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Provider 1043326531

NPI: 1043326531Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$16.5M

$16,549,439

Total Claims

188K

Beneficiaries

7,796

24.1 claims/patient

Avg Cost/Claim

$88

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+46%
2019
$2.1M
+39%
2020
$2.9M
+2%
2021
$2.9M
-31%
2022
$2.0M
+25%
2023
$2.5M
+6%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (0650) accounts for 38% of total spending.

0650Normal range

$6.3M

25K claims · 38.4%

Your Cost: $258.47/claim|Median: $453.45
0.6× median
99499Normal range

Unlisted evaluation and management service

$6.1M

153K claims · 36.7%

Your Cost: $39.77/claim|Median: $30.88
1.3× median
0659Normal range

Revenue code, clinic services

$2.7M

7,652 claims · 16.3%

Your Cost: $352.39/claim|Median: $421.95
0.8× median
0651Normal range

$641K

2,510 claims · 3.9%

Your Cost: $255.23/claim|Median: $210.85
1.2× median
99498Top 1%

$446K

491 claims · 2.7%

Your Cost: $907.64/claim|Median: $15.46
58.7× median
0658Top 25%

Revenue code, pharmacy, generic drugs

$337K

60 claims · 2.0%

Your Cost: $5,613.37/claim|Median: $4,158.95
1.3× median