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Provider 1013268069

NPI: 1013268069Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.1M

$8,071,644

Total Claims

260K

Beneficiaries

243K

1.1 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$931K
+43%
2019
$1.3M
+11%
2020
$1.5M
-11%
2021
$1.3M
-18%
2022
$1.1M
+5%
2023
$1.1M
-33%
2024
$765K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (20553) accounts for 34% of total spending.

20553Top 25%

$2.7M

62K claims · 34.0%

Your Cost: $44.51/claim|Median: $29.47
1.5× median
99214Normal range

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

$2.6M

84K claims · 32.7%

Your Cost: $31.54/claim|Median: $53.41
0.6× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$1.6M

11K claims · 19.7%

Your Cost: $149.84/claim|Median: $111.02
1.3× median
J1885Top 25%

Injection, ketorolac tromethamine, fifteen milligrams

$249K

61K claims · 3.1%

Your Cost: $4.09/claim|Median: $0.91
4.5× median
L0648Top 25%

$177K

311 claims · 2.2%

Your Cost: $569.90/claim|Median: $369.72
1.5× median
72275Normal range

$158K

7,811 claims · 2.0%

Your Cost: $20.22/claim|Median: $29.71
0.7× median
99204Normal range

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

$122K

2,821 claims · 1.5%

Your Cost: $43.16/claim|Median: $84.03
0.5× median
J3301Top 10%

Injection, triamcinolone acetonide, per ten milligrams

$117K

13K claims · 1.5%

Your Cost: $8.89/claim|Median: $2.91
3.1× median
80305Normal range

$64K

10K claims · 0.8%

Your Cost: $6.31/claim|Median: $7.44
0.8× median
64483Normal range

$58K

947 claims · 0.7%

Your Cost: $61.20/claim|Median: $124.24
0.5× median
64484Normal range

$42K

992 claims · 0.5%

Your Cost: $42.35/claim|Median: $47.83
0.9× median
76942Normal range

$30K

2,492 claims · 0.4%

Your Cost: $12.19/claim|Median: $24.73
0.5× median
64493Normal range

$30K

943 claims · 0.4%

Your Cost: $32.16/claim|Median: $103.44
0.3× median
27096Normal range

$26K

471 claims · 0.3%

Your Cost: $56.07/claim|Median: $89.16
0.6× median
64494Normal range

$7K

925 claims · 0.1%

Your Cost: $8.00/claim|Median: $34.70
0.2× median
76000Normal range

$7K

1,699 claims · 0.1%

Your Cost: $4.32/claim|Median: $17.70
0.2× median
64495Normal range

$5K

661 claims · 0.1%

Your Cost: $6.92/claim|Median: $36.70
0.2× median
99213Normal range

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

$1K

50 claims · 0.0%

Your Cost: $24.00/claim|Median: $37.81
0.6× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$1K

18 claims · 0.0%

Your Cost: $64.18/claim|Median: $111.09
0.6× median
99443Normal range

Telephone E/M by physician, 21-30 min

$232

25 claims · 0.0%

Your Cost: $9.28/claim|Median: $32.55
0.3× median
64491Normal range

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $40.21
64492Normal range

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $38.45
64490Normal range

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $111.43
L0631Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $412.00
77003Normal range

$0

44 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.36
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