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Provider 1043347768

NPI: 1043347768Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.3M

$8,348,098

Total Claims

250K

Beneficiaries

163K

1.5 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$223K
+112%
2019
$473K
+95%
2020
$922K
+50%
2021
$1.4M
-18%
2022
$1.1M
+62%
2023
$1.8M
+31%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99232 (Subsequent hospital care, per day, moderate complexity)) accounts for 18% of total spending.

99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.5M

40K claims · 17.7%

Your Cost: $36.66/claim|Median: $23.99
1.5× median
99213Normal range

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

$1.1M

31K claims · 13.2%

Your Cost: $35.29/claim|Median: $37.81
0.9× median
99070Top 25%

$599K

27K claims · 7.2%

Your Cost: $22.37/claim|Median: $8.08
2.8× median
99221Normal range

Initial hospital care, straightforward/low

$570K

13K claims · 6.8%

Your Cost: $42.56/claim|Median: $39.96
1.1× median
99203Normal range

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

$567K

14K claims · 6.8%

Your Cost: $41.70/claim|Median: $57.85
0.7× median
99283Normal range

Emergency dept visit, moderate complexity

$482K

8,184 claims · 5.8%

Your Cost: $58.87/claim|Median: $42.48
1.4× median
93458Normal range

Left heart catheterization with imaging

$436K

1,180 claims · 5.2%

Your Cost: $369.34/claim|Median: $183.33
2.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$417K

14K claims · 5.0%

Your Cost: $30.80/claim|Median: $40.11
0.8× median
93040Top 5%

$363K

16K claims · 4.3%

Your Cost: $22.42/claim|Median: $5.65
4.0× median
99282Normal range

Emergency dept visit, low complexity

$348K

9,551 claims · 4.2%

Your Cost: $36.45/claim|Median: $37.72
1.0× median
74177Normal range

CT abdomen and pelvis with contrast

$233K

2,652 claims · 2.8%

Your Cost: $87.99/claim|Median: $65.76
1.3× median
99291Top 25%

Critical care, first 30-74 minutes

$184K

1,181 claims · 2.2%

Your Cost: $156.21/claim|Median: $101.24
1.5× median
99252Normal range

$184K

6,412 claims · 2.2%

Your Cost: $28.75/claim|Median: $38.63
0.7× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$173K

5,270 claims · 2.1%

Your Cost: $32.76/claim|Median: $37.22
0.9× median
74176Normal range

CT abdomen and pelvis without contrast

$117K

1,548 claims · 1.4%

Your Cost: $75.57/claim|Median: $60.19
1.3× median
70450Normal range

CT head/brain without contrast

$101K

2,655 claims · 1.2%

Your Cost: $38.17/claim|Median: $45.53
0.8× median
93010Top 5%

Electrocardiogram, interpretation and report only

$100K

8,898 claims · 1.2%

Your Cost: $11.24/claim|Median: $5.60
2.0× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$97K

7,087 claims · 1.2%

Your Cost: $13.73/claim|Median: $9.70
1.4× median
97597Top 25%

$88K

1,885 claims · 1.1%

Your Cost: $46.63/claim|Median: $21.22
2.2× median
19083Normal range

$80K

367 claims · 1.0%

Your Cost: $217.12/claim|Median: $486.58
0.4× median
59514Normal range

Cesarean delivery only

$62K

259 claims · 0.7%

Your Cost: $241.04/claim|Median: $452.80
0.5× median
71046Normal range

Chest X-ray, 2 views

$58K

5,962 claims · 0.7%

Your Cost: $9.77/claim|Median: $8.92
1.1× median
71045Top 25%

Chest X-ray, single view

$39K

4,764 claims · 0.5%

Your Cost: $8.18/claim|Median: $4.93
1.7× median
45380Normal range

Colonoscopy with biopsy

$32K

101 claims · 0.4%

Your Cost: $318.45/claim|Median: $200.68
1.6× median
77067Normal range

Screening mammography, bilateral, including CAD

$29K

834 claims · 0.3%

Your Cost: $34.86/claim|Median: $39.33
0.9× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$29K

388 claims · 0.3%

Your Cost: $74.44/claim|Median: $51.25
1.5× median
76641Normal range

Ultrasound imaging of one breast, complete

$27K

629 claims · 0.3%

Your Cost: $43.22/claim|Median: $49.03
0.9× median
99243Normal range

Office or other outpatient consultation, low complexity

$26K

1,848 claims · 0.3%

Your Cost: $14.31/claim|Median: $82.43
0.2× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$22K

929 claims · 0.3%

Your Cost: $23.98/claim|Median: $24.33
1.0× median
76700Normal range

Ultrasound, abdominal, complete

$22K

654 claims · 0.3%

Your Cost: $33.78/claim|Median: $50.69
0.7× median
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