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Provider 1033548581

NPI: 1033548581Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$14.9M

$14,905,732

Total Claims

359K

Beneficiaries

342K

1.0 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$1.8M
-3%
2019
$1.7M
-10%
2020
$1.6M
+33%
2021
$2.1M
+25%
2022
$2.6M
+2%
2023
$2.6M
-3%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (95819 (Electroencephalogram with sleep recording)) accounts for 16% of total spending.

95819Top 25%

Electroencephalogram with sleep recording

$2.5M

11K claims · 16.5%

Your Cost: $227.69/claim|Median: $62.75
3.6× median
99214Normal range

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

$2.4M

38K claims · 16.1%

Your Cost: $62.50/claim|Median: $53.41
1.2× median
J0585Top 25%

Injection, onabotulinumtoxinA, 1 unit

$2.0M

2,531 claims · 13.5%

Your Cost: $797.05/claim|Median: $470.36
1.7× median
95886Top 25%

$1.4M

13K claims · 9.4%

Your Cost: $105.67/claim|Median: $67.70
1.6× median
95911Normal range

$1.1M

8,982 claims · 7.3%

Your Cost: $121.14/claim|Median: $122.86
1.0× median
95912Normal range

$600K

4,259 claims · 4.0%

Your Cost: $140.99/claim|Median: $141.23
1.0× median
99204Normal range

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

$576K

5,992 claims · 3.9%

Your Cost: $96.09/claim|Median: $84.03
1.1× median
64405Normal range

$504K

13K claims · 3.4%

Your Cost: $38.11/claim|Median: $48.36
0.8× median
64450Normal range

$489K

13K claims · 3.3%

Your Cost: $38.96/claim|Median: $33.48
1.2× median
99213Normal range

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

$419K

10K claims · 2.8%

Your Cost: $40.10/claim|Median: $37.81
1.1× median
92546Normal range

$294K

4,347 claims · 2.0%

Your Cost: $67.65/claim|Median: $52.33
1.3× median
92540Normal range

$267K

4,343 claims · 1.8%

Your Cost: $61.54/claim|Median: $59.84
1.0× median
20553Normal range

$263K

14K claims · 1.8%

Your Cost: $18.62/claim|Median: $29.47
0.6× median
99215Normal range

Office/outpatient visit, high complexity

$263K

3,317 claims · 1.8%

Your Cost: $79.17/claim|Median: $74.09
1.1× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$230K

5,619 claims · 1.5%

Your Cost: $40.97/claim|Median: $23.99
1.7× median
76942Normal range

$220K

8,589 claims · 1.5%

Your Cost: $25.56/claim|Median: $24.73
1.0× median
93880Top 25%

Duplex ultrasound scan of carotid arteries, bilateral

$205K

1,774 claims · 1.4%

Your Cost: $115.67/claim|Median: $49.03
2.4× median
64615Normal range

$119K

1,873 claims · 0.8%

Your Cost: $63.41/claim|Median: $82.82
0.8× median
99223Top 25%

Initial hospital care, per day, high complexity

$108K

968 claims · 0.7%

Your Cost: $111.73/claim|Median: $67.32
1.7× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$101K

1,762 claims · 0.7%

Your Cost: $57.39/claim|Median: $35.30
1.6× median
J3301Top 25%

Injection, triamcinolone acetonide, per ten milligrams

$100K

16K claims · 0.7%

Your Cost: $6.32/claim|Median: $2.91
2.2× median
92537Normal range

$99K

4,238 claims · 0.7%

Your Cost: $23.33/claim|Median: $24.39
1.0× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$76K

1,597 claims · 0.5%

Your Cost: $47.68/claim|Median: $22.44
2.1× median
95874Top 25%

$73K

2,338 claims · 0.5%

Your Cost: $31.17/claim|Median: $11.29
2.8× median
99406Normal range

$70K

9,501 claims · 0.5%

Your Cost: $7.32/claim|Median: $6.53
1.1× median
99441Normal range

Telephone E/M by physician, 5-10 min

$63K

2,953 claims · 0.4%

Your Cost: $21.22/claim|Median: $13.30
1.6× median
99245Normal range

Office consultation, high complexity

$62K

526 claims · 0.4%

Your Cost: $117.91/claim|Median: $143.30
0.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$58K

6,433 claims · 0.4%

Your Cost: $9.07/claim|Median: $9.56
0.9× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$57K

486 claims · 0.4%

Your Cost: $117.99/claim|Median: $111.09
1.1× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$43K

547 claims · 0.3%

Your Cost: $79.19/claim|Median: $51.25
1.5× median