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Provider 1003216391

NPI: 1003216391Share
Active Billing Period:2018-12→2024-11(72 months)

Total Paid

$8.2M

$8,210,472

Total Claims

38K

Beneficiaries

28K

1.4 claims/patient

Avg Cost/Claim

$215

Monthly Spending Trend

Yearly Spending

2018
$38K
+1209%
2019
$503K
+41%
2020
$710K
+4%
2021
$737K
+181%
2022
$2.1M
+36%
2023
$2.8M
-53%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (99221 (Initial hospital care, straightforward/low)) accounts for 64% of total spending.

99221Top 5%

Initial hospital care, straightforward/low

$5.2M

18K claims · 63.5%

Your Cost: $293.03/claim|Median: $39.96
7.3× median
99218Top 10%

$967K

3,934 claims · 11.8%

Your Cost: $245.69/claim|Median: $51.50
4.8× median
99222Top 1%

Initial hospital care, per day, moderate complexity

$863K

4,576 claims · 10.5%

Your Cost: $188.69/claim|Median: $51.25
3.7× median
99499Top 5%

Unlisted evaluation and management service

$401K

1,058 claims · 4.9%

Your Cost: $379.21/claim|Median: $30.88
12.3× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$323K

7,042 claims · 3.9%

Your Cost: $45.84/claim|Median: $23.99
1.9× median
99251Top 1%

$210K

1,072 claims · 2.6%

Your Cost: $195.65/claim|Median: $28.38
6.9× median
99281Top 25%

Emergency dept visit, minimal complexity

$72K

507 claims · 0.9%

Your Cost: $142.26/claim|Median: $52.03
2.7× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$54K

979 claims · 0.7%

Your Cost: $55.26/claim|Median: $43.85
1.3× median
S0310Normal range

$29K

77 claims · 0.3%

Your Cost: $370.13/claim|Median: $334.38
1.1× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$24K

321 claims · 0.3%

Your Cost: $75.25/claim|Median: $35.30
2.1× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$17K

690 claims · 0.2%

Your Cost: $25.32/claim|Median: $37.22
0.7× median
99223Top 10%

Initial hospital care, per day, high complexity

$10K

67 claims · 0.1%

Your Cost: $153.33/claim|Median: $67.32
2.3× median
99231Top 1%

Subsequent hospital care, per day, low complexity

$10K

40 claims · 0.1%

Your Cost: $251.38/claim|Median: $16.77
15.0× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$9K

37 claims · 0.1%

Your Cost: $230.47/claim|Median: $108.91
2.1× median
99235Normal range

$4K

31 claims · 0.0%

Your Cost: $117.04/claim|Median: $110.13
1.1× median
90791Top 5%

Psychiatric diagnostic evaluation

$3K

16 claims · 0.0%

Your Cost: $209.27/claim|Median: $99.21
2.1× median
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