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Provider 1063663433

NPI: 1063663433Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.1M

$15,147,127

Total Claims

1.6M

Beneficiaries

1.5M

1.1 claims/patient

Avg Cost/Claim

$9

Monthly Spending Trend

Yearly Spending

2018
$2.1M
+18%
2019
$2.5M
-24%
2020
$1.9M
+3%
2021
$2.0M
-3%
2022
$1.9M
+28%
2023
$2.4M
-8%
2024
$2.3M

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 31% of total spending.

99213Normal range

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

$4.6M

138K claims · 30.7%

Your Cost: $33.59/claim|Median: $37.81
0.9× median
99214Normal range

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

$4.3M

117K claims · 28.3%

Your Cost: $36.52/claim|Median: $53.41
0.7× median
99203Normal range

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

$981K

20K claims · 6.5%

Your Cost: $48.70/claim|Median: $57.85
0.8× median
99204Normal range

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

$600K

11K claims · 4.0%

Your Cost: $56.16/claim|Median: $84.03
0.7× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$401K

5,671 claims · 2.7%

Your Cost: $70.79/claim|Median: $121.58
0.6× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$398K

13K claims · 2.6%

Your Cost: $31.28/claim|Median: $54.68
0.6× median
43239Normal range

Upper GI endoscopy with biopsy

$345K

4,922 claims · 2.3%

Your Cost: $70.00/claim|Median: $151.68
0.5× median
45380Normal range

Colonoscopy with biopsy

$258K

1,958 claims · 1.7%

Your Cost: $131.81/claim|Median: $200.68
0.7× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$132K

5,077 claims · 0.9%

Your Cost: $26.05/claim|Median: $28.46
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$132K

12K claims · 0.9%

Your Cost: $11.43/claim|Median: $11.48
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$129K

5,867 claims · 0.8%

Your Cost: $21.91/claim|Median: $25.06
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$116K

3,420 claims · 0.8%

Your Cost: $33.86/claim|Median: $74.09
0.5× median
93010Normal range

Electrocardiogram, interpretation and report only

$114K

21K claims · 0.8%

Your Cost: $5.48/claim|Median: $5.60
1.0× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$112K

2,056 claims · 0.7%

Your Cost: $54.24/claim|Median: $233.73
0.2× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$103K

6,075 claims · 0.7%

Your Cost: $16.92/claim|Median: $23.99
0.7× median
51701Normal range

$101K

3,914 claims · 0.7%

Your Cost: $25.86/claim|Median: $22.05
1.2× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$94K

3,536 claims · 0.6%

Your Cost: $26.50/claim|Median: $27.28
1.0× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$91K

2,456 claims · 0.6%

Your Cost: $36.92/claim|Median: $29.03
1.3× median
99291Normal range

Critical care, first 30-74 minutes

$81K

2,247 claims · 0.5%

Your Cost: $35.87/claim|Median: $101.24
0.4× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$80K

1,026 claims · 0.5%

Your Cost: $77.54/claim|Median: $65.64
1.2× median
52000Normal range

$78K

1,414 claims · 0.5%

Your Cost: $55.27/claim|Median: $89.88
0.6× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$74K

354 claims · 0.5%

Your Cost: $208.16/claim|Median: $255.17
0.8× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$72K

166 claims · 0.5%

Your Cost: $434.55/claim|Median: $470.36
0.9× median
99243Normal range

Office or other outpatient consultation, low complexity

$72K

1,392 claims · 0.5%

Your Cost: $51.64/claim|Median: $82.43
0.6× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$65K

1,215 claims · 0.4%

Your Cost: $53.28/claim|Median: $255.03
0.2× median
51729Normal range

$64K

556 claims · 0.4%

Your Cost: $115.84/claim|Median: $175.67
0.7× median
20611Normal range

Aspiration or injection of intermediate joint or bursa

$60K

1,289 claims · 0.4%

Your Cost: $46.69/claim|Median: $42.51
1.1× median
95886Normal range

$59K

2,569 claims · 0.4%

Your Cost: $22.88/claim|Median: $67.70
0.3× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$58K

6,340 claims · 0.4%

Your Cost: $9.15/claim|Median: $9.70
0.9× median
93458Normal range

Left heart catheterization with imaging

$57K

686 claims · 0.4%

Your Cost: $82.98/claim|Median: $183.33
0.5× median
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