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Provider 1093285462

NPI: 1093285462Share
Active Billing Period:2019-02→2024-12(71 months)

Total Paid

$16.8M

$16,840,448

Total Claims

221K

Beneficiaries

84K

2.6 claims/patient

Avg Cost/Claim

$76

Monthly Spending Trend

Yearly Spending

2019
$451K
+212%
2020
$1.4M
+133%
2021
$3.3M
+11%
2022
$3.6M
+17%
2023
$4.3M
-11%
2024
$3.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99309 (Nursing facility care, subsequent, low complexity)) accounts for 38% of total spending.

99309Top 5%

Nursing facility care, subsequent, low complexity

$6.4M

88K claims · 38.2%

Your Cost: $73.15/claim|Median: $14.00
5.2× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$3.0M

38K claims · 17.7%

Your Cost: $79.35/claim|Median: $35.30
2.2× median
99223Top 10%

Initial hospital care, per day, high complexity

$2.4M

16K claims · 14.2%

Your Cost: $153.20/claim|Median: $67.32
2.3× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$1.4M

17K claims · 8.3%

Your Cost: $80.32/claim|Median: $43.85
1.8× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$1.0M

20K claims · 6.1%

Your Cost: $50.50/claim|Median: $23.99
2.1× median
99308Top 5%

Nursing facility care, subsequent, straightforward

$994K

19K claims · 5.9%

Your Cost: $53.32/claim|Median: $9.79
5.4× median
99220Top 25%

$481K

4,044 claims · 2.9%

Your Cost: $118.83/claim|Median: $73.56
1.6× median
99306Top 5%

$439K

3,166 claims · 2.6%

Your Cost: $138.66/claim|Median: $29.97
4.6× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$125K

1,238 claims · 0.7%

Your Cost: $100.90/claim|Median: $51.25
2.0× median
99217Top 25%

$123K

2,331 claims · 0.7%

Your Cost: $52.60/claim|Median: $31.89
1.6× median
99316Top 5%

$115K

1,359 claims · 0.7%

Your Cost: $84.85/claim|Median: $25.78
3.3× median
99236Top 25%

Observation care same day admit and discharge

$87K

546 claims · 0.5%

Your Cost: $159.22/claim|Median: $128.23
1.2× median
99226Top 5%

$86K

977 claims · 0.5%

Your Cost: $88.46/claim|Median: $34.09
2.6× median
99213Normal range

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

$35K

818 claims · 0.2%

Your Cost: $42.26/claim|Median: $37.81
1.1× median
99310Top 5%

$31K

359 claims · 0.2%

Your Cost: $86.33/claim|Median: $21.82
4.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$28K

683 claims · 0.2%

Your Cost: $41.67/claim|Median: $37.22
1.1× median
99214Normal range

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

$27K

466 claims · 0.2%

Your Cost: $58.20/claim|Median: $53.41
1.1× median
99407Normal range

$21K

2,150 claims · 0.1%

Your Cost: $9.92/claim|Median: $13.29
0.7× median
99496Top 25%

Transitional care management, moderate complexity face-to-face visit

$5K

39 claims · 0.0%

Your Cost: $120.55/claim|Median: $54.66
2.2× median
99204Normal range

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

$2K

28 claims · 0.0%

Your Cost: $71.03/claim|Median: $84.03
0.8× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$2K

40 claims · 0.0%

Your Cost: $45.55/claim|Median: $111.09
0.4× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$2K

42 claims · 0.0%

Your Cost: $43.34/claim|Median: $76.22
0.6× median
99203Normal range

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

$2K

52 claims · 0.0%

Your Cost: $32.48/claim|Median: $57.85
0.6× median
99219Top 25%

$1K

13 claims · 0.0%

Your Cost: $100.47/claim|Median: $63.35
1.6× median
99315Top 5%

$1K

15 claims · 0.0%

Your Cost: $67.58/claim|Median: $14.17
4.8× median
99497Normal range

$788

1,123 claims · 0.0%

Your Cost: $0.70/claim|Median: $10.99
0.1× median
99356Normal range

$735

25 claims · 0.0%

Your Cost: $29.41/claim|Median: $22.76
1.3× median
99443Normal range

Telephone E/M by physician, 21-30 min

$291

14 claims · 0.0%

Your Cost: $20.78/claim|Median: $32.55
0.6× median
99406Normal range

$247

69 claims · 0.0%

Your Cost: $3.58/claim|Median: $6.53
0.5× median
G0316Normal range

$172

23 claims · 0.0%

Your Cost: $7.48/claim|Median: $9.70
0.8× median
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