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Provider 1093819419

NPI: 1093819419Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.2M

$10,174,118

Total Claims

140K

Beneficiaries

122K

1.1 claims/patient

Avg Cost/Claim

$73

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-18%
2019
$1.2M
+8%
2020
$1.3M
+33%
2021
$1.7M
-18%
2022
$1.4M
+4%
2023
$1.4M
+21%
2024
$1.7M

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 51% of total spending.

99214Top 5%

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

$5.2M

44K claims · 51.4%

Your Cost: $119.61/claim|Median: $53.41
2.2× median
99215Top 10%

Office/outpatient visit, high complexity

$769K

4,769 claims · 7.6%

Your Cost: $161.26/claim|Median: $74.09
2.2× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$641K

25K claims · 6.3%

Your Cost: $25.30/claim|Median: $9.56
2.6× median
76942Top 25%

$625K

11K claims · 6.1%

Your Cost: $59.21/claim|Median: $24.73
2.4× median
20553Top 25%

$576K

9,180 claims · 5.7%

Your Cost: $62.76/claim|Median: $29.47
2.1× median
L1686Top 1%

$446K

372 claims · 4.4%

Your Cost: $1,198.38/claim|Median: $189.37
6.3× median
99213Top 10%

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

$308K

3,964 claims · 3.0%

Your Cost: $77.59/claim|Median: $37.81
2.1× median
L0631Top 1%

$289K

248 claims · 2.8%

Your Cost: $1,164.97/claim|Median: $412.00
2.8× median
99205Top 10%

Office/outpatient visit, new patient, high complexity

$249K

1,222 claims · 2.4%

Your Cost: $203.95/claim|Median: $111.09
1.8× median
20611Top 25%

Aspiration or injection of intermediate joint or bursa

$218K

2,349 claims · 2.1%

Your Cost: $92.68/claim|Median: $42.51
2.2× median
64445Top 10%

$124K

870 claims · 1.2%

Your Cost: $142.36/claim|Median: $39.71
3.6× median
L0174Top 5%

$118K

334 claims · 1.2%

Your Cost: $354.02/claim|Median: $119.20
3.0× median
64615Top 25%

$93K

571 claims · 0.9%

Your Cost: $163.20/claim|Median: $82.82
2.0× median
64493Normal range

$89K

484 claims · 0.9%

Your Cost: $184.85/claim|Median: $103.44
1.8× median
L0637Top 1%

$86K

62 claims · 0.8%

Your Cost: $1,382.92/claim|Median: $387.20
3.6× median
64418Normal range

$77K

852 claims · 0.8%

Your Cost: $89.80/claim|Median: $56.50
1.6× median
E0730Normal range

$44K

566 claims · 0.4%

Your Cost: $78.00/claim|Median: $52.06
1.5× median
64494Top 25%

$37K

483 claims · 0.4%

Your Cost: $77.44/claim|Median: $34.70
2.2× median
L0648Top 5%

$30K

33 claims · 0.3%

Your Cost: $914.46/claim|Median: $369.72
2.5× median
99204Top 5%

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

$22K

133 claims · 0.2%

Your Cost: $163.57/claim|Median: $84.03
1.9× median
A4595Normal range

$16K

836 claims · 0.2%

Your Cost: $19.12/claim|Median: $17.27
1.1× median
L3908Top 1%

$14K

123 claims · 0.1%

Your Cost: $116.53/claim|Median: $35.79
3.3× median
J3420Normal range

Injection, vitamin B-12 cyanocobalamin, up to one thousand mcg

$13K

13K claims · 0.1%

Your Cost: $1.02/claim|Median: $1.04
1.0× median
64450Top 25%

$13K

180 claims · 0.1%

Your Cost: $72.10/claim|Median: $33.48
2.2× median
L3809Top 1%

$10K

30 claims · 0.1%

Your Cost: $338.11/claim|Median: $115.28
2.9× median
J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

$5K

7,953 claims · 0.1%

Your Cost: $0.68/claim|Median: $0.91
0.7× median
L0120Top 1%

$4K

166 claims · 0.0%

Your Cost: $24.65/claim|Median: $12.21
2.0× median
L2795Top 1%

$4K

18 claims · 0.0%

Your Cost: $221.60/claim|Median: $41.13
5.4× median
A4556Top 25%

$3K

103 claims · 0.0%

Your Cost: $27.47/claim|Median: $1.69
16.3× median
76000Normal range

$3K

58 claims · 0.0%

Your Cost: $45.61/claim|Median: $17.70
2.6× median
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