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Provider 1093221434

NPI: 1093221434Share
Active Billing Period:2018-06→2024-12(79 months)

Total Paid

$11.8M

$11,819,867

Total Claims

408K

Beneficiaries

348K

1.2 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$953K
+95%
2019
$1.9M
-8%
2020
$1.7M
+12%
2021
$1.9M
-3%
2022
$1.9M
-10%
2023
$1.7M
+9%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 26% of total spending.

99214Normal range

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

$3.1M

86K claims · 26.5%

Your Cost: $36.28/claim|Median: $53.41
0.7× median
99213Normal range

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

$1.2M

47K claims · 10.2%

Your Cost: $25.72/claim|Median: $37.81
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$898K

14K claims · 7.6%

Your Cost: $63.29/claim|Median: $74.09
0.9× median
99284Normal range

Emergency dept visit, high complexity

$556K

17K claims · 4.7%

Your Cost: $33.51/claim|Median: $69.51
0.5× median
90834Normal range

Psychotherapy, 45 minutes

$380K

8,357 claims · 3.2%

Your Cost: $45.52/claim|Median: $63.65
0.7× median
99285Normal range

Emergency dept visit, high/urgent complexity

$304K

9,908 claims · 2.6%

Your Cost: $30.64/claim|Median: $85.65
0.4× median
93010Normal range

Electrocardiogram, interpretation and report only

$201K

39K claims · 1.7%

Your Cost: $5.22/claim|Median: $5.60
0.9× median
96133Normal range

$192K

1,255 claims · 1.6%

Your Cost: $152.84/claim|Median: $185.94
0.8× median
97530Normal range

Therapeutic activities, each 15 min

$181K

3,181 claims · 1.5%

Your Cost: $56.98/claim|Median: $33.11
1.7× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$169K

16K claims · 1.4%

Your Cost: $10.35/claim|Median: $23.99
0.4× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$168K

3,946 claims · 1.4%

Your Cost: $42.51/claim|Median: $69.35
0.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$163K

3,650 claims · 1.4%

Your Cost: $44.69/claim|Median: $75.18
0.6× median
90791Normal range

Psychiatric diagnostic evaluation

$157K

1,457 claims · 1.3%

Your Cost: $107.47/claim|Median: $99.21
1.1× median
74177Normal range

CT abdomen and pelvis with contrast

$150K

4,217 claims · 1.3%

Your Cost: $35.56/claim|Median: $65.76
0.5× median
92507Normal range

Speech/hearing/language treatment

$144K

4,064 claims · 1.2%

Your Cost: $35.46/claim|Median: $49.45
0.7× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$141K

4,865 claims · 1.2%

Your Cost: $28.89/claim|Median: $58.55
0.5× median
43239Top 25%

Upper GI endoscopy with biopsy

$138K

437 claims · 1.2%

Your Cost: $316.03/claim|Median: $151.68
2.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$136K

3,072 claims · 1.2%

Your Cost: $44.39/claim|Median: $74.82
0.6× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$136K

2,060 claims · 1.2%

Your Cost: $66.07/claim|Median: $121.58
0.5× median
96139Normal range

$132K

1,204 claims · 1.1%

Your Cost: $109.73/claim|Median: $97.14
1.1× median
90847Normal range

Family psychotherapy with patient, 50 min

$131K

1,604 claims · 1.1%

Your Cost: $81.47/claim|Median: $77.33
1.1× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$123K

3,873 claims · 1.0%

Your Cost: $31.87/claim|Median: $47.08
0.7× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$121K

1,469 claims · 1.0%

Your Cost: $82.35/claim|Median: $106.79
0.8× median
96132Normal range

$120K

1,302 claims · 1.0%

Your Cost: $92.01/claim|Median: $70.53
1.3× median
70450Normal range

CT head/brain without contrast

$120K

4,989 claims · 1.0%

Your Cost: $23.98/claim|Median: $45.53
0.5× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$112K

1,268 claims · 0.9%

Your Cost: $88.43/claim|Median: $108.91
0.8× median
99203Normal range

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

$101K

2,004 claims · 0.9%

Your Cost: $50.58/claim|Median: $57.85
0.9× median
99283Normal range

Emergency dept visit, moderate complexity

$93K

3,658 claims · 0.8%

Your Cost: $25.46/claim|Median: $42.48
0.6× median
99245Normal range

Office consultation, high complexity

$88K

1,234 claims · 0.7%

Your Cost: $71.23/claim|Median: $143.30
0.5× median
99212Normal range

Office/outpatient visit, low complexity

$76K

4,279 claims · 0.6%

Your Cost: $17.76/claim|Median: $25.06
0.7× median
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