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Provider 1013005016

NPI: 1013005016Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.6M

$14,631,835

Total Claims

249K

Beneficiaries

134K

1.9 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$1.8M
-32%
2019
$1.3M
-26%
2020
$923K
+50%
2021
$1.4M
+26%
2022
$1.7M
-0%
2023
$1.7M
+233%
2024
$5.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99309 (Nursing facility care, subsequent, low complexity)) accounts for 34% of total spending.

99309Top 5%

Nursing facility care, subsequent, low complexity

$5.0M

93K claims · 34.0%

Your Cost: $53.50/claim|Median: $14.00
3.8× median
Q4282Normal range

$3.4M

92 claims · 23.5%

Your Cost: $37,446.85/claim|Median: $37,446.85
1.0× median
99308Top 25%

Nursing facility care, subsequent, straightforward

$3.2M

116K claims · 22.1%

Your Cost: $27.87/claim|Median: $9.79
2.8× median
Q4159Normal range

$866K

84 claims · 5.9%

Your Cost: $10,305.36/claim|Median: $10,305.36
1.0× median
99305Top 10%

$456K

7,743 claims · 3.1%

Your Cost: $58.84/claim|Median: $19.28
3.1× median
99214Normal range

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

$394K

5,462 claims · 2.7%

Your Cost: $72.18/claim|Median: $53.41
1.4× median
99306Top 10%

$299K

3,834 claims · 2.0%

Your Cost: $77.93/claim|Median: $29.97
2.6× median
99310Top 25%

$241K

3,889 claims · 1.6%

Your Cost: $61.97/claim|Median: $21.82
2.8× median
99213Normal range

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

$190K

3,945 claims · 1.3%

Your Cost: $48.14/claim|Median: $37.81
1.3× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$134K

2,912 claims · 0.9%

Your Cost: $46.09/claim|Median: $23.99
1.9× median
99316Normal range

$77K

1,985 claims · 0.5%

Your Cost: $38.70/claim|Median: $25.78
1.5× median
99220Top 10%

$69K

552 claims · 0.5%

Your Cost: $125.60/claim|Median: $73.56
1.7× median
99497Normal range

$59K

2,761 claims · 0.4%

Your Cost: $21.34/claim|Median: $10.99
1.9× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$57K

758 claims · 0.4%

Your Cost: $75.37/claim|Median: $43.85
1.7× median
99219Normal range

$49K

628 claims · 0.3%

Your Cost: $77.89/claim|Median: $63.35
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$21K

553 claims · 0.1%

Your Cost: $38.10/claim|Median: $74.09
0.5× median
99217Normal range

$18K

506 claims · 0.1%

Your Cost: $35.61/claim|Median: $31.89
1.1× median
99223Top 5%

Initial hospital care, per day, high complexity

$11K

53 claims · 0.1%

Your Cost: $198.43/claim|Median: $67.32
2.9× median
11043Normal range

$7K

96 claims · 0.0%

Your Cost: $74.74/claim|Median: $62.99
1.2× median
99222Top 5%

Initial hospital care, per day, moderate complexity

$6K

41 claims · 0.0%

Your Cost: $136.75/claim|Median: $51.25
2.7× median
90966Normal range

$4K

118 claims · 0.0%

Your Cost: $34.78/claim|Median: $56.49
0.6× median
99231Normal range

Subsequent hospital care, per day, low complexity

$4K

248 claims · 0.0%

Your Cost: $16.15/claim|Median: $16.77
1.0× median
99204Top 25%

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

$4K

29 claims · 0.0%

Your Cost: $121.21/claim|Median: $84.03
1.4× median
99235Top 10%

$2K

14 claims · 0.0%

Your Cost: $168.33/claim|Median: $110.13
1.5× median
99307Top 25%

$2K

99 claims · 0.0%

Your Cost: $19.48/claim|Median: $6.57
3.0× median
93923Top 5%

$2K

13 claims · 0.0%

Your Cost: $147.00/claim|Median: $38.08
3.9× median
99233Top 5%

Subsequent hospital care, per day, high complexity

$2K

17 claims · 0.0%

Your Cost: $103.59/claim|Median: $35.30
2.9× median
99315Top 10%

$2K

37 claims · 0.0%

Your Cost: $42.85/claim|Median: $14.17
3.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$1K

59 claims · 0.0%

Your Cost: $23.61/claim|Median: $37.22
0.6× median
95923Top 5%

$1K

12 claims · 0.0%

Your Cost: $114.10/claim|Median: $44.24
2.6× median
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