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Provider 1093967861

NPI: 1093967861Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.4M

$12,401,740

Total Claims

216K

Beneficiaries

136K

1.6 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$945K
+62%
2019
$1.5M
+24%
2020
$1.9M
+17%
2021
$2.2M
-8%
2022
$2.0M
-3%
2023
$2.0M
-9%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99233 (Subsequent hospital care, per day, high complexity)) accounts for 26% of total spending.

99233Top 25%

Subsequent hospital care, per day, high complexity

$3.2M

57K claims · 26.0%

Your Cost: $57.09/claim|Median: $35.30
1.6× median
99223Top 25%

Initial hospital care, per day, high complexity

$2.4M

24K claims · 19.6%

Your Cost: $100.96/claim|Median: $67.32
1.5× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$2.0M

52K claims · 16.4%

Your Cost: $39.23/claim|Median: $23.99
1.6× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$1.6M

27K claims · 12.7%

Your Cost: $57.86/claim|Median: $43.85
1.3× median
99220Normal range

$939K

10K claims · 7.6%

Your Cost: $93.50/claim|Median: $73.56
1.3× median
99291Normal range

Critical care, first 30-74 minutes

$651K

5,510 claims · 5.2%

Your Cost: $118.07/claim|Median: $101.24
1.2× median
99222Normal range

Initial hospital care, per day, moderate complexity

$353K

5,105 claims · 2.8%

Your Cost: $69.10/claim|Median: $51.25
1.3× median
99217Normal range

$266K

7,508 claims · 2.1%

Your Cost: $35.42/claim|Median: $31.89
1.1× median
99219Normal range

$182K

2,643 claims · 1.5%

Your Cost: $68.85/claim|Median: $63.35
1.1× median
99309Top 10%

Nursing facility care, subsequent, low complexity

$180K

4,296 claims · 1.5%

Your Cost: $41.95/claim|Median: $14.00
3.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$108K

2,747 claims · 0.9%

Your Cost: $39.19/claim|Median: $37.22
1.1× median
99310Top 25%

$90K

1,841 claims · 0.7%

Your Cost: $48.84/claim|Median: $21.82
2.2× median
99497Top 25%

$63K

1,757 claims · 0.5%

Your Cost: $35.75/claim|Median: $10.99
3.3× median
99231Normal range

Subsequent hospital care, per day, low complexity

$59K

2,696 claims · 0.5%

Your Cost: $21.83/claim|Median: $16.77
1.3× median
99226Normal range

$48K

3,493 claims · 0.4%

Your Cost: $13.61/claim|Median: $34.09
0.4× median
99308Top 10%

Nursing facility care, subsequent, straightforward

$39K

1,228 claims · 0.3%

Your Cost: $31.51/claim|Median: $9.79
3.2× median
99306Top 25%

$36K

635 claims · 0.3%

Your Cost: $56.19/claim|Median: $29.97
1.9× median
99356Normal range

$29K

1,362 claims · 0.2%

Your Cost: $21.32/claim|Median: $22.76
0.9× median
99225Normal range

$28K

2,976 claims · 0.2%

Your Cost: $9.37/claim|Median: $20.96
0.4× median
99292Normal range

$26K

421 claims · 0.2%

Your Cost: $62.29/claim|Median: $57.64
1.1× median
99236Normal range

Observation care same day admit and discharge

$13K

113 claims · 0.1%

Your Cost: $115.73/claim|Median: $128.23
0.9× median
99221Normal range

Initial hospital care, straightforward/low

$6K

132 claims · 0.1%

Your Cost: $48.93/claim|Median: $39.96
1.2× median
99406Normal range

$5K

730 claims · 0.0%

Your Cost: $6.67/claim|Median: $6.53
1.0× median
G0317Top 25%

$3K

430 claims · 0.0%

Your Cost: $7.52/claim|Median: $3.67
2.0× median
99316Top 25%

$3K

51 claims · 0.0%

Your Cost: $50.12/claim|Median: $25.78
1.9× median
G0182Normal range

$714

36 claims · 0.0%

Your Cost: $19.82/claim|Median: $8.65
2.3× median
99213Normal range

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

$514

18 claims · 0.0%

Your Cost: $28.53/claim|Median: $37.81
0.8× median
G0180Normal range

$491

57 claims · 0.0%

Your Cost: $8.61/claim|Median: $8.31
1.0× median
G0136Normal range

$68

59 claims · 0.0%

Your Cost: $1.15/claim|Median: $6.33
0.2× median
G8427Normal range

$0

29 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
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