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Provider 1033296231

NPI: 1033296231Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$11.5M

$11,471,258

Total Claims

127K

Beneficiaries

120K

1.1 claims/patient

Avg Cost/Claim

$90

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+1%
2019
$1.5M
+2%
2020
$1.5M
+17%
2021
$1.7M
-0%
2022
$1.7M
+4%
2023
$1.8M
-1%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 71% of total spending.

99214Top 10%

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

$8.1M

74K claims · 70.8%

Your Cost: $110.20/claim|Median: $53.41
2.1× median
99204Top 10%

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

$1.3M

8,266 claims · 11.2%

Your Cost: $156.04/claim|Median: $84.03
1.9× median
99215Top 25%

Office/outpatient visit, high complexity

$329K

2,515 claims · 2.9%

Your Cost: $130.97/claim|Median: $74.09
1.8× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$321K

4,602 claims · 2.8%

Your Cost: $69.66/claim|Median: $29.03
2.4× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$280K

4,357 claims · 2.4%

Your Cost: $64.30/claim|Median: $54.77
1.2× median
99213Top 10%

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

$270K

3,697 claims · 2.4%

Your Cost: $73.07/claim|Median: $37.81
1.9× median
G2211Top 5%

$160K

9,628 claims · 1.4%

Your Cost: $16.58/claim|Median: $2.40
6.9× median
20552Top 25%

$144K

2,980 claims · 1.3%

Your Cost: $48.47/claim|Median: $23.11
2.1× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$136K

732 claims · 1.2%

Your Cost: $185.64/claim|Median: $111.09
1.7× median
76881Top 25%

$107K

1,213 claims · 0.9%

Your Cost: $88.34/claim|Median: $45.18
2.0× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$87K

605 claims · 0.8%

Your Cost: $143.74/claim|Median: $75.28
1.9× median
J3301Top 25%

Injection, triamcinolone acetonide, per ten milligrams

$79K

11K claims · 0.7%

Your Cost: $6.89/claim|Median: $2.91
2.4× median
95913Top 10%

$63K

219 claims · 0.5%

Your Cost: $286.51/claim|Median: $166.25
1.7× median
96415Normal range

Chemotherapy infusion, each additional hour

$32K

565 claims · 0.3%

Your Cost: $56.47/claim|Median: $43.68
1.3× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$27K

1,589 claims · 0.2%

Your Cost: $16.78/claim|Median: $9.56
1.8× median
99212Top 25%

Office/outpatient visit, low complexity

$17K

378 claims · 0.1%

Your Cost: $43.68/claim|Median: $25.06
1.7× median
20605Top 25%

$3K

59 claims · 0.0%

Your Cost: $56.65/claim|Median: $26.39
2.1× median
20550Top 25%

$1K

26 claims · 0.0%

Your Cost: $55.41/claim|Median: $29.96
1.8× median
96366Normal range

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$993

45 claims · 0.0%

Your Cost: $22.06/claim|Median: $40.12
0.5× median
99490Normal range

Chronic care management services, 20 minutes per month

$849

72 claims · 0.0%

Your Cost: $11.79/claim|Median: $6.31
1.9× median
77085Top 25%

$574

12 claims · 0.0%

Your Cost: $47.86/claim|Median: $21.98
2.2× median
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