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Provider 1023024882

NPI: 1023024882Share
Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$16.9M

$16,910,508

Total Claims

532K

Beneficiaries

491K

1.1 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$149K
+2172%
2019
$3.4M
+188%
2020
$9.8M
-72%
2021
$2.7M
-99%
2022
$27K
+1775%
2023
$513K
-36%
2024
$328K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 13% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$2.2M

14K claims · 13.2%

Your Cost: $157.12/claim|Median: $42.48
3.7× median
99213Normal range

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

$1.2M

24K claims · 7.4%

Your Cost: $51.99/claim|Median: $37.81
1.4× median
99284Top 25%

Emergency dept visit, high complexity

$1.1M

7,347 claims · 6.7%

Your Cost: $153.47/claim|Median: $69.51
2.2× median
U0003Top 25%

Infectious disease detection (COVID-19)

$1.1M

13K claims · 6.3%

Your Cost: $80.19/claim|Median: $63.08
1.3× median
D0999Normal range

Unspecified diagnostic procedure, by report

$744K

4,656 claims · 4.4%

Your Cost: $159.84/claim|Median: $101.33
1.6× median
99214Top 25%

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

$678K

6,852 claims · 4.0%

Your Cost: $98.96/claim|Median: $53.41
1.9× median
99282Top 10%

Emergency dept visit, low complexity

$652K

3,753 claims · 3.9%

Your Cost: $173.72/claim|Median: $37.72
4.6× median
90834Top 5%

Psychotherapy, 45 minutes

$435K

3,070 claims · 2.6%

Your Cost: $141.73/claim|Median: $63.65
2.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$348K

8,012 claims · 2.1%

Your Cost: $43.49/claim|Median: $39.70
1.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$293K

17K claims · 1.7%

Your Cost: $17.28/claim|Median: $12.93
1.3× median
99212Top 25%

Office/outpatient visit, low complexity

$265K

6,399 claims · 1.6%

Your Cost: $41.47/claim|Median: $25.06
1.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$244K

6,408 claims · 1.4%

Your Cost: $38.00/claim|Median: $69.35
0.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$224K

6,160 claims · 1.3%

Your Cost: $36.40/claim|Median: $75.18
0.5× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$221K

3,387 claims · 1.3%

Your Cost: $65.26/claim|Median: $27.38
2.4× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$210K

2,281 claims · 1.2%

Your Cost: $92.15/claim|Median: $40.11
2.3× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$188K

6,881 claims · 1.1%

Your Cost: $27.35/claim|Median: $24.95
1.1× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$184K

5,062 claims · 1.1%

Your Cost: $36.35/claim|Median: $22.44
1.6× median
99204Top 10%

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

$171K

1,053 claims · 1.0%

Your Cost: $161.99/claim|Median: $84.03
1.9× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$166K

6,886 claims · 1.0%

Your Cost: $24.11/claim|Median: $23.39
1.0× median
96361Normal range

IV infusion, hydration, each additional hour

$163K

2,259 claims · 1.0%

Your Cost: $72.01/claim|Median: $38.92
1.9× median
90832Top 10%

Psychotherapy, 30 minutes

$157K

1,632 claims · 0.9%

Your Cost: $96.45/claim|Median: $41.28
2.3× median
99203Top 25%

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

$156K

1,666 claims · 0.9%

Your Cost: $93.84/claim|Median: $57.85
1.6× median
76856Top 10%

Ultrasound, pelvic, complete

$144K

928 claims · 0.8%

Your Cost: $154.76/claim|Median: $47.58
3.3× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$141K

887 claims · 0.8%

Your Cost: $159.41/claim|Median: $85.65
1.9× median
99215Top 25%

Office/outpatient visit, high complexity

$135K

1,055 claims · 0.8%

Your Cost: $128.35/claim|Median: $74.09
1.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$125K

4,634 claims · 0.7%

Your Cost: $27.08/claim|Median: $74.82
0.4× median
80053Normal range

Comprehensive metabolic panel

$120K

14K claims · 0.7%

Your Cost: $8.79/claim|Median: $7.24
1.2× median
81220Top 25%

CFTR gene analysis, common variants

$118K

289 claims · 0.7%

Your Cost: $409.37/claim|Median: $183.31
2.2× median
77067Top 25%

Screening mammography, bilateral, including CAD

$114K

1,127 claims · 0.7%

Your Cost: $101.59/claim|Median: $39.33
2.6× median
92014Top 5%

Ophthalmological exam, comprehensive, established patient

$114K

885 claims · 0.7%

Your Cost: $128.65/claim|Median: $47.08
2.7× median
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