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Provider 1992124978

NPI: 1992124978Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.7M

$7,674,667

Total Claims

179K

Beneficiaries

162K

1.1 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$335K
+59%
2019
$534K
-35%
2020
$346K
+76%
2021
$607K
+192%
2022
$1.8M
+5%
2023
$1.9M
+20%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99204 (Office/outpatient visit, new patient, mod-high complexity)) accounts for 23% of total spending.

99204Normal range

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

$1.8M

25K claims · 23.3%

Your Cost: $70.45/claim|Median: $84.03
0.8× median
99214Normal range

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

$1.3M

22K claims · 17.5%

Your Cost: $60.17/claim|Median: $53.41
1.1× median
99213Normal range

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

$739K

21K claims · 9.6%

Your Cost: $35.53/claim|Median: $37.81
0.9× median
31231Normal range

Nasal endoscopy, diagnostic

$710K

8,619 claims · 9.3%

Your Cost: $82.38/claim|Median: $98.77
0.8× median
31575Normal range

$265K

4,715 claims · 3.5%

Your Cost: $56.28/claim|Median: $68.78
0.8× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$258K

8,550 claims · 3.4%

Your Cost: $30.13/claim|Median: $30.53
1.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$233K

6,705 claims · 3.0%

Your Cost: $34.78/claim|Median: $40.11
0.9× median
95024Top 25%

$206K

1,519 claims · 2.7%

Your Cost: $135.83/claim|Median: $60.31
2.3× median
99212Normal range

Office/outpatient visit, low complexity

$195K

8,114 claims · 2.5%

Your Cost: $23.99/claim|Median: $25.06
1.0× median
99203Normal range

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

$195K

3,501 claims · 2.5%

Your Cost: $55.56/claim|Median: $57.85
1.0× median
87426Normal range

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

$189K

6,984 claims · 2.5%

Your Cost: $27.10/claim|Median: $30.04
0.9× median
95004Normal range

Percutaneous allergy skin tests, each

$156K

2,156 claims · 2.0%

Your Cost: $72.40/claim|Median: $134.97
0.5× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$150K

1,731 claims · 1.9%

Your Cost: $86.41/claim|Median: $91.47
0.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$135K

3,722 claims · 1.8%

Your Cost: $36.18/claim|Median: $39.70
0.9× median
31237Normal range

$127K

1,019 claims · 1.7%

Your Cost: $125.02/claim|Median: $211.06
0.6× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$116K

6,104 claims · 1.5%

Your Cost: $19.00/claim|Median: $27.28
0.7× median
95165Normal range

Professional services for allergen immunotherapy, per injection

$76K

658 claims · 1.0%

Your Cost: $114.92/claim|Median: $144.04
0.8× median
G2023Normal range

Specimen collection for COVID-19 testing

$73K

13K claims · 1.0%

Your Cost: $5.78/claim|Median: $17.15
0.3× median
99211Normal range

Office/outpatient visit, minimal complexity

$72K

5,922 claims · 0.9%

Your Cost: $12.08/claim|Median: $12.93
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$67K

803 claims · 0.9%

Your Cost: $83.17/claim|Median: $74.09
1.1× median
30520Normal range

$59K

257 claims · 0.8%

Your Cost: $227.92/claim|Median: $369.78
0.6× median
92550Normal range

$49K

6,122 claims · 0.6%

Your Cost: $7.93/claim|Median: $14.15
0.6× median
69210Normal range

$47K

2,446 claims · 0.6%

Your Cost: $19.02/claim|Median: $21.74
0.9× median
70486Normal range

$38K

585 claims · 0.5%

Your Cost: $64.46/claim|Median: $44.28
1.5× median
92612Normal range

$36K

363 claims · 0.5%

Your Cost: $98.45/claim|Median: $98.45
1.0× median
92587Normal range

$34K

3,596 claims · 0.4%

Your Cost: $9.50/claim|Median: $19.24
0.5× median
31579Normal range

$28K

318 claims · 0.4%

Your Cost: $87.33/claim|Median: $120.24
0.7× median
92540Normal range

$27K

494 claims · 0.3%

Your Cost: $54.05/claim|Median: $59.84
0.9× median
95117Normal range

$25K

4,218 claims · 0.3%

Your Cost: $5.92/claim|Median: $8.34
0.7× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$24K

171 claims · 0.3%

Your Cost: $141.44/claim|Median: $331.68
0.4× median
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