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Provider 1003849621

NPI: 1003849621Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$7.8M

$7,800,917

Total Claims

86K

Beneficiaries

74K

1.2 claims/patient

Avg Cost/Claim

$91

Monthly Spending Trend

Yearly Spending

2018
$921K
+6%
2019
$976K
+2%
2020
$995K
+26%
2021
$1.3M
+11%
2022
$1.4M
-16%
2023
$1.2M
-6%
2024
$1.1M

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 47% of total spending.

99214Top 10%

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

$3.6M

32K claims · 46.5%

Your Cost: $113.33/claim|Median: $53.41
2.1× median
99215Top 10%

Office/outpatient visit, high complexity

$1.7M

11K claims · 21.6%

Your Cost: $154.95/claim|Median: $74.09
2.1× median
G0439Top 5%

Annual wellness visit, subsequent visit

$744K

6,040 claims · 9.5%

Your Cost: $123.10/claim|Median: $5.42
22.7× median
G0438Top 5%

Annual wellness visit, first visit

$537K

3,243 claims · 6.9%

Your Cost: $165.74/claim|Median: $19.28
8.6× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$355K

1,870 claims · 4.5%

Your Cost: $189.75/claim|Median: $111.09
1.7× median
G0447Top 5%

$199K

7,733 claims · 2.6%

Your Cost: $25.74/claim|Median: $5.19
5.0× median
S9083Normal range

Global fee, urgent care centers

$189K

2,428 claims · 2.4%

Your Cost: $77.67/claim|Median: $103.99
0.7× median
99213Top 10%

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

$84K

1,015 claims · 1.1%

Your Cost: $82.65/claim|Median: $37.81
2.2× median
G0444Top 5%

Annual depression screening, fifteen minutes

$81K

4,637 claims · 1.0%

Your Cost: $17.49/claim|Median: $4.23
4.1× median
99407Top 10%

$68K

2,341 claims · 0.9%

Your Cost: $28.85/claim|Median: $13.29
2.2× median
99204Top 10%

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

$61K

406 claims · 0.8%

Your Cost: $149.49/claim|Median: $84.03
1.8× median
G2012Normal range

Brief communication technology-based service

$43K

3,563 claims · 0.6%

Your Cost: $12.20/claim|Median: $8.79
1.4× median
99495Top 5%

$19K

97 claims · 0.2%

Your Cost: $195.58/claim|Median: $52.75
3.7× median
99406Top 10%

$15K

1,003 claims · 0.2%

Your Cost: $15.26/claim|Median: $6.53
2.3× median
Q0091Top 5%

$15K

330 claims · 0.2%

Your Cost: $45.32/claim|Median: $11.15
4.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$12K

896 claims · 0.2%

Your Cost: $13.25/claim|Median: $9.56
1.4× median
99490Normal range

Chronic care management services, 20 minutes per month

$11K

1,482 claims · 0.1%

Your Cost: $7.62/claim|Median: $6.31
1.2× median
G0101Top 10%

Cervical/vaginal cancer screening; pelvic exam

$10K

252 claims · 0.1%

Your Cost: $40.79/claim|Median: $21.28
1.9× median
99421Top 25%

Online digital E/M, 5-10 min

$9K

594 claims · 0.1%

Your Cost: $14.74/claim|Median: $9.42
1.6× median
G0181Top 1%

$7K

119 claims · 0.1%

Your Cost: $59.58/claim|Median: $15.69
3.8× median
99408Top 10%

$5K

140 claims · 0.1%

Your Cost: $35.76/claim|Median: $9.32
3.8× median
90674Top 25%

$5K

171 claims · 0.1%

Your Cost: $26.52/claim|Median: $15.16
1.7× median
G2211Top 25%

$3K

415 claims · 0.0%

Your Cost: $8.17/claim|Median: $2.40
3.4× median
G0008Top 25%

$2K

102 claims · 0.0%

Your Cost: $15.64/claim|Median: $2.54
6.2× median
99423Normal range

Online digital E/M, 21+ min

$1K

32 claims · 0.0%

Your Cost: $45.71/claim|Median: $38.12
1.2× median
90658Top 25%

$1K

78 claims · 0.0%

Your Cost: $16.87/claim|Median: $8.96
1.9× median
G8511Top 10%

$1K

137 claims · 0.0%

Your Cost: $9.50/claim|Median: $0.28
33.9× median
99422Top 25%

Online digital E/M, 11-20 min

$1K

40 claims · 0.0%

Your Cost: $28.42/claim|Median: $17.90
1.6× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$1K

78 claims · 0.0%

Your Cost: $13.41/claim|Median: $9.70
1.4× median
94680Top 25%

$1K

13 claims · 0.0%

Your Cost: $79.96/claim|Median: $14.12
5.7× median
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