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Provider 1063438232

NPI: 1063438232Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$17.3M

$17,334,648

Total Claims

222K

Beneficiaries

128K

1.7 claims/patient

Avg Cost/Claim

$78

Monthly Spending Trend

Yearly Spending

2018
$3.4M
-15%
2019
$2.9M
-14%
2020
$2.5M
+13%
2021
$2.8M
-16%
2022
$2.4M
-15%
2023
$2.0M
-32%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (00003 (Anesthesia services)) accounts for 50% of total spending.

00003Normal range

Anesthesia services

$8.7M

45K claims · 50.4%

Your Cost: $193.89/claim|Median: $223.77
0.9× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$7.8M

54K claims · 45.0%

Your Cost: $145.13/claim|Median: $121.16
1.2× median
0521Normal range

$786K

119K claims · 4.5%

Your Cost: $6.63/claim|Median: $7.40
0.9× median
90750Top 25%

$3K

18 claims · 0.0%

Your Cost: $150.00/claim|Median: $96.16
1.6× median
99051Top 5%

$2K

45 claims · 0.0%

Your Cost: $45.56/claim|Median: $7.89
5.8× median
98940Normal range

$2K

87 claims · 0.0%

Your Cost: $18.39/claim|Median: $14.55
1.3× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$1K

361 claims · 0.0%

Your Cost: $4.07/claim|Median: $5.50
0.7× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$1K

102 claims · 0.0%

Your Cost: $14.17/claim|Median: $20.83
0.7× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$1K

33 claims · 0.0%

Your Cost: $40.00/claim|Median: $36.70
1.1× median
0013ATop 25%

$1K

31 claims · 0.0%

Your Cost: $40.00/claim|Median: $35.38
1.1× median
0124ATop 25%

$1K

28 claims · 0.0%

Your Cost: $40.00/claim|Median: $34.32
1.2× median
97811Normal range

$764

32 claims · 0.0%

Your Cost: $23.86/claim|Median: $19.71
1.2× median
97810Normal range

$738

31 claims · 0.0%

Your Cost: $23.81/claim|Median: $23.92
1.0× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$600

15 claims · 0.0%

Your Cost: $40.00/claim|Median: $33.72
1.2× median
99214Normal range

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

$575

289 claims · 0.0%

Your Cost: $1.99/claim|Median: $53.41
0.0× median
0003ATop 25%

COVID-19 vaccine admin, Pfizer, 3rd dose

$480

12 claims · 0.0%

Your Cost: $40.00/claim|Median: $36.49
1.1× median
0154ANormal range

$480

12 claims · 0.0%

Your Cost: $40.00/claim|Median: $39.23
1.0× median
90656Normal range

$340

69 claims · 0.0%

Your Cost: $4.93/claim|Median: $8.67
0.6× median
0900Normal range

$287

2,255 claims · 0.0%

Your Cost: $0.13/claim|Median: $2.08
0.1× median
99213Normal range

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

$267

251 claims · 0.0%

Your Cost: $1.06/claim|Median: $37.81
0.0× median
90662Normal range

$240

164 claims · 0.0%

Your Cost: $1.46/claim|Median: $6.55
0.2× median
83037Normal range

$191

275 claims · 0.0%

Your Cost: $0.69/claim|Median: $4.07
0.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$123

19 claims · 0.0%

Your Cost: $6.47/claim|Median: $9.56
0.7× median
99173Normal range

$21

214 claims · 0.0%

Your Cost: $0.10/claim|Median: $2.16
0.0× median
90734Normal range

$0

39 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.40
G0008Normal range

$0

189 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.54
36415Normal range

Collection of venous blood by venipuncture

$0

170 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.57