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Provider 1033135520

NPI: 1033135520Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.1M

$12,125,234

Total Claims

150K

Beneficiaries

85K

1.8 claims/patient

Avg Cost/Claim

$81

Monthly Spending Trend

Yearly Spending

2018
$973K
+56%
2019
$1.5M
+47%
2020
$2.2M
-6%
2021
$2.1M
-23%
2022
$1.6M
+17%
2023
$1.9M
-4%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (99291 (Critical care, first 30-74 minutes)) accounts for 41% of total spending.

99291Top 25%

Critical care, first 30-74 minutes

$5.0M

30K claims · 40.9%

Your Cost: $163.63/claim|Median: $101.24
1.6× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$3.1M

52K claims · 25.2%

Your Cost: $59.22/claim|Median: $35.30
1.7× median
99223Top 25%

Initial hospital care, per day, high complexity

$1.6M

14K claims · 13.5%

Your Cost: $114.04/claim|Median: $67.32
1.7× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$1.5M

39K claims · 12.6%

Your Cost: $39.43/claim|Median: $23.99
1.6× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$732K

12K claims · 6.0%

Your Cost: $61.78/claim|Median: $43.85
1.4× median
99222Normal range

Initial hospital care, per day, moderate complexity

$83K

1,147 claims · 0.7%

Your Cost: $72.37/claim|Median: $51.25
1.4× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$75K

1,786 claims · 0.6%

Your Cost: $41.83/claim|Median: $37.22
1.1× median
99220Normal range

$44K

455 claims · 0.4%

Your Cost: $96.91/claim|Median: $73.56
1.3× median
99292Normal range

$13K

174 claims · 0.1%

Your Cost: $77.48/claim|Median: $57.64
1.3× median
95806Normal range

$2K

26 claims · 0.0%

Your Cost: $72.64/claim|Median: $64.51
1.1× median
99219Normal range

$2K

26 claims · 0.0%

Your Cost: $67.31/claim|Median: $63.35
1.1× median
99221Normal range

Initial hospital care, straightforward/low

$1K

31 claims · 0.0%

Your Cost: $45.56/claim|Median: $39.96
1.1× median
99217Top 25%

$1K

26 claims · 0.0%

Your Cost: $45.83/claim|Median: $31.89
1.4× median
99214Normal range

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

$965

15 claims · 0.0%

Your Cost: $64.33/claim|Median: $53.41
1.2× median
99225Normal range

$414

14 claims · 0.0%

Your Cost: $29.54/claim|Median: $20.96
1.4× median
99406Normal range

$37

14 claims · 0.0%

Your Cost: $2.67/claim|Median: $6.53
0.4× median
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