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Provider 1053795187

NPI: 1053795187Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.3M

$16,303,085

Total Claims

465K

Beneficiaries

411K

1.1 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$630K
+355%
2019
$2.9M
-14%
2020
$2.5M
+69%
2021
$4.2M
-29%
2022
$3.0M
-30%
2023
$2.1M
-43%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 18% of total spending.

99214Normal range

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

$2.9M

53K claims · 17.6%

Your Cost: $54.19/claim|Median: $53.41
1.0× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$2.4M

4,513 claims · 14.5%

Your Cost: $523.60/claim|Median: $470.36
1.1× median
99213Normal range

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

$1.7M

47K claims · 10.6%

Your Cost: $36.97/claim|Median: $37.81
1.0× median
99203Normal range

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

$1.2M

23K claims · 7.5%

Your Cost: $52.32/claim|Median: $57.85
0.9× median
99204Normal range

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

$1.1M

13K claims · 6.5%

Your Cost: $80.82/claim|Median: $84.03
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$1.0M

12K claims · 6.3%

Your Cost: $82.47/claim|Median: $74.09
1.1× median
U0003Top 25%

Infectious disease detection (COVID-19)

$329K

3,798 claims · 2.0%

Your Cost: $86.57/claim|Median: $63.08
1.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$313K

2,744 claims · 1.9%

Your Cost: $114.10/claim|Median: $111.09
1.0× median
74177Top 25%

CT abdomen and pelvis with contrast

$276K

1,667 claims · 1.7%

Your Cost: $165.28/claim|Median: $65.76
2.5× median
71250Top 25%

CT scan of chest without contrast

$201K

2,532 claims · 1.2%

Your Cost: $79.42/claim|Median: $39.11
2.0× median
36415Top 25%

Collection of venous blood by venipuncture

$188K

48K claims · 1.2%

Your Cost: $3.94/claim|Median: $1.57
2.5× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$188K

1,932 claims · 1.2%

Your Cost: $97.19/claim|Median: $54.68
1.8× median
77067Top 25%

Screening mammography, bilateral, including CAD

$164K

1,909 claims · 1.0%

Your Cost: $86.15/claim|Median: $39.33
2.2× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$151K

4,639 claims · 0.9%

Your Cost: $32.54/claim|Median: $24.33
1.3× median
80053Normal range

Comprehensive metabolic panel

$147K

15K claims · 0.9%

Your Cost: $9.94/claim|Median: $7.24
1.4× median
70553Normal range

MRI brain without contrast, then with contrast

$145K

713 claims · 0.9%

Your Cost: $203.09/claim|Median: $133.68
1.5× median
99443Normal range

Telephone E/M by physician, 21-30 min

$132K

3,420 claims · 0.8%

Your Cost: $38.62/claim|Median: $32.55
1.2× median
94729Top 25%

$131K

4,258 claims · 0.8%

Your Cost: $30.72/claim|Median: $12.24
2.5× median
94375Normal range

$117K

7,070 claims · 0.7%

Your Cost: $16.57/claim|Median: $17.23
1.0× median
90837Normal range

Psychotherapy, 60 minutes

$113K

1,217 claims · 0.7%

Your Cost: $93.02/claim|Median: $85.66
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$111K

4,401 claims · 0.7%

Your Cost: $25.13/claim|Median: $25.06
1.0× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$109K

3,836 claims · 0.7%

Your Cost: $28.44/claim|Median: $22.44
1.3× median
71260Normal range

CT chest with contrast

$106K

1,159 claims · 0.6%

Your Cost: $91.41/claim|Median: $48.36
1.9× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$93K

2,270 claims · 0.6%

Your Cost: $40.98/claim|Median: $40.11
1.0× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$93K

1,295 claims · 0.6%

Your Cost: $71.64/claim|Median: $35.80
2.0× median
80048Normal range

Basic metabolic panel

$92K

12K claims · 0.6%

Your Cost: $7.93/claim|Median: $5.78
1.4× median
94726Normal range

$90K

2,930 claims · 0.6%

Your Cost: $30.70/claim|Median: $13.41
2.3× median
71046Normal range

Chest X-ray, 2 views

$89K

5,529 claims · 0.5%

Your Cost: $16.17/claim|Median: $8.92
1.8× median
85027Top 25%

Complete blood count (CBC), automated

$86K

14K claims · 0.5%

Your Cost: $6.10/claim|Median: $3.72
1.6× median
99000Top 25%

$82K

14K claims · 0.5%

Your Cost: $5.98/claim|Median: $2.30
2.6× median
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