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Provider 1083623409

NPI: 1083623409Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.1M

$18,058,553

Total Claims

567K

Beneficiaries

376K

1.5 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+33%
2019
$1.5M
+64%
2020
$2.5M
+43%
2021
$3.6M
+6%
2022
$3.8M
-18%
2023
$3.1M
-21%
2024
$2.4M

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 17% of total spending.

99213Normal range

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

$3.1M

81K claims · 17.3%

Your Cost: $38.64/claim|Median: $37.81
1.0× median
99212Top 10%

Office/outpatient visit, low complexity

$2.7M

38K claims · 14.8%

Your Cost: $70.48/claim|Median: $25.06
2.8× median
99203Top 25%

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

$1.3M

14K claims · 7.0%

Your Cost: $89.98/claim|Median: $57.85
1.6× median
97110Normal range

Therapeutic exercises, each 15 min

$1.2M

54K claims · 6.9%

Your Cost: $23.23/claim|Median: $24.49
0.9× median
92012Top 25%

Ophthalmological exam, intermediate, established patient

$924K

14K claims · 5.1%

Your Cost: $64.02/claim|Median: $38.23
1.7× median
D9999Normal range

Unspecified adjunctive procedure, by report

$720K

6,948 claims · 4.0%

Your Cost: $103.67/claim|Median: $37.60
2.8× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$640K

9,331 claims · 3.5%

Your Cost: $68.54/claim|Median: $47.08
1.5× median
99401Top 10%

$595K

18K claims · 3.3%

Your Cost: $33.85/claim|Median: $16.53
2.0× median
76856Top 1%

Ultrasound, pelvic, complete

$546K

1,136 claims · 3.0%

Your Cost: $480.87/claim|Median: $47.58
10.1× median
99000Top 5%

$469K

22K claims · 2.6%

Your Cost: $21.82/claim|Median: $2.30
9.5× median
93976Top 5%

$416K

1,383 claims · 2.3%

Your Cost: $300.51/claim|Median: $42.06
7.1× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$349K

3,252 claims · 1.9%

Your Cost: $107.41/claim|Median: $40.11
2.7× median
92004Top 25%

Ophthalmological exam, comprehensive, new patient

$324K

3,388 claims · 1.8%

Your Cost: $95.50/claim|Median: $59.72
1.6× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$273K

1,042 claims · 1.5%

Your Cost: $262.11/claim|Median: $54.68
4.8× median
97032Normal range

Electrical stimulation, manual

$224K

18K claims · 1.2%

Your Cost: $12.28/claim|Median: $9.42
1.3× median
99214Normal range

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

$224K

8,486 claims · 1.2%

Your Cost: $26.35/claim|Median: $53.41
0.5× median
92552Top 5%

Pure tone audiometry, air only, each ear

$221K

4,104 claims · 1.2%

Your Cost: $53.79/claim|Median: $12.63
4.3× median
97035Normal range

Ultrasound therapy

$216K

19K claims · 1.2%

Your Cost: $11.20/claim|Median: $7.31
1.5× median
97124Normal range

$213K

12K claims · 1.2%

Your Cost: $17.66/claim|Median: $17.78
1.0× median
G0442Top 1%

$198K

5,386 claims · 1.1%

Your Cost: $36.72/claim|Median: $4.91
7.5× median
G0444Top 5%

Annual depression screening, fifteen minutes

$189K

5,744 claims · 1.0%

Your Cost: $32.90/claim|Median: $4.23
7.8× median
93880Top 1%

Duplex ultrasound scan of carotid arteries, bilateral

$173K

440 claims · 1.0%

Your Cost: $393.96/claim|Median: $49.03
8.0× median
D0999Normal range

Unspecified diagnostic procedure, by report

$169K

1,674 claims · 0.9%

Your Cost: $100.97/claim|Median: $101.33
1.0× median
99051Top 25%

$153K

7,457 claims · 0.8%

Your Cost: $20.57/claim|Median: $7.89
2.6× median
97162Normal range

PT evaluation, moderate complexity

$144K

2,729 claims · 0.8%

Your Cost: $52.79/claim|Median: $46.10
1.1× median
92133Top 1%

$139K

2,211 claims · 0.8%

Your Cost: $62.97/claim|Median: $19.09
3.3× median
92250Top 5%

Fundus photography with interpretation and report

$136K

2,181 claims · 0.8%

Your Cost: $62.40/claim|Median: $27.95
2.2× median
92083Top 5%

Visual field exam, extended testing, bilateral

$126K

1,865 claims · 0.7%

Your Cost: $67.80/claim|Median: $29.82
2.3× median
D0120Normal range

Periodic oral evaluation, established patient

$105K

5,350 claims · 0.6%

Your Cost: $19.70/claim|Median: $24.34
0.8× median
92015Top 10%

Determination of refractive state

$104K

4,726 claims · 0.6%

Your Cost: $22.07/claim|Median: $10.36
2.1× median
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