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Provider 1003082090

NPI: 1003082090Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$17.1M

$17,148,553

Total Claims

292K

Beneficiaries

263K

1.1 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+15%
2019
$1.8M
+4%
2020
$1.9M
+40%
2021
$2.6M
+11%
2022
$2.9M
+11%
2023
$3.2M
+3%
2024
$3.3M

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 22% of total spending.

99213Normal range

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

$3.8M

85K claims · 21.9%

Your Cost: $44.37/claim|Median: $37.81
1.2× median
17110Top 25%

Destruction of benign lesions, up to fourteen

$3.6M

43K claims · 21.1%

Your Cost: $85.15/claim|Median: $59.25
1.4× median
99203Normal range

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

$2.6M

43K claims · 15.3%

Your Cost: $61.68/claim|Median: $57.85
1.1× median
99214Normal range

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

$1.9M

27K claims · 11.1%

Your Cost: $69.80/claim|Median: $53.41
1.3× median
99204Normal range

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

$894K

9,448 claims · 5.2%

Your Cost: $94.59/claim|Median: $84.03
1.1× median
96910Top 25%

$774K

8,959 claims · 4.5%

Your Cost: $86.41/claim|Median: $51.52
1.7× median
11102Normal range

$615K

9,666 claims · 3.6%

Your Cost: $63.67/claim|Median: $48.69
1.3× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$576K

14K claims · 3.4%

Your Cost: $42.07/claim|Median: $40.11
1.0× median
17311Top 25%

$482K

1,403 claims · 2.8%

Your Cost: $343.77/claim|Median: $194.01
1.8× median
11900Normal range

$387K

9,558 claims · 2.3%

Your Cost: $40.50/claim|Median: $31.25
1.3× median
17111Normal range

$353K

3,726 claims · 2.1%

Your Cost: $94.87/claim|Median: $80.28
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$347K

13K claims · 2.0%

Your Cost: $26.61/claim|Median: $25.06
1.1× median
17312Top 25%

$190K

541 claims · 1.1%

Your Cost: $350.77/claim|Median: $197.44
1.8× median
11100Normal range

$126K

2,249 claims · 0.7%

Your Cost: $56.03/claim|Median: $44.58
1.3× median
17000Normal range

$89K

3,412 claims · 0.5%

Your Cost: $26.00/claim|Median: $21.35
1.2× median
12032Top 10%

$74K

320 claims · 0.4%

Your Cost: $231.45/claim|Median: $109.53
2.1× median
12031Top 25%

$71K

354 claims · 0.4%

Your Cost: $200.33/claim|Median: $141.97
1.4× median
11104Normal range

$46K

501 claims · 0.3%

Your Cost: $91.79/claim|Median: $76.74
1.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$43K

3,943 claims · 0.2%

Your Cost: $10.85/claim|Median: $9.56
1.1× median
77280Top 25%

$29K

172 claims · 0.2%

Your Cost: $169.75/claim|Median: $65.84
2.6× median
11200Top 25%

$25K

428 claims · 0.1%

Your Cost: $58.62/claim|Median: $36.51
1.6× median
17313Top 25%

$24K

61 claims · 0.1%

Your Cost: $399.74/claim|Median: $313.94
1.3× median
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$20K

11K claims · 0.1%

Your Cost: $1.86/claim|Median: $2.91
0.6× median
15275Normal range

$17K

329 claims · 0.1%

Your Cost: $50.73/claim|Median: $51.83
1.0× median
11402Normal range

$12K

175 claims · 0.1%

Your Cost: $68.11/claim|Median: $68.11
1.0× median
G6001Normal range

$10K

179 claims · 0.1%

Your Cost: $55.07/claim|Median: $31.80
1.7× median
17003Normal range

$10K

847 claims · 0.1%

Your Cost: $11.46/claim|Median: $8.67
1.3× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$7K

300 claims · 0.0%

Your Cost: $24.79/claim|Median: $27.38
0.9× median
Q4102Top 1%

$6K

412 claims · 0.0%

Your Cost: $13.85/claim|Median: $7.01
2.0× median
77401Normal range

$4K

229 claims · 0.0%

Your Cost: $15.71/claim|Median: $13.00
1.2× median