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Provider 1992732192

NPI: 1992732192Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$7.7M

$7,715,771

Total Claims

634K

Beneficiaries

584K

1.1 claims/patient

Avg Cost/Claim

$12

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-5%
2019
$1.6M
-53%
2020
$728K
+61%
2021
$1.2M
+5%
2022
$1.2M
-22%
2023
$962K
-56%
2024
$421K

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 20% of total spending.

99213Normal range

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

$1.5M

115K claims · 19.9%

Your Cost: $13.36/claim|Median: $37.81
0.4× median
77067Top 25%

Screening mammography, bilateral, including CAD

$868K

8,491 claims · 11.2%

Your Cost: $102.17/claim|Median: $39.33
2.6× median
76641Normal range

Ultrasound imaging of one breast, complete

$812K

13K claims · 10.5%

Your Cost: $61.55/claim|Median: $49.03
1.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$415K

7,694 claims · 5.4%

Your Cost: $53.92/claim|Median: $80.15
0.7× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$270K

2,568 claims · 3.5%

Your Cost: $105.27/claim|Median: $72.71
1.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$262K

6,005 claims · 3.4%

Your Cost: $43.55/claim|Median: $74.82
0.6× median
99215Top 25%

Office/outpatient visit, high complexity

$259K

2,073 claims · 3.4%

Your Cost: $124.82/claim|Median: $74.09
1.7× median
99490Top 25%

Chronic care management services, 20 minutes per month

$255K

16K claims · 3.3%

Your Cost: $16.44/claim|Median: $6.31
2.6× median
92551Top 25%

Screening audiometry, pure tone, air only

$200K

20K claims · 2.6%

Your Cost: $9.80/claim|Median: $6.61
1.5× median
99212Normal range

Office/outpatient visit, low complexity

$195K

24K claims · 2.5%

Your Cost: $8.02/claim|Median: $25.06
0.3× median
76700Normal range

Ultrasound, abdominal, complete

$187K

3,275 claims · 2.4%

Your Cost: $57.14/claim|Median: $50.69
1.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$169K

13K claims · 2.2%

Your Cost: $12.74/claim|Median: $7.18
1.8× median
76856Normal range

Ultrasound, pelvic, complete

$160K

2,573 claims · 2.1%

Your Cost: $62.18/claim|Median: $47.58
1.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$150K

3,469 claims · 1.9%

Your Cost: $43.26/claim|Median: $69.35
0.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$134K

3,228 claims · 1.7%

Your Cost: $41.44/claim|Median: $75.18
0.6× median
99214Normal range

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

$118K

11K claims · 1.5%

Your Cost: $10.39/claim|Median: $53.41
0.2× median
76642Normal range

$116K

2,209 claims · 1.5%

Your Cost: $52.58/claim|Median: $32.06
1.6× median
99203Normal range

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

$94K

2,515 claims · 1.2%

Your Cost: $37.21/claim|Median: $57.85
0.6× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$89K

2,223 claims · 1.1%

Your Cost: $39.86/claim|Median: $33.85
1.2× median
90670Top 5%

$88K

1,759 claims · 1.1%

Your Cost: $49.86/claim|Median: $5.94
8.4× median
0011ATop 25%

COVID-19 vaccine admin, Moderna, 1st dose

$84K

2,159 claims · 1.1%

Your Cost: $38.94/claim|Median: $25.93
1.5× median
90651Top 25%

HPV vaccine, 9-valent

$80K

2,163 claims · 1.0%

Your Cost: $37.20/claim|Median: $8.93
4.2× median
90621Top 25%

$69K

2,534 claims · 0.9%

Your Cost: $27.16/claim|Median: $7.66
3.5× median
90715Top 25%

Tdap vaccine

$67K

2,613 claims · 0.9%

Your Cost: $25.80/claim|Median: $10.32
2.5× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$65K

965 claims · 0.8%

Your Cost: $67.06/claim|Median: $58.55
1.1× median
76536Normal range

$59K

1,014 claims · 0.8%

Your Cost: $57.91/claim|Median: $44.06
1.3× median
90688Top 5%

$57K

2,606 claims · 0.7%

Your Cost: $21.70/claim|Median: $9.00
2.4× median
90734Top 10%

$50K

2,057 claims · 0.6%

Your Cost: $24.26/claim|Median: $6.40
3.8× median
90716Top 10%

$43K

1,345 claims · 0.6%

Your Cost: $32.13/claim|Median: $6.18
5.2× median
90649Top 5%

$41K

667 claims · 0.5%

Your Cost: $61.79/claim|Median: $6.42
9.6× median
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