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Provider 1992749220

NPI: 1992749220Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.3M

$15,317,349

Total Claims

388K

Beneficiaries

365K

1.1 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$2.4M
-11%
2019
$2.1M
+1%
2020
$2.1M
+22%
2021
$2.6M
-45%
2022
$1.4M
+80%
2023
$2.6M
-18%
2024
$2.1M

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 38% of total spending.

99213Top 25%

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

$5.9M

88K claims · 38.4%

Your Cost: $67.24/claim|Median: $37.81
1.8× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$1.5M

15K claims · 9.8%

Your Cost: $100.75/claim|Median: $75.18
1.3× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$1.4M

15K claims · 9.0%

Your Cost: $93.33/claim|Median: $69.35
1.3× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$1.0M

36K claims · 6.6%

Your Cost: $28.41/claim|Median: $17.85
1.6× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$1.0M

9,893 claims · 6.5%

Your Cost: $101.27/claim|Median: $74.82
1.4× median
99214Top 10%

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

$917K

9,040 claims · 6.0%

Your Cost: $101.46/claim|Median: $53.41
1.9× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$818K

7,382 claims · 5.3%

Your Cost: $110.75/claim|Median: $80.15
1.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$506K

37K claims · 3.3%

Your Cost: $13.64/claim|Median: $11.48
1.2× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$399K

15K claims · 2.6%

Your Cost: $26.29/claim|Median: $6.93
3.8× median
87804Normal range

Influenza virus detection, rapid test

$336K

24K claims · 2.2%

Your Cost: $13.89/claim|Median: $12.59
1.1× median
87426Top 5%

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

$318K

6,796 claims · 2.1%

Your Cost: $46.76/claim|Median: $30.04
1.6× median
99203Top 25%

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

$233K

2,376 claims · 1.5%

Your Cost: $98.11/claim|Median: $57.85
1.7× median
G9153Normal range

$223K

7,095 claims · 1.5%

Your Cost: $31.37/claim|Median: $43.70
0.7× median
99188Normal range

$196K

12K claims · 1.3%

Your Cost: $15.76/claim|Median: $12.80
1.2× median
96110Normal range

Developmental screening, per standardized instrument

$125K

16K claims · 0.8%

Your Cost: $7.80/claim|Median: $9.10
0.9× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$80K

12K claims · 0.5%

Your Cost: $6.80/claim|Median: $3.67
1.9× median
83655Top 25%

$72K

5,674 claims · 0.5%

Your Cost: $12.71/claim|Median: $10.49
1.2× median
87807Top 25%

$49K

4,003 claims · 0.3%

Your Cost: $12.17/claim|Median: $10.06
1.2× median
54150Normal range

$46K

523 claims · 0.3%

Your Cost: $88.52/claim|Median: $84.60
1.0× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$45K

665 claims · 0.3%

Your Cost: $67.66/claim|Median: $62.48
1.1× median
99050Normal range

$33K

2,796 claims · 0.2%

Your Cost: $11.97/claim|Median: $11.81
1.0× median
85018Top 25%

$23K

9,578 claims · 0.2%

Your Cost: $2.44/claim|Median: $1.71
1.4× median
99462Normal range

$20K

808 claims · 0.1%

Your Cost: $24.68/claim|Median: $27.49
0.9× median
81002Top 25%

Urinalysis, non-automated without microscopy

$18K

6,139 claims · 0.1%

Your Cost: $2.95/claim|Median: $2.00
1.5× median
99441Normal range

Telephone E/M by physician, 5-10 min

$16K

1,005 claims · 0.1%

Your Cost: $16.07/claim|Median: $13.30
1.2× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$15K

137 claims · 0.1%

Your Cost: $108.95/claim|Median: $72.71
1.5× median
96161Top 25%

$13K

1,788 claims · 0.1%

Your Cost: $7.54/claim|Median: $2.49
3.0× median
99051Normal range

$9K

692 claims · 0.1%

Your Cost: $12.79/claim|Median: $7.89
1.6× median
99211Top 25%

Office/outpatient visit, minimal complexity

$6K

278 claims · 0.0%

Your Cost: $21.13/claim|Median: $12.93
1.6× median
87502Top 10%

Influenza virus detection, reverse transcription, amplified probe

$4K

42 claims · 0.0%

Your Cost: $104.62/claim|Median: $65.64
1.6× median
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