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Provider 1083883938

NPI: 1083883938Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.4M

$10,426,697

Total Claims

465K

Beneficiaries

219K

2.1 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+32%
2019
$1.8M
-15%
2020
$1.6M
+8%
2021
$1.7M
-13%
2022
$1.5M
-3%
2023
$1.4M
-24%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (11042 (Debridement, subcutaneous tissue, first 20 sq cm)) accounts for 24% of total spending.

11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$2.5M

88K claims · 23.6%

Your Cost: $27.95/claim|Median: $36.13
0.8× median
11043Normal range

$2.3M

40K claims · 21.8%

Your Cost: $57.59/claim|Median: $62.99
0.9× median
99308Normal range

Nursing facility care, subsequent, straightforward

$2.0M

144K claims · 19.1%

Your Cost: $13.81/claim|Median: $9.79
1.4× median
99309Normal range

Nursing facility care, subsequent, low complexity

$1.3M

62K claims · 12.1%

Your Cost: $20.44/claim|Median: $14.00
1.5× median
17250Normal range

$673K

64K claims · 6.5%

Your Cost: $10.48/claim|Median: $19.69
0.5× median
11044Normal range

$534K

5,517 claims · 5.1%

Your Cost: $96.72/claim|Median: $62.94
1.5× median
29581Normal range

$241K

6,776 claims · 2.3%

Your Cost: $35.51/claim|Median: $41.19
0.9× median
99304Normal range

$234K

13K claims · 2.2%

Your Cost: $18.65/claim|Median: $13.51
1.4× median
99348Normal range

$170K

7,018 claims · 1.6%

Your Cost: $24.17/claim|Median: $17.17
1.4× median
11046Normal range

$146K

5,651 claims · 1.4%

Your Cost: $25.91/claim|Median: $28.70
0.9× median
11045Normal range

$102K

7,773 claims · 1.0%

Your Cost: $13.17/claim|Median: $27.04
0.5× median
99307Normal range

$77K

11K claims · 0.7%

Your Cost: $6.74/claim|Median: $6.57
1.0× median
99349Normal range

$42K

1,375 claims · 0.4%

Your Cost: $30.51/claim|Median: $24.29
1.3× median
11047Top 25%

$35K

441 claims · 0.3%

Your Cost: $78.36/claim|Median: $28.87
2.7× median
97597Normal range

$32K

1,426 claims · 0.3%

Your Cost: $22.57/claim|Median: $21.22
1.1× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$29K

1,185 claims · 0.3%

Your Cost: $24.19/claim|Median: $23.99
1.0× median
99305Normal range

$18K

973 claims · 0.2%

Your Cost: $18.71/claim|Median: $19.28
1.0× median
99310Normal range

$17K

686 claims · 0.2%

Your Cost: $24.96/claim|Median: $21.82
1.1× median
99347Normal range

$17K

1,589 claims · 0.2%

Your Cost: $10.73/claim|Median: $11.74
0.9× median
99213Normal range

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

$12K

342 claims · 0.1%

Your Cost: $34.72/claim|Median: $37.81
0.9× median
11056Normal range

Paring or cutting of benign hyperkeratotic lesions, two to four

$12K

928 claims · 0.1%

Your Cost: $12.44/claim|Median: $11.01
1.1× median
99221Normal range

Initial hospital care, straightforward/low

$9K

374 claims · 0.1%

Your Cost: $22.96/claim|Median: $39.96
0.6× median
43762Normal range

$8K

190 claims · 0.1%

Your Cost: $44.71/claim|Median: $99.73
0.4× median
99483Top 10%

$8K

69 claims · 0.1%

Your Cost: $113.72/claim|Median: $34.89
3.3× median
99231Normal range

Subsequent hospital care, per day, low complexity

$5K

424 claims · 0.1%

Your Cost: $12.87/claim|Median: $16.77
0.8× median
17000Normal range

$3K

128 claims · 0.0%

Your Cost: $20.27/claim|Median: $21.35
0.9× median
97598Normal range

$2K

31 claims · 0.0%

Your Cost: $74.19/claim|Median: $35.30
2.1× median
G0406Normal range

$2K

199 claims · 0.0%

Your Cost: $9.55/claim|Median: $6.02
1.6× median
49450Normal range

$2K

21 claims · 0.0%

Your Cost: $88.24/claim|Median: $270.07
0.3× median
99233Normal range

Subsequent hospital care, per day, high complexity

$2K

58 claims · 0.0%

Your Cost: $31.93/claim|Median: $35.30
0.9× median
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