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Provider 1982932463

NPI: 1982932463Share
Active Billing Period:2018-012022-06(54 months)
Billing appears to have stoppedLast active: 2022-06

Total Paid

$16.6M

$16,625,952

Total Claims

487K

Beneficiaries

378K

1.3 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+129%
2019
$4.2M
-5%
2020
$4.0M
+65%
2021
$6.6M
-99%
2022
$68K

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 24% of total spending.

99213Top 25%

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

$4.0M

67K claims · 24.0%

Your Cost: $59.08/claim|Median: $37.81
1.6× median
99203Top 25%

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

$3.0M

34K claims · 18.1%

Your Cost: $89.40/claim|Median: $57.85
1.5× median
U0003Normal range

Infectious disease detection (COVID-19)

$2.9M

39K claims · 17.6%

Your Cost: $74.03/claim|Median: $63.08
1.2× median
99212Top 25%

Office/outpatient visit, low complexity

$1.4M

34K claims · 8.6%

Your Cost: $42.61/claim|Median: $25.06
1.7× median
99214Top 25%

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

$909K

10K claims · 5.5%

Your Cost: $90.59/claim|Median: $53.41
1.7× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$811K

39K claims · 4.9%

Your Cost: $20.71/claim|Median: $15.76
1.3× median
99204Top 25%

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

$775K

5,606 claims · 4.7%

Your Cost: $138.23/claim|Median: $84.03
1.6× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$609K

9,887 claims · 3.7%

Your Cost: $61.59/claim|Median: $40.11
1.5× median
87426Normal range

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

$231K

8,511 claims · 1.4%

Your Cost: $27.13/claim|Median: $30.04
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$230K

38K claims · 1.4%

Your Cost: $6.11/claim|Median: $11.48
0.5× median
99211Normal range

Office/outpatient visit, minimal complexity

$191K

11K claims · 1.1%

Your Cost: $16.60/claim|Median: $12.93
1.3× median
87804Normal range

Influenza virus detection, rapid test

$180K

13K claims · 1.1%

Your Cost: $13.80/claim|Median: $12.59
1.1× median
87070Normal range

Bacterial culture, any source except blood or urine

$178K

24K claims · 1.1%

Your Cost: $7.47/claim|Median: $5.89
1.3× median
87184Top 25%

$134K

23K claims · 0.8%

Your Cost: $5.70/claim|Median: $4.02
1.4× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$128K

12K claims · 0.8%

Your Cost: $10.94/claim|Median: $28.46
0.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$96K

2,065 claims · 0.6%

Your Cost: $46.46/claim|Median: $39.70
1.2× median
12001Normal range

$84K

1,040 claims · 0.5%

Your Cost: $81.05/claim|Median: $64.99
1.2× median
G2023Normal range

Specimen collection for COVID-19 testing

$71K

4,112 claims · 0.4%

Your Cost: $17.37/claim|Median: $17.15
1.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$62K

2,817 claims · 0.4%

Your Cost: $22.02/claim|Median: $17.85
1.2× median
S9083Normal range

Global fee, urgent care centers

$44K

423 claims · 0.3%

Your Cost: $103.86/claim|Median: $103.99
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$38K

453 claims · 0.2%

Your Cost: $84.62/claim|Median: $75.18
1.1× median
10060Normal range

Incision and drainage of abscess, simple

$36K

374 claims · 0.2%

Your Cost: $95.08/claim|Median: $75.72
1.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$29K

348 claims · 0.2%

Your Cost: $84.65/claim|Median: $74.82
1.1× median
71046Top 25%

Chest X-ray, 2 views

$29K

1,210 claims · 0.2%

Your Cost: $24.32/claim|Median: $8.92
2.7× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$29K

1,686 claims · 0.2%

Your Cost: $17.25/claim|Median: $9.70
1.8× median
10061Normal range

$25K

200 claims · 0.1%

Your Cost: $123.93/claim|Median: $101.03
1.2× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$25K

220 claims · 0.1%

Your Cost: $111.77/claim|Median: $169.17
0.7× median
29125Normal range

$21K

360 claims · 0.1%

Your Cost: $59.00/claim|Median: $28.04
2.1× median
90471Normal range

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

$21K

1,427 claims · 0.1%

Your Cost: $14.39/claim|Median: $9.80
1.5× median
10120Normal range

$17K

128 claims · 0.1%

Your Cost: $134.41/claim|Median: $89.15
1.5× median