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Provider 1063526960

NPI: 1063526960Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.5M

$7,499,930

Total Claims

331K

Beneficiaries

268K

1.2 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$473K
+215%
2019
$1.5M
-31%
2020
$1.0M
+20%
2021
$1.2M
+10%
2022
$1.4M
+4%
2023
$1.4M
-63%
2024
$523K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (93306 (Echocardiography, transthoracic, complete, with Doppler)) accounts for 34% of total spending.

93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$2.6M

52K claims · 34.3%

Your Cost: $49.57/claim|Median: $54.68
0.9× median
99222Normal range

Initial hospital care, per day, moderate complexity

$1.1M

15K claims · 14.6%

Your Cost: $71.20/claim|Median: $51.25
1.4× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$943K

25K claims · 12.6%

Your Cost: $37.33/claim|Median: $23.99
1.6× median
93010Normal range

Electrocardiogram, interpretation and report only

$721K

136K claims · 9.6%

Your Cost: $5.29/claim|Median: $5.60
0.9× median
99214Normal range

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

$357K

6,440 claims · 4.8%

Your Cost: $55.47/claim|Median: $53.41
1.0× median
99213Normal range

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

$355K

9,970 claims · 4.7%

Your Cost: $35.56/claim|Median: $37.81
0.9× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$325K

1,263 claims · 4.3%

Your Cost: $257.48/claim|Median: $106.14
2.4× median
99231Normal range

Subsequent hospital care, per day, low complexity

$205K

11K claims · 2.7%

Your Cost: $18.66/claim|Median: $16.77
1.1× median
93042Normal range

$125K

43K claims · 1.7%

Your Cost: $2.91/claim|Median: $2.53
1.1× median
99203Normal range

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

$124K

2,337 claims · 1.7%

Your Cost: $53.26/claim|Median: $57.85
0.9× median
99223Top 25%

Initial hospital care, per day, high complexity

$101K

844 claims · 1.4%

Your Cost: $119.98/claim|Median: $67.32
1.8× median
93015Normal range

$92K

2,557 claims · 1.2%

Your Cost: $35.90/claim|Median: $41.12
0.9× median
99204Normal range

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

$91K

813 claims · 1.2%

Your Cost: $111.62/claim|Median: $84.03
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$73K

1,064 claims · 1.0%

Your Cost: $68.17/claim|Median: $74.09
0.9× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$56K

7,090 claims · 0.7%

Your Cost: $7.89/claim|Median: $9.70
0.8× median
93018Normal range

$50K

6,310 claims · 0.7%

Your Cost: $8.00/claim|Median: $8.92
0.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$42K

1,203 claims · 0.6%

Your Cost: $35.13/claim|Median: $35.30
1.0× median
A9500Normal range

Technetium-99m radiopharmaceutical diagnostic imaging agent

$42K

1,210 claims · 0.6%

Your Cost: $34.74/claim|Median: $64.30
0.5× median
99212Normal range

Office/outpatient visit, low complexity

$23K

1,082 claims · 0.3%

Your Cost: $20.89/claim|Median: $25.06
0.8× median
36246Normal range

$16K

240 claims · 0.2%

Your Cost: $65.80/claim|Median: $118.81
0.6× median
93224Normal range

ECG monitoring, continuous, up to forty-eight hours, with analysis

$12K

192 claims · 0.2%

Your Cost: $64.39/claim|Median: $67.14
1.0× median
93280Normal range

$10K

467 claims · 0.1%

Your Cost: $21.50/claim|Median: $14.11
1.5× median
93454Normal range

$9K

92 claims · 0.1%

Your Cost: $102.15/claim|Median: $141.82
0.7× median
36010Normal range

$9K

695 claims · 0.1%

Your Cost: $12.47/claim|Median: $30.49
0.4× median
93040Normal range

$9K

1,942 claims · 0.1%

Your Cost: $4.42/claim|Median: $5.65
0.8× median
99152Top 25%

$7K

365 claims · 0.1%

Your Cost: $18.59/claim|Median: $7.34
2.5× median
75710Normal range

$6K

212 claims · 0.1%

Your Cost: $26.98/claim|Median: $29.01
0.9× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$4K

24 claims · 0.1%

Your Cost: $174.86/claim|Median: $111.09
1.6× median
76942Normal range

$4K

198 claims · 0.1%

Your Cost: $20.24/claim|Median: $24.73
0.8× median
93458Normal range

Left heart catheterization with imaging

$3K

28 claims · 0.0%

Your Cost: $119.37/claim|Median: $183.33
0.7× median
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