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Provider 1104018423

NPI: 1104018423Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.8M

$17,810,638

Total Claims

556K

Beneficiaries

261K

2.1 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-12%
2019
$1.3M
+9%
2020
$1.4M
+70%
2021
$2.3M
+46%
2022
$3.4M
+15%
2023
$3.9M
+7%
2024
$4.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (11043) accounts for 25% of total spending.

11043Normal range

$4.4M

79K claims · 24.7%

Your Cost: $55.84/claim|Median: $62.99
0.9× median
99309Normal range

Nursing facility care, subsequent, low complexity

$2.9M

139K claims · 16.2%

Your Cost: $20.82/claim|Median: $14.00
1.5× median
99310Normal range

$2.9M

90K claims · 16.2%

Your Cost: $31.98/claim|Median: $21.82
1.5× median
11044Normal range

$2.4M

35K claims · 13.7%

Your Cost: $69.18/claim|Median: $62.94
1.1× median
99308Normal range

Nursing facility care, subsequent, straightforward

$1.5M

97K claims · 8.6%

Your Cost: $15.78/claim|Median: $9.79
1.6× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$762K

30K claims · 4.3%

Your Cost: $25.49/claim|Median: $36.13
0.7× median
11047Normal range

$697K

9,100 claims · 3.9%

Your Cost: $76.60/claim|Median: $28.87
2.7× median
49450Normal range

$674K

3,343 claims · 3.8%

Your Cost: $201.76/claim|Median: $270.07
0.7× median
11046Normal range

$398K

8,957 claims · 2.2%

Your Cost: $44.47/claim|Median: $28.70
1.5× median
99306Normal range

$352K

7,082 claims · 2.0%

Your Cost: $49.69/claim|Median: $29.97
1.7× median
17250Normal range

$266K

27K claims · 1.5%

Your Cost: $9.69/claim|Median: $19.69
0.5× median
99305Top 25%

$164K

4,338 claims · 0.9%

Your Cost: $37.69/claim|Median: $19.28
2.0× median
99307Normal range

$162K

21K claims · 0.9%

Your Cost: $7.61/claim|Median: $6.57
1.2× median
90791Normal range

Psychiatric diagnostic evaluation

$95K

1,144 claims · 0.5%

Your Cost: $82.87/claim|Median: $99.21
0.8× median
11045Normal range

$30K

950 claims · 0.2%

Your Cost: $31.32/claim|Median: $27.04
1.2× median
99348Normal range

$25K

1,072 claims · 0.1%

Your Cost: $23.50/claim|Median: $17.17
1.4× median
99304Normal range

$24K

965 claims · 0.1%

Your Cost: $24.74/claim|Median: $13.51
1.8× median
11055Top 25%

$14K

583 claims · 0.1%

Your Cost: $23.46/claim|Median: $7.46
3.1× median
A6197Normal range

$10K

82 claims · 0.1%

Your Cost: $127.73/claim|Median: $156.22
0.8× median
99350Normal range

$4K

107 claims · 0.0%

Your Cost: $35.40/claim|Median: $35.62
1.0× median
A6010Normal range

$3K

13 claims · 0.0%

Your Cost: $220.34/claim|Median: $131.56
1.7× median
99326Normal range

$2K

59 claims · 0.0%

Your Cost: $40.61/claim|Median: $25.03
1.6× median
11721Top 25%

$2K

159 claims · 0.0%

Your Cost: $14.82/claim|Median: $8.56
1.7× median
A6210Normal range

$2K

15 claims · 0.0%

Your Cost: $123.51/claim|Median: $163.78
0.8× median
99325Normal range

$714

29 claims · 0.0%

Your Cost: $24.62/claim|Median: $13.55
1.8× median
99336Normal range

$644

28 claims · 0.0%

Your Cost: $23.00/claim|Median: $20.35
1.1× median
43760Normal range

$575

605 claims · 0.0%

Your Cost: $0.95/claim|Median: $83.77
0.0× median
A6220Normal range

$467

32 claims · 0.0%

Your Cost: $14.58/claim|Median: $23.63
0.6× median
51705Normal range

$59

18 claims · 0.0%

Your Cost: $3.27/claim|Median: $32.41
0.1× median
G0127Normal range

Trimming of dystrophic nails, any number

$17

14 claims · 0.0%

Your Cost: $1.23/claim|Median: $2.87
0.4× median
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