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Provider 1063848968

NPI: 1063848968Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.5M

$10,539,661

Total Claims

710K

Beneficiaries

353K

2.0 claims/patient

Avg Cost/Claim

$15

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-5%
2019
$1.6M
-20%
2020
$1.3M
+34%
2021
$1.7M
-11%
2022
$1.5M
+18%
2023
$1.8M
-36%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (11043) accounts for 33% of total spending.

11043Normal range

$3.5M

117K claims · 33.4%

Your Cost: $30.09/claim|Median: $62.99
0.5× median
99308Normal range

Nursing facility care, subsequent, straightforward

$2.8M

201K claims · 26.5%

Your Cost: $13.91/claim|Median: $9.79
1.4× median
99309Normal range

Nursing facility care, subsequent, low complexity

$1.8M

110K claims · 16.8%

Your Cost: $16.13/claim|Median: $14.00
1.2× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$1.3M

156K claims · 12.8%

Your Cost: $8.63/claim|Median: $36.13
0.2× median
99310Normal range

$181K

5,337 claims · 1.7%

Your Cost: $33.86/claim|Median: $21.82
1.6× median
99307Normal range

$170K

17K claims · 1.6%

Your Cost: $9.70/claim|Median: $6.57
1.5× median
17250Normal range

$154K

44K claims · 1.5%

Your Cost: $3.54/claim|Median: $19.69
0.2× median
99305Normal range

$138K

5,267 claims · 1.3%

Your Cost: $26.21/claim|Median: $19.28
1.4× median
99304Normal range

$109K

4,754 claims · 1.0%

Your Cost: $22.98/claim|Median: $13.51
1.7× median
A6196Normal range

$94K

6,702 claims · 0.9%

Your Cost: $14.06/claim|Median: $71.68
0.2× median
11044Normal range

$81K

4,406 claims · 0.8%

Your Cost: $18.46/claim|Median: $62.94
0.3× median
A6010Normal range

$62K

1,162 claims · 0.6%

Your Cost: $53.24/claim|Median: $131.56
0.4× median
11046Normal range

$48K

3,068 claims · 0.5%

Your Cost: $15.50/claim|Median: $28.70
0.5× median
97597Normal range

$37K

9,870 claims · 0.4%

Your Cost: $3.80/claim|Median: $21.22
0.2× median
A6219Normal range

$36K

11K claims · 0.3%

Your Cost: $3.27/claim|Median: $9.59
0.3× median
99306Top 25%

$32K

428 claims · 0.3%

Your Cost: $74.26/claim|Median: $29.97
2.5× median
A6222Normal range

$10K

1,376 claims · 0.1%

Your Cost: $7.46/claim|Median: $23.17
0.3× median
A6446Normal range

$5K

2,345 claims · 0.0%

Your Cost: $1.94/claim|Median: $14.64
0.1× median
G0406Normal range

$4K

788 claims · 0.0%

Your Cost: $4.74/claim|Median: $6.02
0.8× median
A6212Normal range

$3K

796 claims · 0.0%

Your Cost: $3.57/claim|Median: $76.51
0.0× median
G0407Normal range

$2K

248 claims · 0.0%

Your Cost: $8.36/claim|Median: $8.73
1.0× median
A6248Normal range

$2K

280 claims · 0.0%

Your Cost: $6.22/claim|Median: $23.50
0.3× median
A6252Normal range

$1K

1,680 claims · 0.0%

Your Cost: $0.75/claim|Median: $46.15
0.0× median
A6021Normal range

$1K

285 claims · 0.0%

Your Cost: $3.93/claim|Median: $111.06
0.0× median
A6402Normal range

$434

502 claims · 0.0%

Your Cost: $0.86/claim|Median: $7.69
0.1× median
A6223Normal range

$183

15 claims · 0.0%

Your Cost: $12.23/claim|Median: $35.60
0.3× median
A6443Normal range

$48

148 claims · 0.0%

Your Cost: $0.33/claim|Median: $10.83
0.0× median
0640TNormal range

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.15
A6197Normal range

$0

61 claims · 0.0%

Your Cost: $0.00/claim|Median: $156.22
A4450Normal range

$0

29 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.14
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