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Provider 1962655472

NPI: 1962655472Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.7M

$9,711,623

Total Claims

383K

Beneficiaries

323K

1.2 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+4%
2019
$1.5M
-3%
2020
$1.4M
+39%
2021
$2.0M
+12%
2022
$2.2M
-64%
2023
$788K
-42%
2024
$457K

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 43% of total spending.

99213Normal range

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

$4.2M

91K claims · 42.7%

Your Cost: $45.81/claim|Median: $37.81
1.2× median
99214Normal range

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

$1.2M

20K claims · 11.8%

Your Cost: $58.90/claim|Median: $53.41
1.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$722K

26K claims · 7.4%

Your Cost: $27.92/claim|Median: $17.85
1.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$571K

8,909 claims · 5.9%

Your Cost: $64.05/claim|Median: $75.18
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$448K

61K claims · 4.6%

Your Cost: $7.31/claim|Median: $11.48
0.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$425K

7,249 claims · 4.4%

Your Cost: $58.64/claim|Median: $69.35
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$338K

5,318 claims · 3.5%

Your Cost: $63.56/claim|Median: $74.82
0.8× median
87070Normal range

Bacterial culture, any source except blood or urine

$240K

59K claims · 2.5%

Your Cost: $4.07/claim|Median: $5.89
0.7× median
87804Normal range

Influenza virus detection, rapid test

$222K

18K claims · 2.3%

Your Cost: $12.55/claim|Median: $12.59
1.0× median
69210Normal range

$198K

9,886 claims · 2.0%

Your Cost: $19.99/claim|Median: $21.74
0.9× median
99050Top 25%

$155K

7,075 claims · 1.6%

Your Cost: $21.94/claim|Median: $11.81
1.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$146K

2,136 claims · 1.5%

Your Cost: $68.23/claim|Median: $80.15
0.9× median
90670Top 5%

$113K

2,702 claims · 1.2%

Your Cost: $41.96/claim|Median: $5.94
7.1× median
99212Normal range

Office/outpatient visit, low complexity

$89K

3,051 claims · 0.9%

Your Cost: $29.07/claim|Median: $25.06
1.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$88K

8,153 claims · 0.9%

Your Cost: $10.85/claim|Median: $7.18
1.5× median
3008FTop 10%

$77K

8,813 claims · 0.8%

Your Cost: $8.75/claim|Median: $0.06
145.9× median
90677Top 10%

$63K

442 claims · 0.7%

Your Cost: $143.62/claim|Median: $12.96
11.1× median
99381Normal range

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

$52K

876 claims · 0.5%

Your Cost: $59.19/claim|Median: $73.46
0.8× median
90716Top 5%

$49K

1,202 claims · 0.5%

Your Cost: $40.95/claim|Median: $6.18
6.6× median
99188Top 25%

$47K

1,989 claims · 0.5%

Your Cost: $23.82/claim|Median: $12.80
1.9× median
90707Top 10%

MMR vaccine

$30K

1,194 claims · 0.3%

Your Cost: $24.81/claim|Median: $5.76
4.3× median
90471Normal range

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

$28K

2,046 claims · 0.3%

Your Cost: $13.59/claim|Median: $9.80
1.4× median
87811Normal range

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

$24K

1,122 claims · 0.2%

Your Cost: $21.39/claim|Median: $30.53
0.7× median
17110Normal range

Destruction of benign lesions, up to fourteen

$22K

552 claims · 0.2%

Your Cost: $40.68/claim|Median: $59.25
0.7× median
90700Normal range

$22K

3,273 claims · 0.2%

Your Cost: $6.82/claim|Median: $4.56
1.5× median
83655Top 25%

$22K

1,650 claims · 0.2%

Your Cost: $13.46/claim|Median: $10.49
1.3× median
90680Normal range

$19K

1,906 claims · 0.2%

Your Cost: $9.93/claim|Median: $5.58
1.8× median
99203Normal range

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

$18K

232 claims · 0.2%

Your Cost: $77.30/claim|Median: $57.85
1.3× median
51701Normal range

$18K

515 claims · 0.2%

Your Cost: $34.50/claim|Median: $22.05
1.6× median
90633Top 25%

$17K

1,413 claims · 0.2%

Your Cost: $11.78/claim|Median: $3.56
3.3× median
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