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Provider 1104122621

NPI: 1104122621Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.9M

$15,896,142

Total Claims

61K

Beneficiaries

50K

1.2 claims/patient

Avg Cost/Claim

$259

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+39%
2019
$2.0M
+28%
2020
$2.5M
-7%
2021
$2.4M
+8%
2022
$2.6M
+3%
2023
$2.6M
-9%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (95716) accounts for 32% of total spending.

95716Normal range

$5.1M

4,983 claims · 32.0%

Your Cost: $1,020.75/claim|Median: $685.48
1.5× median
95819Top 10%

Electroencephalogram with sleep recording

$3.4M

9,356 claims · 21.1%

Your Cost: $358.56/claim|Median: $62.75
5.7× median
95951Top 1%

$2.0M

1,332 claims · 12.4%

Your Cost: $1,476.57/claim|Median: $183.28
8.1× median
99214Normal range

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

$1.4M

23K claims · 8.7%

Your Cost: $60.54/claim|Median: $53.41
1.1× median
95700Top 5%

$1.2M

2,264 claims · 7.6%

Your Cost: $534.30/claim|Median: $154.31
3.5× median
95720Top 25%

$1.0M

5,411 claims · 6.3%

Your Cost: $184.83/claim|Median: $120.95
1.5× median
99245Normal range

Office consultation, high complexity

$747K

4,226 claims · 4.7%

Your Cost: $176.70/claim|Median: $143.30
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$494K

5,832 claims · 3.1%

Your Cost: $84.74/claim|Median: $74.09
1.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$210K

2,231 claims · 1.3%

Your Cost: $94.25/claim|Median: $111.09
0.8× median
95713Top 25%

$108K

170 claims · 0.7%

Your Cost: $634.94/claim|Median: $282.79
2.2× median
95912Normal range

$90K

528 claims · 0.6%

Your Cost: $169.83/claim|Median: $141.23
1.2× median
95816Top 25%

$76K

343 claims · 0.5%

Your Cost: $220.16/claim|Median: $56.87
3.9× median
95886Top 25%

$63K

532 claims · 0.4%

Your Cost: $118.66/claim|Median: $67.70
1.8× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$49K

384 claims · 0.3%

Your Cost: $128.33/claim|Median: $121.58
1.1× median
95718Top 25%

$21K

193 claims · 0.1%

Your Cost: $110.06/claim|Median: $78.85
1.4× median
99213Normal range

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

$21K

449 claims · 0.1%

Your Cost: $46.45/claim|Median: $37.81
1.2× median
99204Normal range

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

$13K

194 claims · 0.1%

Your Cost: $67.47/claim|Median: $84.03
0.8× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$966

12 claims · 0.0%

Your Cost: $80.50/claim|Median: $233.73
0.3× median
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