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Provider 1033861349

NPI: 1033861349Share
Active Billing Period:2022-06→2024-12(31 months)

Total Paid

$8.0M

$8,014,067

Total Claims

399K

Beneficiaries

182K

2.2 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2022
$1.2M
+173%
2023
$3.2M
+13%
2024
$3.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99309 (Nursing facility care, subsequent, low complexity)) accounts for 56% of total spending.

99309Normal range

Nursing facility care, subsequent, low complexity

$4.5M

212K claims · 56.3%

Your Cost: $21.30/claim|Median: $14.00
1.5× median
99308Normal range

Nursing facility care, subsequent, straightforward

$2.1M

125K claims · 26.6%

Your Cost: $16.99/claim|Median: $9.79
1.7× median
99310Normal range

$1.1M

33K claims · 13.8%

Your Cost: $33.56/claim|Median: $21.82
1.5× median
99307Normal range

$184K

17K claims · 2.3%

Your Cost: $10.52/claim|Median: $6.57
1.6× median
99204Normal range

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

$13K

444 claims · 0.2%

Your Cost: $28.52/claim|Median: $84.03
0.3× median
99497Normal range

$11K

1,608 claims · 0.1%

Your Cost: $6.71/claim|Median: $10.99
0.6× median
99349Normal range

$11K

521 claims · 0.1%

Your Cost: $20.40/claim|Median: $24.29
0.8× median
99316Normal range

$8K

274 claims · 0.1%

Your Cost: $28.99/claim|Median: $25.78
1.1× median
99306Normal range

$7K

229 claims · 0.1%

Your Cost: $32.15/claim|Median: $29.97
1.1× median
99213Normal range

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

$6K

126 claims · 0.1%

Your Cost: $45.75/claim|Median: $37.81
1.2× median
99214Normal range

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

$5K

198 claims · 0.1%

Your Cost: $27.41/claim|Median: $53.41
0.5× median
99490Normal range

Chronic care management services, 20 minutes per month

$4K

700 claims · 0.1%

Your Cost: $6.30/claim|Median: $6.31
1.0× median
99305Normal range

$4K

167 claims · 0.1%

Your Cost: $24.23/claim|Median: $19.28
1.3× median
99356Normal range

$3K

519 claims · 0.0%

Your Cost: $6.49/claim|Median: $22.76
0.3× median
99203Top 25%

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

$3K

26 claims · 0.0%

Your Cost: $97.29/claim|Median: $57.85
1.7× median
G0180Normal range

$1K

239 claims · 0.0%

Your Cost: $5.09/claim|Median: $8.31
0.6× median
99336Normal range

$1K

50 claims · 0.0%

Your Cost: $21.62/claim|Median: $20.35
1.1× median
G0317Normal range

$903

132 claims · 0.0%

Your Cost: $6.84/claim|Median: $3.67
1.9× median
G0179Normal range

Physician recertification for home health plan of care

$599

210 claims · 0.0%

Your Cost: $2.85/claim|Median: $6.63
0.4× median
99315Normal range

$570

40 claims · 0.0%

Your Cost: $14.26/claim|Median: $14.17
1.0× median
99498Normal range

$292

25 claims · 0.0%

Your Cost: $11.70/claim|Median: $15.46
0.8× median
99358Normal range

$281

114 claims · 0.0%

Your Cost: $2.46/claim|Median: $14.34
0.2× median
99348Normal range

$246

52 claims · 0.0%

Your Cost: $4.73/claim|Median: $17.17
0.3× median
99406Normal range

$158

69 claims · 0.0%

Your Cost: $2.29/claim|Median: $6.53
0.4× median
99337Normal range

$87

22 claims · 0.0%

Your Cost: $3.95/claim|Median: $29.39
0.1× median
99439Normal range

$81

22 claims · 0.0%

Your Cost: $3.69/claim|Median: $5.83
0.6× median
G8427Normal range

$0

2,052 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
0.0× median
1123FNormal range

$0

586 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.49
G8535Normal range

$0

84 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.19
1100FNormal range

$0

1,108 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.41
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