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Provider 1083971881

NPI: 1083971881Share
Active Billing Period:2018-01→2024-11(69 months)

Total Paid

$8.0M

$8,038,702

Total Claims

129K

Beneficiaries

94K

1.4 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$0
2019
$361K
+13%
2020
$410K
+28%
2021
$526K
+272%
2022
$2.0M
+58%
2023
$3.1M
-45%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G9008 (Coordination of long-term care services, per month)) accounts for 42% of total spending.

G9008Normal range

Coordination of long-term care services, per month

$3.4M

44K claims · 42.0%

Your Cost: $76.30/claim|Median: $66.78
1.1× median
G9012Normal range

Other specified case management service, per 15 minutes

$1.9M

16K claims · 23.3%

Your Cost: $117.87/claim|Median: $137.85
0.9× median
99214Normal range

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

$1.1M

22K claims · 13.1%

Your Cost: $47.10/claim|Median: $53.41
0.9× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$559K

17K claims · 7.0%

Your Cost: $33.89/claim|Median: $23.99
1.4× median
99223Normal range

Initial hospital care, per day, high complexity

$216K

2,643 claims · 2.7%

Your Cost: $81.56/claim|Median: $67.32
1.2× median
99213Normal range

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

$171K

5,006 claims · 2.1%

Your Cost: $34.17/claim|Median: $37.81
0.9× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$97K

970 claims · 1.2%

Your Cost: $99.92/claim|Median: $111.09
0.9× median
99204Normal range

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

$82K

812 claims · 1.0%

Your Cost: $100.63/claim|Median: $84.03
1.2× median
99222Normal range

Initial hospital care, per day, moderate complexity

$76K

1,157 claims · 0.9%

Your Cost: $65.72/claim|Median: $51.25
1.3× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$74K

2,009 claims · 0.9%

Your Cost: $36.85/claim|Median: $43.85
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$48K

409 claims · 0.6%

Your Cost: $117.09/claim|Median: $54.68
2.1× median
99233Normal range

Subsequent hospital care, per day, high complexity

$45K

1,190 claims · 0.6%

Your Cost: $37.80/claim|Median: $35.30
1.1× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$31K

1,366 claims · 0.4%

Your Cost: $22.87/claim|Median: $37.22
0.6× median
99253Normal range

$31K

433 claims · 0.4%

Your Cost: $70.67/claim|Median: $55.16
1.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$28K

508 claims · 0.3%

Your Cost: $55.04/claim|Median: $74.82
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$26K

298 claims · 0.3%

Your Cost: $87.11/claim|Median: $74.09
1.2× median
99254Normal range

$24K

262 claims · 0.3%

Your Cost: $91.28/claim|Median: $81.43
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$24K

493 claims · 0.3%

Your Cost: $47.99/claim|Median: $75.18
0.6× median
99396Top 10%

Preventive medicine, established patient, age 40-64

$22K

177 claims · 0.3%

Your Cost: $123.12/claim|Median: $76.06
1.6× median
99203Normal range

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

$15K

203 claims · 0.2%

Your Cost: $74.06/claim|Median: $57.85
1.3× median
95249Top 10%

$12K

219 claims · 0.1%

Your Cost: $52.68/claim|Median: $19.95
2.6× median
90686Top 5%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$10K

340 claims · 0.1%

Your Cost: $29.93/claim|Median: $7.18
4.2× median
95251Top 5%

$10K

253 claims · 0.1%

Your Cost: $38.31/claim|Median: $18.02
2.1× median
47562Normal range

$9K

26 claims · 0.1%

Your Cost: $362.14/claim|Median: $731.87
0.5× median
99243Normal range

Office or other outpatient consultation, low complexity

$9K

129 claims · 0.1%

Your Cost: $67.87/claim|Median: $82.43
0.8× median
90746Top 5%

Hepatitis B vaccine, adult

$8K

94 claims · 0.1%

Your Cost: $86.29/claim|Median: $48.85
1.8× median
90740Top 5%

$8K

43 claims · 0.1%

Your Cost: $183.72/claim|Median: $27.45
6.7× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$8K

96 claims · 0.1%

Your Cost: $80.87/claim|Median: $121.58
0.7× median
92551Top 10%

Screening audiometry, pure tone, air only

$8K

575 claims · 0.1%

Your Cost: $13.43/claim|Median: $6.61
2.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$6K

137 claims · 0.1%

Your Cost: $44.06/claim|Median: $69.35
0.6× median
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