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Provider 1003860537

NPI: 1003860537Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.1M

$9,074,502

Total Claims

45K

Beneficiaries

41K

1.1 claims/patient

Avg Cost/Claim

$199

Monthly Spending Trend

Yearly Spending

2018
$163K
+272%
2019
$607K
+29%
2020
$785K
+89%
2021
$1.5M
+31%
2022
$2.0M
+11%
2023
$2.2M
-12%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (J0585 (Injection, onabotulinumtoxinA, 1 unit)) accounts for 47% of total spending.

J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$4.3M

5,873 claims · 46.9%

Your Cost: $724.68/claim|Median: $470.36
1.5× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$1.1M

1,659 claims · 11.9%

Your Cost: $648.90/claim|Median: $233.73
2.8× median
99214Top 25%

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

$1.0M

11K claims · 11.5%

Your Cost: $95.52/claim|Median: $53.41
1.8× median
99215Top 25%

Office/outpatient visit, high complexity

$538K

3,993 claims · 5.9%

Your Cost: $134.68/claim|Median: $74.09
1.8× median
64615Top 25%

$448K

3,430 claims · 4.9%

Your Cost: $130.50/claim|Median: $82.82
1.6× median
95811Top 10%

Sleep study with CPAP titration, polysomnography

$398K

598 claims · 4.4%

Your Cost: $665.86/claim|Median: $255.03
2.6× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$247K

1,420 claims · 2.7%

Your Cost: $173.64/claim|Median: $111.09
1.6× median
99204Top 10%

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

$236K

1,566 claims · 2.6%

Your Cost: $150.54/claim|Median: $84.03
1.8× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$230K

3,990 claims · 2.5%

Your Cost: $57.54/claim|Median: $35.30
1.6× median
99213Top 10%

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

$158K

2,146 claims · 1.7%

Your Cost: $73.53/claim|Median: $37.81
1.9× median
99291Normal range

Critical care, first 30-74 minutes

$136K

1,001 claims · 1.5%

Your Cost: $135.61/claim|Median: $101.24
1.3× median
95886Top 10%

$86K

547 claims · 0.9%

Your Cost: $157.53/claim|Median: $67.70
2.3× median
99223Top 25%

Initial hospital care, per day, high complexity

$76K

665 claims · 0.8%

Your Cost: $114.95/claim|Median: $67.32
1.7× median
95816Top 25%

$66K

341 claims · 0.7%

Your Cost: $193.71/claim|Median: $56.87
3.4× median
95708Normal range

$15K

41 claims · 0.2%

Your Cost: $353.73/claim|Median: $226.10
1.6× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$14K

348 claims · 0.1%

Your Cost: $38.96/claim|Median: $23.99
1.6× median
96139Top 10%

$13K

50 claims · 0.1%

Your Cost: $258.69/claim|Median: $97.14
2.7× median
96133Normal range

$11K

77 claims · 0.1%

Your Cost: $144.45/claim|Median: $185.94
0.8× median
62323Top 25%

Epidural injection of diagnostic or therapeutic substance, lumbar

$6K

27 claims · 0.1%

Your Cost: $225.44/claim|Median: $111.02
2.0× median
96116Normal range

Neurobehavioral status examination, first hour

$5K

64 claims · 0.1%

Your Cost: $72.55/claim|Median: $46.64
1.6× median
96132Top 25%

$4K

39 claims · 0.0%

Your Cost: $107.84/claim|Median: $70.53
1.5× median
99490Top 25%

Chronic care management services, 20 minutes per month

$4K

201 claims · 0.0%

Your Cost: $18.47/claim|Median: $6.31
2.9× median
96138Top 25%

$2K

63 claims · 0.0%

Your Cost: $34.05/claim|Median: $19.87
1.7× median
G2211Top 25%

$2K

159 claims · 0.0%

Your Cost: $11.58/claim|Median: $2.40
4.8× median
95874Top 25%

$1K

37 claims · 0.0%

Your Cost: $40.07/claim|Median: $11.29
3.5× median
95819Normal range

Electroencephalogram with sleep recording

$308

12 claims · 0.0%

Your Cost: $25.63/claim|Median: $62.75
0.4× median
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$262

130 claims · 0.0%

Your Cost: $2.01/claim|Median: $2.91
0.7× median
3077FNormal range

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12
3078FNormal range

$0

2,177 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.08
3079FNormal range

$0

1,025 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12
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