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Provider 1023285756

NPI: 1023285756Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.6M

$17,613,153

Total Claims

396K

Beneficiaries

212K

1.9 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-10%
2019
$1.5M
+8%
2020
$1.6M
+56%
2021
$2.5M
+21%
2022
$3.0M
+28%
2023
$3.8M
-4%
2024
$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (99233 (Subsequent hospital care, per day, high complexity)) accounts for 49% of total spending.

99233Normal range

Subsequent hospital care, per day, high complexity

$8.6M

216K claims · 49.1%

Your Cost: $40.11/claim|Median: $35.30
1.1× median
99223Normal range

Initial hospital care, per day, high complexity

$4.7M

62K claims · 27.0%

Your Cost: $76.80/claim|Median: $67.32
1.1× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.9M

66K claims · 10.9%

Your Cost: $28.95/claim|Median: $23.99
1.2× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$1.9M

43K claims · 10.6%

Your Cost: $43.33/claim|Median: $43.85
1.0× median
99220Normal range

$182K

3,170 claims · 1.0%

Your Cost: $57.51/claim|Median: $73.56
0.8× median
99222Normal range

Initial hospital care, per day, moderate complexity

$173K

2,940 claims · 1.0%

Your Cost: $58.96/claim|Median: $51.25
1.2× median
99291Normal range

Critical care, first 30-74 minutes

$45K

475 claims · 0.3%

Your Cost: $95.06/claim|Median: $101.24
0.9× median
99497Normal range

$8K

361 claims · 0.0%

Your Cost: $20.79/claim|Median: $10.99
1.9× median
99217Normal range

$6K

233 claims · 0.0%

Your Cost: $26.68/claim|Median: $31.89
0.8× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$6K

173 claims · 0.0%

Your Cost: $32.66/claim|Median: $37.22
0.9× median
99231Normal range

Subsequent hospital care, per day, low complexity

$4K

352 claims · 0.0%

Your Cost: $12.73/claim|Median: $16.77
0.8× median
99226Normal range

$3K

71 claims · 0.0%

Your Cost: $41.05/claim|Median: $34.09
1.2× median
99219Normal range

$2K

41 claims · 0.0%

Your Cost: $49.50/claim|Median: $63.35
0.8× median
99204Normal range

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

$2K

48 claims · 0.0%

Your Cost: $35.86/claim|Median: $84.03
0.4× median
99225Normal range

$1K

105 claims · 0.0%

Your Cost: $9.77/claim|Median: $20.96
0.5× median
99348Normal range

$39

16 claims · 0.0%

Your Cost: $2.41/claim|Median: $17.17
0.1× median
99406Normal range

$10

52 claims · 0.0%

Your Cost: $0.19/claim|Median: $6.53
0.0× median
G0136Normal range

$5

17 claims · 0.0%

Your Cost: $0.31/claim|Median: $6.33
0.0× median
1123FNormal range

$0

66 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.49
99349Normal range

$0

38 claims · 0.0%

Your Cost: $0.00/claim|Median: $24.29
G8427Normal range

$0

722 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
99309Normal range

Nursing facility care, subsequent, low complexity

$0

151 claims · 0.0%

Your Cost: $0.00/claim|Median: $14.00
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