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Provider 1093338527

NPI: 1093338527Share
Active Billing Period:2020-09→2024-12(52 months)

Total Paid

$13.6M

$13,601,769

Total Claims

449K

Beneficiaries

364K

1.2 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2020
$623K
+271%
2021
$2.3M
+50%
2022
$3.5M
+12%
2023
$3.9M
-15%
2024
$3.3M

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

$4.4M

103K claims · 32.3%

Your Cost: $42.65/claim|Median: $53.41
0.8× median
99213Normal range

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

$2.2M

80K claims · 16.4%

Your Cost: $27.75/claim|Median: $37.81
0.7× median
99203Normal range

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

$654K

12K claims · 4.8%

Your Cost: $55.95/claim|Median: $57.85
1.0× median
99291Normal range

Critical care, first 30-74 minutes

$586K

6,275 claims · 4.3%

Your Cost: $93.41/claim|Median: $101.24
0.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$546K

17K claims · 4.0%

Your Cost: $31.83/claim|Median: $35.30
0.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$414K

6,136 claims · 3.0%

Your Cost: $67.48/claim|Median: $54.68
1.2× median
43239Normal range

Upper GI endoscopy with biopsy

$372K

4,331 claims · 2.7%

Your Cost: $85.88/claim|Median: $151.68
0.6× median
99204Normal range

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

$327K

4,658 claims · 2.4%

Your Cost: $70.23/claim|Median: $84.03
0.8× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$287K

7,722 claims · 2.1%

Your Cost: $37.19/claim|Median: $38.83
1.0× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$279K

675 claims · 2.1%

Your Cost: $413.31/claim|Median: $470.36
0.9× median
99223Normal range

Initial hospital care, per day, high complexity

$271K

3,800 claims · 2.0%

Your Cost: $71.23/claim|Median: $67.32
1.1× median
93010Normal range

Electrocardiogram, interpretation and report only

$207K

30K claims · 1.5%

Your Cost: $6.89/claim|Median: $5.60
1.2× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$207K

8,924 claims · 1.5%

Your Cost: $23.19/claim|Median: $23.99
1.0× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$187K

1,914 claims · 1.4%

Your Cost: $97.57/claim|Median: $108.91
0.9× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$184K

1,217 claims · 1.4%

Your Cost: $151.48/claim|Median: $255.17
0.6× median
90460Top 10%

Immunization administration, first vaccine/toxoid, with counseling

$161K

3,794 claims · 1.2%

Your Cost: $42.33/claim|Median: $17.85
2.4× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$159K

3,643 claims · 1.2%

Your Cost: $43.65/claim|Median: $43.85
1.0× median
90837Normal range

Psychotherapy, 60 minutes

$157K

2,671 claims · 1.2%

Your Cost: $58.88/claim|Median: $85.66
0.7× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$152K

4,615 claims · 1.1%

Your Cost: $32.97/claim|Median: $29.03
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$139K

2,359 claims · 1.0%

Your Cost: $59.02/claim|Median: $69.35
0.9× median
74177Normal range

CT abdomen and pelvis with contrast

$109K

1,457 claims · 0.8%

Your Cost: $75.03/claim|Median: $65.76
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$93K

1,305 claims · 0.7%

Your Cost: $71.60/claim|Median: $75.18
1.0× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$89K

2,814 claims · 0.7%

Your Cost: $31.47/claim|Median: $39.63
0.8× median
99395Normal range

Preventive medicine, established patient, age 18-39

$81K

1,415 claims · 0.6%

Your Cost: $57.48/claim|Median: $72.71
0.8× median
45380Normal range

Colonoscopy with biopsy

$70K

573 claims · 0.5%

Your Cost: $122.79/claim|Median: $200.68
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$68K

3,440 claims · 0.5%

Your Cost: $19.63/claim|Median: $25.06
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$62K

1,211 claims · 0.5%

Your Cost: $51.12/claim|Median: $74.09
0.7× median
90471Top 25%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$54K

3,371 claims · 0.4%

Your Cost: $15.95/claim|Median: $9.80
1.6× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$42K

1,185 claims · 0.3%

Your Cost: $35.78/claim|Median: $6.93
5.2× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$39K

563 claims · 0.3%

Your Cost: $70.12/claim|Median: $58.55
1.2× median
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