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Provider 1972528032

NPI: 1972528032Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.0M

$12,950,823

Total Claims

475K

Beneficiaries

368K

1.3 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+9%
2019
$1.7M
-14%
2020
$1.5M
+46%
2021
$2.2M
-2%
2022
$2.1M
-5%
2023
$2.0M
-14%
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 70% of total spending.

99213Top 25%

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

$9.0M

141K claims · 69.8%

Your Cost: $64.22/claim|Median: $37.81
1.7× median
99396Top 10%

Preventive medicine, established patient, age 40-64

$824K

6,487 claims · 6.4%

Your Cost: $126.98/claim|Median: $76.06
1.7× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$346K

2,924 claims · 2.7%

Your Cost: $118.50/claim|Median: $72.71
1.6× median
99212Top 25%

Office/outpatient visit, low complexity

$296K

7,675 claims · 2.3%

Your Cost: $38.52/claim|Median: $25.06
1.5× median
99401Normal range

$178K

9,264 claims · 1.4%

Your Cost: $19.20/claim|Median: $16.53
1.2× median
G0442Normal range

$165K

16K claims · 1.3%

Your Cost: $10.02/claim|Median: $4.91
2.0× median
90471Normal range

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

$156K

14K claims · 1.2%

Your Cost: $10.76/claim|Median: $9.80
1.1× median
G0444Normal range

Annual depression screening, fifteen minutes

$141K

16K claims · 1.1%

Your Cost: $8.63/claim|Median: $4.23
2.0× median
94010Top 25%

$132K

5,047 claims · 1.0%

Your Cost: $26.13/claim|Median: $18.11
1.4× median
99203Top 25%

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

$113K

1,339 claims · 0.9%

Your Cost: $84.31/claim|Median: $57.85
1.5× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$112K

13K claims · 0.9%

Your Cost: $8.88/claim|Median: $9.56
0.9× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$95K

7,994 claims · 0.7%

Your Cost: $11.92/claim|Median: $9.70
1.2× median
92567Normal range

$82K

6,480 claims · 0.6%

Your Cost: $12.68/claim|Median: $11.50
1.1× median
90736Normal range

$73K

587 claims · 0.6%

Your Cost: $125.08/claim|Median: $52.37
2.4× median
99051Normal range

$72K

12K claims · 0.6%

Your Cost: $5.82/claim|Median: $7.89
0.7× median
Q2035Normal range

$57K

6,293 claims · 0.4%

Your Cost: $9.02/claim|Median: $6.13
1.5× median
99397Normal range

$57K

1,617 claims · 0.4%

Your Cost: $35.00/claim|Median: $22.92
1.5× median
97161Normal range

Physical therapy evaluation, low complexity

$53K

1,280 claims · 0.4%

Your Cost: $41.04/claim|Median: $47.89
0.9× median
G0008Normal range

$48K

6,069 claims · 0.4%

Your Cost: $7.83/claim|Median: $2.54
3.1× median
99497Normal range

$47K

2,095 claims · 0.4%

Your Cost: $22.32/claim|Median: $10.99
2.0× median
99386Top 10%

Preventive visit, new patient, 40-64 yr

$46K

296 claims · 0.4%

Your Cost: $155.44/claim|Median: $87.82
1.8× median
87426Normal range

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

$37K

1,702 claims · 0.3%

Your Cost: $21.54/claim|Median: $30.04
0.7× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$35K

5,475 claims · 0.3%

Your Cost: $6.39/claim|Median: $7.18
0.9× median
82948Normal range

$35K

15K claims · 0.3%

Your Cost: $2.24/claim|Median: $1.78
1.3× median
99214Top 10%

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

$34K

305 claims · 0.3%

Your Cost: $111.47/claim|Median: $53.41
2.1× median
99406Top 10%

$32K

2,243 claims · 0.2%

Your Cost: $14.41/claim|Median: $6.53
2.2× median
G2023Normal range

Specimen collection for COVID-19 testing

$32K

7,941 claims · 0.2%

Your Cost: $4.06/claim|Median: $17.15
0.2× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$32K

781 claims · 0.2%

Your Cost: $41.17/claim|Median: $33.85
1.2× median
97110Normal range

Therapeutic exercises, each 15 min

$30K

6,374 claims · 0.2%

Your Cost: $4.67/claim|Median: $24.49
0.2× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$28K

240 claims · 0.2%

Your Cost: $117.11/claim|Median: $80.15
1.5× median
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