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Provider 1972823987

NPI: 1972823987Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$12.0M

$12,021,980

Total Claims

275K

Beneficiaries

238K

1.2 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$811K
+81%
2019
$1.5M
+3%
2020
$1.5M
+27%
2021
$1.9M
+10%
2022
$2.1M
+4%
2023
$2.2M
-8%
2024
$2.0M

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 67% of total spending.

99213Top 10%

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

$8.1M

113K claims · 67.1%

Your Cost: $71.07/claim|Median: $37.81
1.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$662K

8,465 claims · 5.5%

Your Cost: $78.23/claim|Median: $69.35
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$556K

6,590 claims · 4.6%

Your Cost: $84.38/claim|Median: $75.18
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$414K

4,902 claims · 3.4%

Your Cost: $84.51/claim|Median: $74.82
1.1× median
90471Normal range

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

$294K

23K claims · 2.4%

Your Cost: $12.58/claim|Median: $9.80
1.3× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$260K

3,679 claims · 2.2%

Your Cost: $70.71/claim|Median: $62.48
1.1× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$220K

3,644 claims · 1.8%

Your Cost: $60.49/claim|Median: $37.22
1.6× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$214K

2,232 claims · 1.8%

Your Cost: $95.81/claim|Median: $80.15
1.2× median
99214Top 10%

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

$171K

1,680 claims · 1.4%

Your Cost: $101.84/claim|Median: $53.41
1.9× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$150K

1,628 claims · 1.2%

Your Cost: $92.05/claim|Median: $72.71
1.3× median
G0447Top 25%

$116K

6,918 claims · 1.0%

Your Cost: $16.78/claim|Median: $5.19
3.2× median
90677Top 10%

$109K

763 claims · 0.9%

Your Cost: $142.29/claim|Median: $12.96
11.0× median
90472Normal range

Immunization administration, each additional vaccine

$109K

9,175 claims · 0.9%

Your Cost: $11.83/claim|Median: $11.79
1.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$63K

2,529 claims · 0.5%

Your Cost: $25.08/claim|Median: $17.85
1.4× median
99462Normal range

$61K

1,933 claims · 0.5%

Your Cost: $31.70/claim|Median: $27.49
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$59K

3,118 claims · 0.5%

Your Cost: $18.99/claim|Median: $25.06
0.8× median
99203Top 25%

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

$57K

590 claims · 0.5%

Your Cost: $96.47/claim|Median: $57.85
1.7× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$57K

9,866 claims · 0.5%

Your Cost: $5.77/claim|Median: $11.48
0.5× median
G2023Normal range

Specimen collection for COVID-19 testing

$47K

3,362 claims · 0.4%

Your Cost: $14.00/claim|Median: $17.15
0.8× median
90670Top 25%

$39K

2,915 claims · 0.3%

Your Cost: $13.48/claim|Median: $5.94
2.3× median
99442Top 10%

Telephone E/M by physician, 11-20 minutes

$39K

527 claims · 0.3%

Your Cost: $73.61/claim|Median: $22.44
3.3× median
99051Normal range

$37K

6,989 claims · 0.3%

Your Cost: $5.25/claim|Median: $7.89
0.7× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$36K

362 claims · 0.3%

Your Cost: $100.62/claim|Median: $76.06
1.3× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$32K

2,673 claims · 0.3%

Your Cost: $12.10/claim|Median: $10.88
1.1× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$32K

7,525 claims · 0.3%

Your Cost: $4.24/claim|Median: $12.70
0.3× median
99204Top 25%

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

$31K

231 claims · 0.3%

Your Cost: $133.66/claim|Median: $84.03
1.6× median
17250Top 25%

$12K

173 claims · 0.1%

Your Cost: $71.23/claim|Median: $19.69
3.6× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$11K

3,680 claims · 0.1%

Your Cost: $3.09/claim|Median: $7.18
0.4× median
90619Normal range

$7K

432 claims · 0.1%

Your Cost: $15.10/claim|Median: $8.36
1.8× median
G0008Top 25%

$6K

646 claims · 0.1%

Your Cost: $9.39/claim|Median: $2.54
3.7× median
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