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Provider 1053416818

NPI: 1053416818Share
Active Billing Period:2018-04→2024-11(79 months)

Total Paid

$7.7M

$7,728,303

Total Claims

20K

Beneficiaries

19K

1.0 claims/patient

Avg Cost/Claim

$384

Monthly Spending Trend

Yearly Spending

2018
$114K
+904%
2019
$1.1M
-39%
2020
$699K
+26%
2021
$878K
+32%
2022
$1.2M
+56%
2023
$1.8M
+7%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (43239 (Upper GI endoscopy with biopsy)) accounts for 26% of total spending.

43239Top 25%

Upper GI endoscopy with biopsy

$2.0M

5,860 claims · 26.0%

Your Cost: $343.43/claim|Median: $151.68
2.3× median
45380Top 25%

Colonoscopy with biopsy

$1.7M

3,462 claims · 21.8%

Your Cost: $486.61/claim|Median: $200.68
2.4× median
45378Top 25%

Colonoscopy, diagnostic

$1.4M

3,346 claims · 18.5%

Your Cost: $427.53/claim|Median: $225.49
1.9× median
66984Top 25%

Extracapsular cataract removal with IOL insertion

$1.1M

1,418 claims · 13.7%

Your Cost: $749.39/claim|Median: $268.70
2.8× median
45385Top 25%

Colonoscopy with polyp removal, snare technique

$890K

1,808 claims · 11.5%

Your Cost: $492.18/claim|Median: $255.17
1.9× median
42820Top 10%

Tonsillectomy and adenoidectomy, under age 12

$227K

83 claims · 2.9%

Your Cost: $2,733.40/claim|Median: $331.68
8.2× median
64493Top 25%

$181K

628 claims · 2.3%

Your Cost: $287.73/claim|Median: $103.44
2.8× median
G0121Normal range

Colorectal cancer screening; colonoscopy

$90K

218 claims · 1.2%

Your Cost: $413.53/claim|Median: $332.07
1.2× median
43248Top 25%

$50K

155 claims · 0.7%

Your Cost: $325.58/claim|Median: $115.74
2.8× median
C9777Top 1%

$24K

14 claims · 0.3%

Your Cost: $1,746.38/claim|Median: $1,746.38
1.0× median
58558Top 25%

$18K

13 claims · 0.2%

Your Cost: $1,376.86/claim|Median: $942.89
1.5× median
43235Top 25%

Upper GI endoscopy, diagnostic, including collection

$17K

41 claims · 0.2%

Your Cost: $421.95/claim|Median: $114.30
3.7× median
65426Normal range

$10K

12 claims · 0.1%

Your Cost: $831.50/claim|Median: $578.99
1.4× median
62323Top 25%

Epidural injection of diagnostic or therapeutic substance, lumbar

$8K

24 claims · 0.1%

Your Cost: $321.08/claim|Median: $111.02
2.9× median
Q3014Top 25%

Telehealth originating site facility fee

$7K

276 claims · 0.1%

Your Cost: $24.98/claim|Median: $15.37
1.6× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$6K

217 claims · 0.1%

Your Cost: $25.53/claim|Median: $16.77
1.5× median
L8699Normal range

Prosthetic implant, not otherwise classified

$3K

696 claims · 0.0%

Your Cost: $4.56/claim|Median: $389.88
0.0× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$2K

12 claims · 0.0%

Your Cost: $193.21/claim|Median: $54.68
3.5× median
97803Top 25%

Medical nutrition therapy, reassessment, group, thirty minutes

$2K

39 claims · 0.0%

Your Cost: $52.51/claim|Median: $24.33
2.2× median
76000Normal range

$1K

38 claims · 0.0%

Your Cost: $31.33/claim|Median: $17.70
1.8× median
V2632Normal range

$969

1,064 claims · 0.0%

Your Cost: $0.91/claim|Median: $22.85
0.0× median
0510Normal range

Revenue code, clinic services

$491

17 claims · 0.0%

Your Cost: $28.87/claim|Median: $28.38
1.0× median
64494Normal range

$0

567 claims · 0.0%

Your Cost: $0.00/claim|Median: $34.70
G8907Normal range

$0

51 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.38
V2790Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $3,640.63
G8918Normal range

$0

51 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.03
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