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Provider 1083610521

NPI: 1083610521Share
Active Billing Period:2018-012024-11(74 months)

Total Paid

$8.7M

$8,652,403

Total Claims

171K

Beneficiaries

140K

1.2 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+59%
2019
$2.5M
+1%
2020
$2.5M
-24%
2021
$1.9M
-97%
2022
$53K
-6%
2023
$49K
-53%
2024
$23K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 34% of total spending.

99213Top 25%

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

$2.9M

47K claims · 33.6%

Your Cost: $61.94/claim|Median: $37.81
1.6× median
10040Normal range

$1.2M

15K claims · 13.6%

Your Cost: $78.57/claim|Median: $70.50
1.1× median
17110Top 25%

Destruction of benign lesions, up to fourteen

$1.1M

12K claims · 12.7%

Your Cost: $89.75/claim|Median: $59.25
1.5× median
99214Top 25%

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

$869K

10K claims · 10.0%

Your Cost: $84.81/claim|Median: $53.41
1.6× median
99203Top 25%

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

$857K

9,380 claims · 9.9%

Your Cost: $91.32/claim|Median: $57.85
1.6× median
11901Top 25%

$790K

16K claims · 9.1%

Your Cost: $48.95/claim|Median: $36.91
1.3× median
11900Normal range

$645K

22K claims · 7.5%

Your Cost: $29.10/claim|Median: $31.25
0.9× median
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$85K

35K claims · 1.0%

Your Cost: $2.45/claim|Median: $2.91
0.8× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$85K

1,349 claims · 1.0%

Your Cost: $63.17/claim|Median: $40.11
1.6× median
99243Normal range

Office or other outpatient consultation, low complexity

$40K

417 claims · 0.5%

Your Cost: $95.65/claim|Median: $82.43
1.2× median
99204Top 25%

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

$37K

291 claims · 0.4%

Your Cost: $128.74/claim|Median: $84.03
1.5× median
99212Top 25%

Office/outpatient visit, low complexity

$29K

682 claims · 0.3%

Your Cost: $42.36/claim|Median: $25.06
1.7× median
17111Normal range

$8K

89 claims · 0.1%

Your Cost: $92.65/claim|Median: $80.28
1.2× median
11104Top 25%

$8K

73 claims · 0.1%

Your Cost: $111.75/claim|Median: $76.74
1.5× median
11100Top 25%

$2K

26 claims · 0.0%

Your Cost: $81.52/claim|Median: $44.58
1.8× median
36415Normal range

Collection of venous blood by venipuncture

$691

839 claims · 0.0%

Your Cost: $0.82/claim|Median: $1.57
0.5× median