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Provider 1013933167

NPI: 1013933167Share
Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$10.6M

$10,645,120

Total Claims

236K

Beneficiaries

203K

1.2 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-17%
2019
$1.3M
+11%
2020
$1.5M
+11%
2021
$1.7M
-10%
2022
$1.5M
+3%
2023
$1.5M
+1%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99233 (Subsequent hospital care, per day, high complexity)) accounts for 12% of total spending.

99233Normal range

Subsequent hospital care, per day, high complexity

$1.3M

36K claims · 12.5%

Your Cost: $36.85/claim|Median: $35.30
1.0× median
99213Normal range

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

$847K

36K claims · 8.0%

Your Cost: $23.35/claim|Median: $37.81
0.6× median
99223Normal range

Initial hospital care, per day, high complexity

$844K

11K claims · 7.9%

Your Cost: $74.08/claim|Median: $67.32
1.1× median
43239Normal range

Upper GI endoscopy with biopsy

$755K

5,415 claims · 7.1%

Your Cost: $139.40/claim|Median: $151.68
0.9× median
88305Normal range

Surgical pathology, gross and microscopic examination

$719K

17K claims · 6.8%

Your Cost: $41.88/claim|Median: $35.80
1.2× median
99222Normal range

Initial hospital care, per day, moderate complexity

$707K

10K claims · 6.6%

Your Cost: $67.66/claim|Median: $51.25
1.3× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$674K

14K claims · 6.3%

Your Cost: $47.99/claim|Median: $43.85
1.1× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$473K

1,767 claims · 4.4%

Your Cost: $267.53/claim|Median: $255.17
1.0× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$365K

11K claims · 3.4%

Your Cost: $33.47/claim|Median: $23.99
1.4× median
59409Normal range

Vaginal delivery only

$338K

598 claims · 3.2%

Your Cost: $565.65/claim|Median: $619.91
0.9× median
99214Normal range

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

$332K

8,497 claims · 3.1%

Your Cost: $39.04/claim|Median: $53.41
0.7× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$237K

6,801 claims · 2.2%

Your Cost: $34.86/claim|Median: $37.22
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$227K

10K claims · 2.1%

Your Cost: $22.59/claim|Median: $25.06
0.9× median
99203Normal range

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

$218K

3,886 claims · 2.0%

Your Cost: $56.09/claim|Median: $57.85
1.0× median
88307Normal range

Surgical pathology, gross and microscopic, complex

$209K

3,005 claims · 2.0%

Your Cost: $69.47/claim|Median: $59.38
1.2× median
31624Normal range

$180K

1,259 claims · 1.7%

Your Cost: $143.25/claim|Median: $98.81
1.4× median
45380Normal range

Colonoscopy with biopsy

$175K

963 claims · 1.6%

Your Cost: $182.10/claim|Median: $200.68
0.9× median
99291Normal range

Critical care, first 30-74 minutes

$149K

1,452 claims · 1.4%

Your Cost: $102.59/claim|Median: $101.24
1.0× median
99221Normal range

Initial hospital care, straightforward/low

$149K

4,902 claims · 1.4%

Your Cost: $30.31/claim|Median: $39.96
0.8× median
90961Top 25%

$143K

1,622 claims · 1.3%

Your Cost: $88.13/claim|Median: $47.22
1.9× median
88342Normal range

$132K

3,577 claims · 1.2%

Your Cost: $36.84/claim|Median: $23.66
1.6× median
45378Normal range

Colonoscopy, diagnostic

$93K

468 claims · 0.9%

Your Cost: $198.72/claim|Median: $225.49
0.9× median
52000Normal range

$90K

1,595 claims · 0.8%

Your Cost: $56.51/claim|Median: $89.88
0.6× median
88304Top 25%

$88K

3,634 claims · 0.8%

Your Cost: $24.34/claim|Median: $12.88
1.9× median
99204Normal range

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

$86K

1,148 claims · 0.8%

Your Cost: $75.22/claim|Median: $84.03
0.9× median
88312Normal range

$82K

3,219 claims · 0.8%

Your Cost: $25.36/claim|Median: $24.56
1.0× median
00731Normal range

$74K

1,257 claims · 0.7%

Your Cost: $58.50/claim|Median: $64.75
0.9× median
88313Normal range

$69K

2,762 claims · 0.6%

Your Cost: $25.03/claim|Median: $18.95
1.3× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$65K

1,723 claims · 0.6%

Your Cost: $37.88/claim|Median: $59.72
0.6× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$65K

2,450 claims · 0.6%

Your Cost: $26.49/claim|Median: $47.08
0.6× median
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