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Provider 1053352914

NPI: 1053352914Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.1M

$18,143,864

Total Claims

420K

Beneficiaries

359K

1.2 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$646K
-3%
2019
$624K
+74%
2020
$1.1M
+243%
2021
$3.7M
+26%
2022
$4.7M
+1%
2023
$4.7M
-44%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 17% of total spending.

99213Normal range

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

$3.1M

80K claims · 16.9%

Your Cost: $38.42/claim|Median: $37.81
1.0× median
99214Normal range

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

$2.6M

48K claims · 14.4%

Your Cost: $54.78/claim|Median: $53.41
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.3M

17K claims · 7.2%

Your Cost: $74.28/claim|Median: $69.35
1.1× median
01967Top 1%

Anesthesia, neuraxial labor analgesia/delivery

$1.1M

1,181 claims · 5.9%

Your Cost: $900.55/claim|Median: $283.78
3.2× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$654K

7,892 claims · 3.6%

Your Cost: $82.84/claim|Median: $62.48
1.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$632K

7,273 claims · 3.5%

Your Cost: $86.91/claim|Median: $75.18
1.2× median
99480Top 25%

Subsequent intensive care, very low birth weight infant

$584K

4,678 claims · 3.2%

Your Cost: $124.86/claim|Median: $98.15
1.3× median
99477Top 10%

$511K

1,320 claims · 2.8%

Your Cost: $387.06/claim|Median: $276.41
1.4× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$450K

5,455 claims · 2.5%

Your Cost: $82.44/claim|Median: $73.46
1.1× median
99238Top 10%

Hospital discharge day management, 30 minutes or less

$417K

6,621 claims · 2.3%

Your Cost: $62.95/claim|Median: $37.22
1.7× median
99215Normal range

Office/outpatient visit, high complexity

$387K

3,896 claims · 2.1%

Your Cost: $99.24/claim|Median: $74.09
1.3× median
99469Top 25%

Subsequent intensive care, very low birth weight infant

$344K

901 claims · 1.9%

Your Cost: $381.49/claim|Median: $293.45
1.3× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$322K

3,522 claims · 1.8%

Your Cost: $91.41/claim|Median: $74.82
1.2× median
74177Normal range

CT abdomen and pelvis with contrast

$315K

4,850 claims · 1.7%

Your Cost: $64.86/claim|Median: $65.76
1.0× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$285K

7,796 claims · 1.6%

Your Cost: $36.55/claim|Median: $58.55
0.6× median
59025Normal range

Fetal non-stress test

$267K

10K claims · 1.5%

Your Cost: $26.21/claim|Median: $26.45
1.0× median
99479Top 25%

Subsequent intensive care, 2,501-5,000 grams

$265K

1,999 claims · 1.5%

Your Cost: $132.49/claim|Median: $103.70
1.3× median
70450Normal range

CT head/brain without contrast

$257K

8,640 claims · 1.4%

Your Cost: $29.77/claim|Median: $45.53
0.7× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$257K

5,743 claims · 1.4%

Your Cost: $44.77/claim|Median: $54.68
0.8× median
90834Normal range

Psychotherapy, 45 minutes

$255K

5,053 claims · 1.4%

Your Cost: $50.51/claim|Median: $63.65
0.8× median
71045Normal range

Chest X-ray, single view

$234K

36K claims · 1.3%

Your Cost: $6.46/claim|Median: $4.93
1.3× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$210K

3,720 claims · 1.2%

Your Cost: $56.42/claim|Median: $35.30
1.6× median
93010Normal range

Electrocardiogram, interpretation and report only

$198K

39K claims · 1.1%

Your Cost: $5.03/claim|Median: $5.60
0.9× median
99285Normal range

Emergency dept visit, high/urgent complexity

$173K

1,836 claims · 1.0%

Your Cost: $94.02/claim|Median: $85.65
1.1× median
76815Normal range

Ultrasound, pregnant uterus, limited

$168K

6,131 claims · 0.9%

Your Cost: $27.41/claim|Median: $36.79
0.7× median
90832Normal range

Psychotherapy, 30 minutes

$166K

4,097 claims · 0.9%

Your Cost: $40.50/claim|Median: $41.28
1.0× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$154K

3,641 claims · 0.8%

Your Cost: $42.34/claim|Median: $74.78
0.6× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$151K

1,510 claims · 0.8%

Your Cost: $100.28/claim|Median: $80.15
1.3× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$144K

3,157 claims · 0.8%

Your Cost: $45.65/claim|Median: $38.83
1.2× median
59409Normal range

Vaginal delivery only

$140K

215 claims · 0.8%

Your Cost: $650.71/claim|Median: $619.91
1.0× median
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