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Provider 1043615263

NPI: 1043615263Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.5M

$7,517,413

Total Claims

137K

Beneficiaries

128K

1.1 claims/patient

Avg Cost/Claim

$55

Monthly Spending Trend

Yearly Spending

2018
$45K
+72%
2019
$78K
+82%
2020
$143K
+798%
2021
$1.3M
+54%
2022
$2.0M
+6%
2023
$2.1M
-9%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 30% of total spending.

99214Normal range

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

$2.3M

34K claims · 30.0%

Your Cost: $66.99/claim|Median: $53.41
1.3× median
88305Normal range

Surgical pathology, gross and microscopic examination

$1.2M

22K claims · 15.8%

Your Cost: $53.40/claim|Median: $35.80
1.5× median
17110Top 10%

Destruction of benign lesions, up to fourteen

$979K

8,995 claims · 13.0%

Your Cost: $108.80/claim|Median: $59.25
1.8× median
99213Normal range

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

$885K

21K claims · 11.8%

Your Cost: $42.73/claim|Median: $37.81
1.1× median
99204Normal range

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

$787K

7,140 claims · 10.5%

Your Cost: $110.22/claim|Median: $84.03
1.3× median
99203Normal range

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

$643K

8,527 claims · 8.5%

Your Cost: $75.37/claim|Median: $57.85
1.3× median
88312Top 10%

$275K

3,327 claims · 3.7%

Your Cost: $82.68/claim|Median: $24.56
3.4× median
99243Normal range

Office or other outpatient consultation, low complexity

$161K

1,857 claims · 2.1%

Your Cost: $86.62/claim|Median: $82.43
1.1× median
11102Top 25%

$80K

999 claims · 1.1%

Your Cost: $80.33/claim|Median: $48.69
1.6× median
88342Top 10%

$59K

868 claims · 0.8%

Your Cost: $67.64/claim|Median: $23.66
2.9× median
17111Top 25%

$51K

419 claims · 0.7%

Your Cost: $122.30/claim|Median: $80.28
1.5× median
88341Top 25%

$40K

426 claims · 0.5%

Your Cost: $93.30/claim|Median: $45.31
2.1× median
88304Top 25%

$36K

1,280 claims · 0.5%

Your Cost: $27.85/claim|Median: $12.88
2.2× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$33K

642 claims · 0.4%

Your Cost: $51.92/claim|Median: $40.11
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$21K

818 claims · 0.3%

Your Cost: $26.08/claim|Median: $25.06
1.0× median
81025Top 10%

Urine pregnancy test

$6K

658 claims · 0.1%

Your Cost: $9.39/claim|Median: $4.81
2.0× median
G2211Top 10%

$4K

310 claims · 0.1%

Your Cost: $13.94/claim|Median: $2.40
5.8× median
11104Normal range

$4K

41 claims · 0.1%

Your Cost: $100.96/claim|Median: $76.74
1.3× median
12031Top 25%

$3K

13 claims · 0.0%

Your Cost: $228.37/claim|Median: $141.97
1.6× median
11900Normal range

$2K

58 claims · 0.0%

Your Cost: $32.60/claim|Median: $31.25
1.0× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$1K

76 claims · 0.0%

Your Cost: $15.46/claim|Median: $9.56
1.6× median
99242Normal range

Office consultation, low complexity

$977

14 claims · 0.0%

Your Cost: $69.76/claim|Median: $57.97
1.2× median
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$126

68 claims · 0.0%

Your Cost: $1.86/claim|Median: $2.91
0.6× median
99024Normal range

$0

27 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.15
99072Normal range

$0

24K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.54
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