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Provider 1982871729

NPI: 1982871729Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.3M

$9,263,981

Total Claims

244K

Beneficiaries

225K

1.1 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+17%
2019
$1.7M
-8%
2020
$1.5M
-3%
2021
$1.5M
-7%
2022
$1.4M
-9%
2023
$1.3M
-56%
2024
$547K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99469 (Subsequent intensive care, very low birth weight infant)) accounts for 26% of total spending.

99469Normal range

Subsequent intensive care, very low birth weight infant

$2.4M

15K claims · 26.1%

Your Cost: $162.89/claim|Median: $293.45
0.6× median
96156Top 25%

$1.3M

20K claims · 14.1%

Your Cost: $66.44/claim|Median: $22.36
3.0× median
Z0102Normal range

$1.1M

5,481 claims · 11.3%

Your Cost: $191.73/claim|Median: $193.72
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$562K

7,665 claims · 6.1%

Your Cost: $73.29/claim|Median: $69.35
1.1× median
99213Normal range

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

$332K

14K claims · 3.6%

Your Cost: $24.54/claim|Median: $37.81
0.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$314K

5,266 claims · 3.4%

Your Cost: $59.66/claim|Median: $80.15
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$313K

6,862 claims · 3.4%

Your Cost: $45.56/claim|Median: $75.18
0.6× median
99393Normal range

Preventive medicine, established patient, age 5-11

$293K

6,178 claims · 3.2%

Your Cost: $47.48/claim|Median: $74.82
0.6× median
G9920Top 25%

$271K

12K claims · 2.9%

Your Cost: $21.88/claim|Median: $6.56
3.3× median
99214Normal range

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

$244K

11K claims · 2.6%

Your Cost: $21.49/claim|Median: $53.41
0.4× median
99203Top 25%

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

$202K

2,084 claims · 2.2%

Your Cost: $97.01/claim|Median: $57.85
1.7× median
99381Top 10%

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

$192K

1,696 claims · 2.1%

Your Cost: $113.14/claim|Median: $73.46
1.5× median
92551Top 25%

Screening audiometry, pure tone, air only

$157K

15K claims · 1.7%

Your Cost: $10.48/claim|Median: $6.61
1.6× median
92586Normal range

$149K

2,598 claims · 1.6%

Your Cost: $57.30/claim|Median: $51.18
1.1× median
96110Top 5%

Developmental screening, per standardized instrument

$123K

3,093 claims · 1.3%

Your Cost: $39.77/claim|Median: $9.10
4.4× median
Z0104Normal range

$101K

758 claims · 1.1%

Your Cost: $132.91/claim|Median: $141.22
0.9× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$96K

2,079 claims · 1.0%

Your Cost: $46.09/claim|Median: $62.48
0.7× median
99464Normal range

$92K

1,480 claims · 1.0%

Your Cost: $61.84/claim|Median: $59.94
1.0× median
99223Normal range

Initial hospital care, per day, high complexity

$77K

1,302 claims · 0.8%

Your Cost: $59.26/claim|Median: $67.32
0.9× median
92652Normal range

$74K

820 claims · 0.8%

Your Cost: $89.74/claim|Median: $72.54
1.2× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$71K

6,763 claims · 0.8%

Your Cost: $10.47/claim|Median: $24.33
0.4× median
90700Normal range

$54K

6,473 claims · 0.6%

Your Cost: $8.36/claim|Median: $4.56
1.8× median
90647Normal range

$52K

6,063 claims · 0.6%

Your Cost: $8.63/claim|Median: $4.31
2.0× median
99462Normal range

$51K

2,003 claims · 0.6%

Your Cost: $25.56/claim|Median: $27.49
0.9× median
90713Normal range

Poliovirus vaccine (IPV)

$44K

5,164 claims · 0.5%

Your Cost: $8.50/claim|Median: $5.41
1.6× median
90670Normal range

$44K

4,912 claims · 0.5%

Your Cost: $8.89/claim|Median: $5.94
1.5× median
90680Normal range

$42K

4,784 claims · 0.5%

Your Cost: $8.81/claim|Median: $5.58
1.6× median
96151Normal range

Health behavior reassessment

$40K

1,791 claims · 0.4%

Your Cost: $22.36/claim|Median: $15.43
1.4× median
Z4306Normal range

$33K

656 claims · 0.4%

Your Cost: $49.70/claim|Median: $49.73
1.0× median
81000Normal range

Urinalysis with microscopy, non-automated

$31K

14K claims · 0.3%

Your Cost: $2.30/claim|Median: $2.51
0.9× median
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