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Provider 1083647754

NPI: 1083647754Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.5M

$16,540,687

Total Claims

271K

Beneficiaries

135K

2.0 claims/patient

Avg Cost/Claim

$61

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+14%
2019
$2.2M
-12%
2020
$1.9M
+26%
2021
$2.4M
+14%
2022
$2.8M
+2%
2023
$2.8M
-15%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (99233 (Subsequent hospital care, per day, high complexity)) accounts for 54% of total spending.

99233Top 25%

Subsequent hospital care, per day, high complexity

$9.0M

156K claims · 54.5%

Your Cost: $57.79/claim|Median: $35.30
1.6× median
99223Top 25%

Initial hospital care, per day, high complexity

$3.0M

26K claims · 17.8%

Your Cost: $113.04/claim|Median: $67.32
1.7× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$1.7M

27K claims · 10.2%

Your Cost: $62.75/claim|Median: $43.85
1.4× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$680K

18K claims · 4.1%

Your Cost: $37.91/claim|Median: $23.99
1.6× median
99308Top 5%

Nursing facility care, subsequent, straightforward

$679K

17K claims · 4.1%

Your Cost: $41.03/claim|Median: $9.79
4.2× median
99309Top 10%

Nursing facility care, subsequent, low complexity

$677K

16K claims · 4.1%

Your Cost: $42.74/claim|Median: $14.00
3.1× median
99220Normal range

$338K

3,802 claims · 2.0%

Your Cost: $88.89/claim|Median: $73.56
1.2× median
99310Top 10%

$185K

2,869 claims · 1.1%

Your Cost: $64.44/claim|Median: $21.82
3.0× median
99306Top 10%

$145K

1,780 claims · 0.9%

Your Cost: $81.34/claim|Median: $29.97
2.7× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$59K

1,424 claims · 0.4%

Your Cost: $41.40/claim|Median: $37.22
1.1× median
99291Normal range

Critical care, first 30-74 minutes

$53K

418 claims · 0.3%

Your Cost: $126.53/claim|Median: $101.24
1.2× median
99497Top 25%

$29K

883 claims · 0.2%

Your Cost: $32.84/claim|Median: $10.99
3.0× median
99226Normal range

$21K

418 claims · 0.1%

Your Cost: $51.41/claim|Median: $34.09
1.5× median
99217Top 25%

$19K

417 claims · 0.1%

Your Cost: $45.28/claim|Median: $31.89
1.4× median
99316Top 10%

$8K

145 claims · 0.1%

Your Cost: $58.34/claim|Median: $25.78
2.3× median
99305Top 10%

$2K

28 claims · 0.0%

Your Cost: $64.29/claim|Median: $19.28
3.3× median
99292Normal range

$1K

13 claims · 0.0%

Your Cost: $81.27/claim|Median: $57.64
1.4× median
99356Top 10%

$764

12 claims · 0.0%

Your Cost: $63.68/claim|Median: $22.76
2.8× median
99418Normal range

$505

17 claims · 0.0%

Your Cost: $29.73/claim|Median: $38.93
0.8× median
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