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Provider 1093917643

NPI: 1093917643Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.4M

$15,365,578

Total Claims

380K

Beneficiaries

281K

1.4 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-47%
2019
$732K
+76%
2020
$1.3M
+59%
2021
$2.1M
+54%
2022
$3.2M
+13%
2023
$3.6M
-10%
2024
$3.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 15% of total spending.

99284Normal range

Emergency dept visit, high complexity

$2.3M

31K claims · 15.3%

Your Cost: $75.90/claim|Median: $69.51
1.1× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$2.1M

53K claims · 13.6%

Your Cost: $39.73/claim|Median: $23.99
1.7× median
99283Normal range

Emergency dept visit, moderate complexity

$1.2M

26K claims · 7.8%

Your Cost: $45.87/claim|Median: $42.48
1.1× median
99214Normal range

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

$1.2M

21K claims · 7.7%

Your Cost: $55.59/claim|Median: $53.41
1.0× median
99213Normal range

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

$1.0M

22K claims · 6.7%

Your Cost: $45.90/claim|Median: $37.81
1.2× median
99285Normal range

Emergency dept visit, high/urgent complexity

$867K

8,345 claims · 5.6%

Your Cost: $103.84/claim|Median: $85.65
1.2× median
99223Top 25%

Initial hospital care, per day, high complexity

$841K

7,920 claims · 5.5%

Your Cost: $106.24/claim|Median: $67.32
1.6× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$595K

24K claims · 3.9%

Your Cost: $24.59/claim|Median: $16.77
1.5× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$518K

8,549 claims · 3.4%

Your Cost: $60.57/claim|Median: $43.85
1.4× median
99204Normal range

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

$418K

4,525 claims · 2.7%

Your Cost: $92.35/claim|Median: $84.03
1.1× median
99221Normal range

Initial hospital care, straightforward/low

$389K

7,124 claims · 2.5%

Your Cost: $54.67/claim|Median: $39.96
1.4× median
99222Normal range

Initial hospital care, per day, moderate complexity

$382K

5,334 claims · 2.5%

Your Cost: $71.65/claim|Median: $51.25
1.4× median
99203Normal range

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

$325K

5,245 claims · 2.1%

Your Cost: $61.89/claim|Median: $57.85
1.1× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$299K

5,499 claims · 1.9%

Your Cost: $54.44/claim|Median: $35.30
1.5× median
31231Normal range

Nasal endoscopy, diagnostic

$288K

2,883 claims · 1.9%

Your Cost: $99.75/claim|Median: $98.77
1.0× median
95165Normal range

Professional services for allergen immunotherapy, per injection

$220K

1,619 claims · 1.4%

Your Cost: $135.92/claim|Median: $144.04
0.9× median
88305Normal range

Surgical pathology, gross and microscopic examination

$190K

7,139 claims · 1.2%

Your Cost: $26.65/claim|Median: $35.80
0.7× median
99291Top 25%

Critical care, first 30-74 minutes

$180K

1,287 claims · 1.2%

Your Cost: $139.87/claim|Median: $101.24
1.4× median
31575Normal range

$125K

1,997 claims · 0.8%

Your Cost: $62.71/claim|Median: $68.78
0.9× median
74176Normal range

CT abdomen and pelvis without contrast

$113K

2,242 claims · 0.7%

Your Cost: $50.41/claim|Median: $60.19
0.8× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$108K

2,280 claims · 0.7%

Your Cost: $47.52/claim|Median: $37.22
1.3× median
70450Normal range

CT head/brain without contrast

$81K

3,846 claims · 0.5%

Your Cost: $21.14/claim|Median: $45.53
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$76K

932 claims · 0.5%

Your Cost: $81.77/claim|Median: $74.09
1.1× median
74177Normal range

CT abdomen and pelvis with contrast

$74K

1,442 claims · 0.5%

Your Cost: $51.29/claim|Median: $65.76
0.8× median
71045Normal range

Chest X-ray, single view

$71K

17K claims · 0.5%

Your Cost: $4.16/claim|Median: $4.93
0.8× median
77067Normal range

Screening mammography, bilateral, including CAD

$69K

3,169 claims · 0.4%

Your Cost: $21.62/claim|Median: $39.33
0.5× median
99282Normal range

Emergency dept visit, low complexity

$66K

2,419 claims · 0.4%

Your Cost: $27.27/claim|Median: $37.72
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$64K

2,022 claims · 0.4%

Your Cost: $31.65/claim|Median: $25.06
1.3× median
93010Normal range

Electrocardiogram, interpretation and report only

$63K

14K claims · 0.4%

Your Cost: $4.43/claim|Median: $5.60
0.8× median
71046Normal range

Chest X-ray, 2 views

$54K

9,488 claims · 0.4%

Your Cost: $5.68/claim|Median: $8.92
0.6× median
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