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Provider 1023331303

NPI: 1023331303Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$8.5M

$8,547,396

Total Claims

294K

Beneficiaries

265K

1.1 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$651K
+44%
2019
$935K
-11%
2020
$832K
+47%
2021
$1.2M
+24%
2022
$1.5M
+7%
2023
$1.6M
+9%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 39% of total spending.

99213Normal range

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

$3.3M

93K claims · 38.7%

Your Cost: $35.60/claim|Median: $37.81
0.9× median
99214Normal range

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

$1.9M

72K claims · 22.5%

Your Cost: $26.58/claim|Median: $53.41
0.5× median
99203Top 25%

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

$687K

7,853 claims · 8.0%

Your Cost: $87.51/claim|Median: $57.85
1.5× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$539K

1,078 claims · 6.3%

Your Cost: $499.94/claim|Median: $233.73
2.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$483K

11K claims · 5.7%

Your Cost: $42.88/claim|Median: $54.68
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$218K

3,574 claims · 2.6%

Your Cost: $61.11/claim|Median: $74.09
0.8× median
G2211Top 25%

$169K

14K claims · 2.0%

Your Cost: $11.91/claim|Median: $2.40
5.0× median
93010Normal range

Electrocardiogram, interpretation and report only

$151K

28K claims · 1.8%

Your Cost: $5.32/claim|Median: $5.60
1.0× median
99204Top 25%

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

$131K

1,092 claims · 1.5%

Your Cost: $120.33/claim|Median: $84.03
1.4× median
95806Top 25%

$66K

577 claims · 0.8%

Your Cost: $114.05/claim|Median: $64.51
1.8× median
M0243Top 25%

$65K

210 claims · 0.8%

Your Cost: $307.66/claim|Median: $215.21
1.4× median
99291Normal range

Critical care, first 30-74 minutes

$57K

502 claims · 0.7%

Your Cost: $113.34/claim|Median: $101.24
1.1× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$57K

3,291 claims · 0.7%

Your Cost: $17.25/claim|Median: $7.18
2.4× median
95800Top 25%

$57K

381 claims · 0.7%

Your Cost: $148.83/claim|Median: $86.65
1.7× median
99417Top 5%

$55K

342 claims · 0.6%

Your Cost: $160.41/claim|Median: $34.90
4.6× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$38K

99 claims · 0.4%

Your Cost: $385.55/claim|Median: $255.03
1.5× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$33K

2,590 claims · 0.4%

Your Cost: $12.56/claim|Median: $9.80
1.3× median
99211Normal range

Office/outpatient visit, minimal complexity

$32K

4,148 claims · 0.4%

Your Cost: $7.75/claim|Median: $12.93
0.6× median
0298TTop 5%

$28K

627 claims · 0.3%

Your Cost: $45.07/claim|Median: $6.16
7.3× median
M0247Top 25%

$28K

88 claims · 0.3%

Your Cost: $319.70/claim|Median: $235.71
1.4× median
0296TTop 25%

$28K

623 claims · 0.3%

Your Cost: $44.75/claim|Median: $10.85
4.1× median
77014Normal range

CT guidance for radiation therapy procedure

$28K

1,086 claims · 0.3%

Your Cost: $25.56/claim|Median: $26.94
0.9× median
93793Normal range

$25K

5,600 claims · 0.3%

Your Cost: $4.47/claim|Median: $4.09
1.1× median
94660Normal range

$20K

424 claims · 0.2%

Your Cost: $47.50/claim|Median: $36.43
1.3× median
M0245Normal range

$19K

71 claims · 0.2%

Your Cost: $273.94/claim|Median: $246.46
1.1× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$18K

192 claims · 0.2%

Your Cost: $92.73/claim|Median: $75.18
1.2× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$18K

103 claims · 0.2%

Your Cost: $170.88/claim|Median: $111.09
1.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$17K

221 claims · 0.2%

Your Cost: $78.34/claim|Median: $69.35
1.1× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$17K

371 claims · 0.2%

Your Cost: $44.79/claim|Median: $23.99
1.9× median
90682Normal range

$16K

379 claims · 0.2%

Your Cost: $43.49/claim|Median: $34.72
1.3× median