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Provider 1003263807

NPI: 1003263807Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.9M

$14,892,105

Total Claims

279K

Beneficiaries

267K

1.0 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+8%
2019
$1.6M
-5%
2020
$1.5M
+83%
2021
$2.8M
-11%
2022
$2.5M
+4%
2023
$2.6M
-14%
2024
$2.2M

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 36% of total spending.

99213Normal range

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

$5.3M

109K claims · 35.9%

Your Cost: $49.05/claim|Median: $37.81
1.3× median
99203Normal range

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

$2.7M

36K claims · 17.9%

Your Cost: $73.96/claim|Median: $57.85
1.3× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$1.6M

30K claims · 10.6%

Your Cost: $53.33/claim|Median: $40.11
1.3× median
17110Normal range

Destruction of benign lesions, up to fourteen

$1.2M

15K claims · 7.9%

Your Cost: $77.17/claim|Median: $59.25
1.3× median
99214Normal range

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

$1.0M

14K claims · 7.0%

Your Cost: $74.60/claim|Median: $53.41
1.4× median
99212Normal range

Office/outpatient visit, low complexity

$1.0M

36K claims · 6.9%

Your Cost: $28.77/claim|Median: $25.06
1.1× median
88305Normal range

Surgical pathology, gross and microscopic examination

$379K

8,647 claims · 2.5%

Your Cost: $43.84/claim|Median: $35.80
1.2× median
11102Normal range

$355K

6,056 claims · 2.4%

Your Cost: $58.59/claim|Median: $48.69
1.2× median
88342Top 10%

$235K

3,473 claims · 1.6%

Your Cost: $67.55/claim|Median: $23.66
2.9× median
11900Normal range

$220K

6,181 claims · 1.5%

Your Cost: $35.58/claim|Median: $31.25
1.1× median
17311Top 25%

$127K

313 claims · 0.9%

Your Cost: $404.49/claim|Median: $194.01
2.1× median
99204Normal range

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

$121K

1,125 claims · 0.8%

Your Cost: $107.42/claim|Median: $84.03
1.3× median
12032Top 25%

$118K

534 claims · 0.8%

Your Cost: $220.84/claim|Median: $109.53
2.0× median
88344Top 25%

$94K

914 claims · 0.6%

Your Cost: $102.68/claim|Median: $59.73
1.7× median
11300Normal range

$91K

1,760 claims · 0.6%

Your Cost: $51.79/claim|Median: $38.09
1.4× median
11100Top 25%

$63K

975 claims · 0.4%

Your Cost: $64.17/claim|Median: $44.58
1.4× median
11103Top 25%

$52K

908 claims · 0.4%

Your Cost: $57.71/claim|Median: $37.08
1.6× median
17000Normal range

$49K

1,688 claims · 0.3%

Your Cost: $28.92/claim|Median: $21.35
1.4× median
11901Normal range

$33K

746 claims · 0.2%

Your Cost: $44.50/claim|Median: $36.91
1.2× median
11301Normal range

$20K

462 claims · 0.1%

Your Cost: $44.26/claim|Median: $46.76
0.9× median
17003Top 10%

$20K

813 claims · 0.1%

Your Cost: $24.85/claim|Median: $8.67
2.9× median
88312Normal range

$17K

404 claims · 0.1%

Your Cost: $41.21/claim|Median: $24.56
1.7× median
88341Normal range

$16K

393 claims · 0.1%

Your Cost: $39.68/claim|Median: $45.31
0.9× median
10060Normal range

Incision and drainage of abscess, simple

$8K

133 claims · 0.1%

Your Cost: $59.39/claim|Median: $75.72
0.8× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$6K

198 claims · 0.0%

Your Cost: $31.51/claim|Median: $27.38
1.2× median
17004Normal range

$5K

91 claims · 0.0%

Your Cost: $58.92/claim|Median: $65.58
0.9× median
88304Normal range

$5K

267 claims · 0.0%

Your Cost: $19.27/claim|Median: $12.88
1.5× median
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$2K

2,386 claims · 0.0%

Your Cost: $0.77/claim|Median: $2.91
0.3× median
99406Normal range

$2K

205 claims · 0.0%

Your Cost: $8.80/claim|Median: $6.53
1.3× median
88313Top 25%

$1K

32 claims · 0.0%

Your Cost: $46.43/claim|Median: $18.95
2.5× median
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