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Provider 1033132857

NPI: 1033132857Share
Active Billing Period:2019-01→2024-12(72 months)

Total Paid

$9.1M

$9,147,003

Total Claims

111K

Beneficiaries

103K

1.1 claims/patient

Avg Cost/Claim

$83

Monthly Spending Trend

Yearly Spending

2019
$1.4M
+9%
2020
$1.6M
+16%
2021
$1.8M
+6%
2022
$1.9M
-13%
2023
$1.7M
-57%
2024
$716K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 44% of total spending.

99213Top 5%

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

$4.0M

35K claims · 43.8%

Your Cost: $113.95/claim|Median: $37.81
3.0× median
95004Top 10%

Percutaneous allergy skin tests, each

$1.1M

3,864 claims · 12.1%

Your Cost: $287.15/claim|Median: $134.97
2.1× median
99214Top 5%

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

$1.1M

8,594 claims · 11.5%

Your Cost: $122.25/claim|Median: $53.41
2.3× median
96401Top 25%

$704K

8,129 claims · 7.7%

Your Cost: $86.61/claim|Median: $40.24
2.2× median
99223Top 1%

Initial hospital care, per day, high complexity

$608K

2,685 claims · 6.6%

Your Cost: $226.51/claim|Median: $67.32
3.4× median
99204Top 5%

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

$506K

2,880 claims · 5.5%

Your Cost: $175.74/claim|Median: $84.03
2.1× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$423K

4,924 claims · 4.6%

Your Cost: $85.89/claim|Median: $35.30
2.4× median
94375Normal range

$392K

26K claims · 4.3%

Your Cost: $14.95/claim|Median: $17.23
0.9× median
94726Normal range

$109K

5,549 claims · 1.2%

Your Cost: $19.63/claim|Median: $13.41
1.5× median
99220Top 5%

$107K

565 claims · 1.2%

Your Cost: $189.20/claim|Median: $73.56
2.6× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$50K

256 claims · 0.5%

Your Cost: $195.68/claim|Median: $255.03
0.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$23K

4,649 claims · 0.3%

Your Cost: $4.96/claim|Median: $9.56
0.5× median
94664Normal range

$17K

1,904 claims · 0.2%

Your Cost: $8.95/claim|Median: $8.88
1.0× median
94728Normal range

$14K

1,265 claims · 0.2%

Your Cost: $10.94/claim|Median: $15.32
0.7× median
94010Normal range

$11K

2,549 claims · 0.1%

Your Cost: $4.36/claim|Median: $18.11
0.2× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$6K

99 claims · 0.1%

Your Cost: $56.54/claim|Median: $37.22
1.5× median
99219Top 5%

$3K

25 claims · 0.0%

Your Cost: $138.00/claim|Median: $63.35
2.2× median
95783Normal range

$3K

25 claims · 0.0%

Your Cost: $137.13/claim|Median: $586.74
0.2× median
99203Top 5%

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

$2K

13 claims · 0.0%

Your Cost: $133.19/claim|Median: $57.85
2.3× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$1K

201 claims · 0.0%

Your Cost: $5.87/claim|Median: $10.88
0.5× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$731

26 claims · 0.0%

Your Cost: $28.12/claim|Median: $43.85
0.6× median
99212Top 25%

Office/outpatient visit, low complexity

$630

14 claims · 0.0%

Your Cost: $45.00/claim|Median: $25.06
1.8× median
J8540Normal range

$523

835 claims · 0.0%

Your Cost: $0.63/claim|Median: $0.65
1.0× median
95012Normal range

$0

207 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.98
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