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Provider 1972704179

NPI: 1972704179Share
Active Billing Period:2018-01→2023-07(67 months)
Billing appears to have stoppedLast active: 2023-07

Total Paid

$9.1M

$9,118,632

Total Claims

312K

Beneficiaries

230K

1.4 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+26%
2019
$1.4M
+15%
2020
$1.6M
+37%
2021
$2.2M
-14%
2022
$1.9M
-61%
2023
$753K

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 41% of total spending.

99213Normal range

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

$3.8M

113K claims · 41.3%

Your Cost: $33.24/claim|Median: $37.81
0.9× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.4M

53K claims · 15.4%

Your Cost: $26.44/claim|Median: $23.99
1.1× median
99233Normal range

Subsequent hospital care, per day, high complexity

$527K

14K claims · 5.8%

Your Cost: $37.12/claim|Median: $35.30
1.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$396K

31K claims · 4.3%

Your Cost: $12.66/claim|Median: $11.48
1.1× median
99214Normal range

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

$279K

6,324 claims · 3.1%

Your Cost: $44.08/claim|Median: $53.41
0.8× median
99222Normal range

Initial hospital care, per day, moderate complexity

$268K

6,294 claims · 2.9%

Your Cost: $42.63/claim|Median: $51.25
0.8× median
99225Normal range

$262K

8,278 claims · 2.9%

Your Cost: $31.70/claim|Median: $20.96
1.5× median
99219Normal range

$261K

5,996 claims · 2.9%

Your Cost: $43.50/claim|Median: $63.35
0.7× median
87804Normal range

Influenza virus detection, rapid test

$218K

17K claims · 2.4%

Your Cost: $13.06/claim|Median: $12.59
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$203K

3,290 claims · 2.2%

Your Cost: $61.70/claim|Median: $69.35
0.9× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$183K

4,087 claims · 2.0%

Your Cost: $44.78/claim|Median: $43.85
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$176K

2,422 claims · 1.9%

Your Cost: $72.60/claim|Median: $75.18
1.0× median
99217Normal range

$175K

4,377 claims · 1.9%

Your Cost: $40.01/claim|Median: $31.89
1.3× median
99203Normal range

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

$168K

3,162 claims · 1.8%

Your Cost: $53.07/claim|Median: $57.85
0.9× median
87426Normal range

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

$148K

9,028 claims · 1.6%

Your Cost: $16.35/claim|Median: $30.04
0.5× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$146K

4,296 claims · 1.6%

Your Cost: $34.02/claim|Median: $37.22
0.9× median
G2025Normal range

$103K

4,304 claims · 1.1%

Your Cost: $23.87/claim|Median: $15.63
1.5× median
99309Top 25%

Nursing facility care, subsequent, low complexity

$101K

3,951 claims · 1.1%

Your Cost: $25.46/claim|Median: $14.00
1.8× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$64K

1,751 claims · 0.7%

Your Cost: $36.33/claim|Median: $58.55
0.6× median
90834Normal range

Psychotherapy, 45 minutes

$58K

729 claims · 0.6%

Your Cost: $80.09/claim|Median: $63.65
1.3× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$50K

644 claims · 0.5%

Your Cost: $77.08/claim|Median: $108.91
0.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$47K

680 claims · 0.5%

Your Cost: $68.58/claim|Median: $74.82
0.9× median
99349Normal range

$33K

1,110 claims · 0.4%

Your Cost: $29.61/claim|Median: $24.29
1.2× median
76819Normal range

Fetal biophysical profile with non-stress test

$20K

637 claims · 0.2%

Your Cost: $31.12/claim|Median: $49.45
0.6× median
99334Top 1%

$18K

295 claims · 0.2%

Your Cost: $60.81/claim|Median: $9.92
6.1× median
99212Top 10%

Office/outpatient visit, low complexity

$9K

114 claims · 0.1%

Your Cost: $77.82/claim|Median: $25.06
3.1× median
90658Normal range

$6K

467 claims · 0.1%

Your Cost: $11.87/claim|Median: $8.96
1.3× median
76856Normal range

Ultrasound, pelvic, complete

$4K

145 claims · 0.0%

Your Cost: $30.75/claim|Median: $47.58
0.6× median
J0696Top 25%

$4K

446 claims · 0.0%

Your Cost: $7.97/claim|Median: $1.34
5.9× median
90471Normal range

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

$3K

217 claims · 0.0%

Your Cost: $12.64/claim|Median: $9.80
1.3× median
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