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Provider 1093263717

NPI: 1093263717Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.0M

$14,994,221

Total Claims

365K

Beneficiaries

296K

1.2 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$439K
+31%
2019
$575K
+74%
2020
$1.0M
+116%
2021
$2.2M
+21%
2022
$2.6M
+72%
2023
$4.5M
-17%
2024
$3.7M

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 32% of total spending.

99214Normal range

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

$4.8M

77K claims · 31.9%

Your Cost: $62.20/claim|Median: $53.41
1.2× median
99213Top 25%

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

$2.9M

49K claims · 19.5%

Your Cost: $59.56/claim|Median: $37.81
1.6× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$1.5M

38K claims · 9.9%

Your Cost: $39.03/claim|Median: $23.99
1.6× median
99215Normal range

Office/outpatient visit, high complexity

$734K

7,897 claims · 4.9%

Your Cost: $92.96/claim|Median: $74.09
1.3× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$425K

3,705 claims · 2.8%

Your Cost: $114.82/claim|Median: $108.91
1.1× median
99233Normal range

Subsequent hospital care, per day, high complexity

$389K

7,956 claims · 2.6%

Your Cost: $48.87/claim|Median: $35.30
1.4× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$349K

9,230 claims · 2.3%

Your Cost: $37.77/claim|Median: $54.68
0.7× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$318K

4,247 claims · 2.1%

Your Cost: $74.85/claim|Median: $51.25
1.5× median
74177Normal range

CT abdomen and pelvis with contrast

$299K

6,395 claims · 2.0%

Your Cost: $46.70/claim|Median: $65.76
0.7× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$236K

7,323 claims · 1.6%

Your Cost: $32.23/claim|Median: $58.55
0.6× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$214K

3,560 claims · 1.4%

Your Cost: $60.25/claim|Median: $43.85
1.4× median
76818Normal range

$204K

4,314 claims · 1.4%

Your Cost: $47.31/claim|Median: $68.15
0.7× median
71045Normal range

Chest X-ray, single view

$183K

43K claims · 1.2%

Your Cost: $4.28/claim|Median: $4.93
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$132K

2,130 claims · 0.9%

Your Cost: $62.16/claim|Median: $63.65
1.0× median
90837Normal range

Psychotherapy, 60 minutes

$131K

1,485 claims · 0.9%

Your Cost: $88.42/claim|Median: $85.66
1.0× median
99223Normal range

Initial hospital care, per day, high complexity

$124K

1,331 claims · 0.8%

Your Cost: $93.31/claim|Median: $67.32
1.4× median
77067Normal range

Screening mammography, bilateral, including CAD

$123K

3,525 claims · 0.8%

Your Cost: $34.80/claim|Median: $39.33
0.9× median
71275Normal range

CT angiography, chest, with contrast

$99K

1,736 claims · 0.7%

Your Cost: $56.83/claim|Median: $92.96
0.6× median
74176Normal range

CT abdomen and pelvis without contrast

$89K

2,131 claims · 0.6%

Your Cost: $41.94/claim|Median: $60.19
0.7× median
99204Normal range

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

$88K

846 claims · 0.6%

Your Cost: $103.82/claim|Median: $84.03
1.2× median
93793Normal range

$79K

17K claims · 0.5%

Your Cost: $4.72/claim|Median: $4.09
1.2× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$74K

1,110 claims · 0.5%

Your Cost: $66.63/claim|Median: $106.79
0.6× median
77063Normal range

Screening digital breast tomosynthesis, bilateral

$68K

2,813 claims · 0.5%

Your Cost: $24.34/claim|Median: $21.41
1.1× median
95813Normal range

$57K

1,258 claims · 0.4%

Your Cost: $45.67/claim|Median: $121.48
0.4× median
99203Normal range

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

$53K

706 claims · 0.4%

Your Cost: $75.42/claim|Median: $57.85
1.3× median
59025Normal range

Fetal non-stress test

$51K

2,491 claims · 0.3%

Your Cost: $20.54/claim|Median: $26.45
0.8× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$49K

651 claims · 0.3%

Your Cost: $74.69/claim|Median: $58.16
1.3× median
95720Normal range

$48K

434 claims · 0.3%

Your Cost: $111.15/claim|Median: $120.95
0.9× median
93296Normal range

Remote monitoring of cardiac device, single or dual lead

$48K

4,787 claims · 0.3%

Your Cost: $10.02/claim|Median: $10.24
1.0× median
93010Normal range

Electrocardiogram, interpretation and report only

$47K

11K claims · 0.3%

Your Cost: $4.26/claim|Median: $5.60
0.8× median
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