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Provider 1073699971

NPI: 1073699971Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.6M

$14,628,960

Total Claims

151K

Beneficiaries

149K

1.0 claims/patient

Avg Cost/Claim

$97

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+24%
2019
$1.9M
-7%
2020
$1.8M
+27%
2021
$2.2M
+4%
2022
$2.3M
+6%
2023
$2.5M
-5%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (43239 (Upper GI endoscopy with biopsy)) accounts for 23% of total spending.

43239Normal range

Upper GI endoscopy with biopsy

$3.4M

17K claims · 23.2%

Your Cost: $201.75/claim|Median: $151.68
1.3× median
45378Normal range

Colonoscopy, diagnostic

$2.3M

8,585 claims · 15.8%

Your Cost: $269.57/claim|Median: $225.49
1.2× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$1.8M

5,378 claims · 12.3%

Your Cost: $335.57/claim|Median: $255.17
1.3× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$1.8M

23K claims · 12.0%

Your Cost: $74.77/claim|Median: $35.80
2.1× median
45380Normal range

Colonoscopy with biopsy

$1.4M

5,015 claims · 9.2%

Your Cost: $269.83/claim|Median: $200.68
1.3× median
99204Normal range

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

$941K

13K claims · 6.4%

Your Cost: $71.48/claim|Median: $84.03
0.9× median
99203Normal range

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

$930K

16K claims · 6.4%

Your Cost: $59.04/claim|Median: $57.85
1.0× median
88312Top 25%

$652K

14K claims · 4.5%

Your Cost: $47.73/claim|Median: $24.56
1.9× median
88313Top 25%

$637K

12K claims · 4.4%

Your Cost: $51.92/claim|Median: $18.95
2.7× median
99213Normal range

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

$578K

23K claims · 4.0%

Your Cost: $25.09/claim|Median: $37.81
0.7× median
99214Normal range

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

$210K

5,781 claims · 1.4%

Your Cost: $36.27/claim|Median: $53.41
0.7× median
91200Normal range

$35K

1,214 claims · 0.2%

Your Cost: $28.63/claim|Median: $17.80
1.6× median
99212Normal range

Office/outpatient visit, low complexity

$12K

677 claims · 0.1%

Your Cost: $18.45/claim|Median: $25.06
0.7× median
88342Top 25%

$5K

107 claims · 0.0%

Your Cost: $50.12/claim|Median: $23.66
2.1× median
46221Normal range

$997

14 claims · 0.0%

Your Cost: $71.18/claim|Median: $120.31
0.6× median
99223Normal range

Initial hospital care, per day, high complexity

$920

15 claims · 0.0%

Your Cost: $61.36/claim|Median: $67.32
0.9× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$625

17 claims · 0.0%

Your Cost: $36.78/claim|Median: $40.11
0.9× median
1111FNormal range

$277

6,327 claims · 0.0%

Your Cost: $0.04/claim|Median: $0.08
0.5× median
99211Normal range

Office/outpatient visit, minimal complexity

$203

15 claims · 0.0%

Your Cost: $13.52/claim|Median: $12.93
1.0× median
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