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Provider 1073606299

NPI: 1073606299Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.5M

$8,458,908

Total Claims

513K

Beneficiaries

483K

1.1 claims/patient

Avg Cost/Claim

$17

Monthly Spending Trend

Yearly Spending

2018
$72K
+5%
2019
$76K
-28%
2020
$54K
+1254%
2021
$738K
-39%
2022
$452K
-38%
2023
$281K
+2312%
2024
$6.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 12% of total spending.

99284Normal range

Emergency dept visit, high complexity

$1.0M

30K claims · 12.0%

Your Cost: $33.92/claim|Median: $69.51
0.5× median
91320Normal range

$943K

10K claims · 11.2%

Your Cost: $92.06/claim|Median: $72.65
1.3× median
99213Normal range

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

$719K

40K claims · 8.5%

Your Cost: $17.94/claim|Median: $37.81
0.5× median
90480Normal range

$492K

15K claims · 5.8%

Your Cost: $32.84/claim|Median: $25.29
1.3× median
77067Normal range

Screening mammography, bilateral, including CAD

$460K

17K claims · 5.4%

Your Cost: $26.75/claim|Median: $39.33
0.7× median
99285Normal range

Emergency dept visit, high/urgent complexity

$376K

3,208 claims · 4.4%

Your Cost: $117.23/claim|Median: $85.65
1.4× median
74177Normal range

CT abdomen and pelvis with contrast

$245K

3,349 claims · 2.9%

Your Cost: $73.07/claim|Median: $65.76
1.1× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$241K

10K claims · 2.9%

Your Cost: $23.35/claim|Median: $38.23
0.6× median
88305Normal range

Surgical pathology, gross and microscopic examination

$237K

7,644 claims · 2.8%

Your Cost: $30.96/claim|Median: $35.80
0.9× median
G0008Normal range

$206K

49K claims · 2.4%

Your Cost: $4.18/claim|Median: $2.54
1.6× median
99214Normal range

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

$201K

13K claims · 2.4%

Your Cost: $15.06/claim|Median: $53.41
0.3× median
93010Normal range

Electrocardiogram, interpretation and report only

$193K

61K claims · 2.3%

Your Cost: $3.17/claim|Median: $5.60
0.6× median
70450Normal range

CT head/brain without contrast

$188K

4,496 claims · 2.2%

Your Cost: $41.78/claim|Median: $45.53
0.9× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$176K

4,673 claims · 2.1%

Your Cost: $37.57/claim|Median: $36.70
1.0× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$175K

4,841 claims · 2.1%

Your Cost: $36.24/claim|Median: $33.72
1.1× median
99283Normal range

Emergency dept visit, moderate complexity

$159K

8,762 claims · 1.9%

Your Cost: $18.17/claim|Median: $42.48
0.4× median
71046Normal range

Chest X-ray, 2 views

$121K

14K claims · 1.4%

Your Cost: $8.60/claim|Median: $8.92
1.0× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$121K

1,173 claims · 1.4%

Your Cost: $102.81/claim|Median: $58.82
1.7× median
99212Normal range

Office/outpatient visit, low complexity

$117K

17K claims · 1.4%

Your Cost: $6.84/claim|Median: $25.06
0.3× median
90662Normal range

$107K

5,399 claims · 1.3%

Your Cost: $19.90/claim|Median: $6.55
3.0× median
70551Normal range

MRI brain without contrast

$98K

1,424 claims · 1.2%

Your Cost: $69.06/claim|Median: $85.39
0.8× median
90962Top 5%

$90K

402 claims · 1.1%

Your Cost: $223.46/claim|Median: $40.91
5.5× median
71045Normal range

Chest X-ray, single view

$83K

27K claims · 1.0%

Your Cost: $3.10/claim|Median: $4.93
0.6× median
92015Normal range

Determination of refractive state

$81K

26K claims · 1.0%

Your Cost: $3.08/claim|Median: $10.36
0.3× median
99309Top 5%

Nursing facility care, subsequent, low complexity

$80K

1,439 claims · 1.0%

Your Cost: $55.93/claim|Median: $14.00
4.0× median
0124ANormal range

$79K

3,522 claims · 0.9%

Your Cost: $22.53/claim|Median: $34.32
0.7× median
0054ANormal range

$64K

2,515 claims · 0.8%

Your Cost: $25.36/claim|Median: $35.83
0.7× median
0064ANormal range

$63K

2,306 claims · 0.7%

Your Cost: $27.33/claim|Median: $34.17
0.8× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$62K

1,675 claims · 0.7%

Your Cost: $37.00/claim|Median: $33.85
1.1× median
0004ANormal range

$61K

1,794 claims · 0.7%

Your Cost: $33.73/claim|Median: $35.62
0.9× median
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