Provider 1104204965
NPI: 1104204965Share
Active Billing Period:2019-01→2024-08(43 months)
Total Paid
$9.3M
$9,263,406
Total Claims
75K
Beneficiaries
5,886
12.7 claims/patient
Avg Cost/Claim
$124
Monthly Spending Trend
Yearly Spending
2019
$22K
+5495%
2020
$1.2M
+375%
2021
$5.9M
-71%
2022
$1.7M
-83%
2023
$288K
-45%
2024
$160K
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 7 distinct procedure codes. The top code (1021Z) accounts for 30% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
1021ZNormal range
$2.8M
22K claims · 30.3%
Your Cost: $128.56/claim|Median: $137.60
0.9× median5140ZNormal range
$2.8M
18K claims · 29.9%
Your Cost: $155.61/claim|Median: $555.49
0.3× median1023ZNormal range
$1.6M
6,051 claims · 16.9%
Your Cost: $258.35/claim|Median: $247.69
1.0× median5140YNormal range
$839K
7,568 claims · 9.1%
Your Cost: $110.92/claim|Median: $401.97
0.3× median5140XNormal range
$606K
5,677 claims · 6.5%
Your Cost: $106.68/claim|Median: $336.08
0.3× median1210ZNormal range
$454K
8,094 claims · 4.9%
Your Cost: $56.05/claim|Median: $59.01
0.9× median1214ZNormal range
$220K
7,938 claims · 2.4%
Your Cost: $27.68/claim|Median: $35.37
0.8× median