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Provider 1992736300

NPI: 1992736300Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.0M

$9,969,463

Total Claims

587K

Beneficiaries

490K

1.2 claims/patient

Avg Cost/Claim

$17

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-4%
2019
$1.2M
+1%
2020
$1.2M
+6%
2021
$1.3M
+20%
2022
$1.6M
+20%
2023
$1.9M
-26%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 35% of total spending.

99214Normal range

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

$3.5M

112K claims · 35.2%

Your Cost: $31.26/claim|Median: $53.41
0.6× median
99213Normal range

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

$3.0M

109K claims · 30.3%

Your Cost: $27.65/claim|Median: $37.81
0.7× median
99396Normal range

Preventive medicine, established patient, age 40-64

$335K

6,767 claims · 3.4%

Your Cost: $49.46/claim|Median: $76.06
0.7× median
99203Normal range

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

$248K

5,388 claims · 2.5%

Your Cost: $45.97/claim|Median: $57.85
0.8× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$248K

24K claims · 2.5%

Your Cost: $10.44/claim|Median: $23.99
0.4× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$178K

3,858 claims · 1.8%

Your Cost: $46.08/claim|Median: $69.35
0.7× median
99204Normal range

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

$174K

3,963 claims · 1.7%

Your Cost: $43.97/claim|Median: $84.03
0.5× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$169K

8,881 claims · 1.7%

Your Cost: $19.01/claim|Median: $17.85
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$152K

5,941 claims · 1.5%

Your Cost: $25.55/claim|Median: $25.06
1.0× median
G0101Normal range

Cervical/vaginal cancer screening; pelvic exam

$123K

7,017 claims · 1.2%

Your Cost: $17.56/claim|Median: $21.28
0.8× median
90674Normal range

$95K

5,728 claims · 1.0%

Your Cost: $16.56/claim|Median: $15.16
1.1× median
76830Normal range

Ultrasound, transvaginal

$89K

1,279 claims · 0.9%

Your Cost: $69.92/claim|Median: $57.47
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$87K

2,613 claims · 0.9%

Your Cost: $33.31/claim|Median: $74.09
0.4× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$87K

9,870 claims · 0.9%

Your Cost: $8.79/claim|Median: $9.70
0.9× median
Q0091Normal range

$77K

10K claims · 0.8%

Your Cost: $7.70/claim|Median: $11.15
0.7× median
99309Normal range

Nursing facility care, subsequent, low complexity

$73K

6,328 claims · 0.7%

Your Cost: $11.56/claim|Median: $14.00
0.8× median
99308Normal range

Nursing facility care, subsequent, straightforward

$72K

8,105 claims · 0.7%

Your Cost: $8.90/claim|Median: $9.79
0.9× median
90471Normal range

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

$72K

6,764 claims · 0.7%

Your Cost: $10.62/claim|Median: $9.80
1.1× median
99349Normal range

$68K

3,820 claims · 0.7%

Your Cost: $17.80/claim|Median: $24.29
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$61K

1,336 claims · 0.6%

Your Cost: $45.98/claim|Median: $75.18
0.6× median
59426Normal range

Antepartum care only, high risk, additional visits

$50K

1,094 claims · 0.5%

Your Cost: $45.89/claim|Median: $122.30
0.4× median
G0444Normal range

Annual depression screening, fifteen minutes

$49K

11K claims · 0.5%

Your Cost: $4.54/claim|Median: $4.23
1.1× median
G0447Normal range

$48K

8,488 claims · 0.5%

Your Cost: $5.69/claim|Median: $5.19
1.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$47K

1,073 claims · 0.5%

Your Cost: $43.77/claim|Median: $72.71
0.6× median
99211Normal range

Office/outpatient visit, minimal complexity

$38K

2,327 claims · 0.4%

Your Cost: $16.37/claim|Median: $12.93
1.3× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$36K

2,947 claims · 0.4%

Your Cost: $12.22/claim|Median: $22.44
0.5× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$36K

462 claims · 0.4%

Your Cost: $77.56/claim|Median: $62.48
1.2× median
99222Normal range

Initial hospital care, per day, moderate complexity

$36K

1,581 claims · 0.4%

Your Cost: $22.58/claim|Median: $51.25
0.4× median
99443Normal range

Telephone E/M by physician, 21-30 min

$35K

1,918 claims · 0.4%

Your Cost: $18.46/claim|Median: $32.55
0.6× median
59425Normal range

Antepartum care only, 4-6 visits

$35K

761 claims · 0.4%

Your Cost: $46.24/claim|Median: $63.63
0.7× median
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