: $58.53/claim|Median: $65.64
0.9× median
87804Normal range

Influenza virus detection, rapid test

$53K

3,282 claims · 0.5%

Your Cost: $16.00/claim|Median: $12.59
1.3× median
99203Normal range

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

$49K

1,019 claims · 0.5%

Your Cost: $47.69/claim|Median: $57.85
0.8× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$45K

3,966 claims · 0.5%

Your Cost: $11.26/claim|Median: $11.48
1.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$35K

792 claims · 0.4%

Your Cost: $44.72/claim|Median: $39.70
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$35K

935 claims · 0.4%

Your Cost: $37.77/claim|Median: $41.28
0.9× median
96110Normal range

Developmental screening, per standardized instrument

$34K

3,704 claims · 0.4%

Your Cost: $9.19/claim|Median: $9.10
1.0× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$32K

741 claims · 0.3%

Your Cost: $42.53/claim|Median: $41.92
1.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$29K

6,342 claims · 0.3%

Your Cost: $4.52/claim|Median: $3.67
1.2× median
99309Normal range

Nursing facility care, subsequent, low complexity

$27K

3,302 claims · 0.3%

Your Cost: $8.08/claim|Median: $14.00
0.6× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$23K

381 claims · 0.2%

Your Cost: $61.50/claim|Median: $58.55
1.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$23K

393 claims · 0.2%

Your Cost: $57.86/claim|Median: $72.71
0.8× median
59025Normal range

Fetal non-stress test

$21K

814 claims · 0.2%

Your Cost: $25.28/claim|Median: $26.45
1.0× median
99308Normal range

Nursing facility care, subsequent, straightforward

$20K

2,921 claims · 0.2%

Your Cost: $6.82/claim|Median: $9.79
0.7× median
36415Normal range

Collection of venous blood by venipuncture

$20K

8,658 claims · 0.2%

Your Cost: $2.28/claim|Median: $1.57
1.5× median
92587Normal range

$16K

904 claims · 0.2%

Your Cost: $17.72/claim|Median: $19.24
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$16K

264 claims · 0.2%

Your Cost: $59.42/claim|Median: $74.09
0.8× median
99381Normal range

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

$14K

237 claims · 0.1%

Your Cost: $59.15/claim|Median: $73.46
0.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$13K

1,069 claims · 0.1%

Your Cost: $12.09/claim|Median: $9.56
1.3× median
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