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Provider 1104229392

NPI: 1104229392Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$17.2M

$17,211,640

Total Claims

246K

Beneficiaries

228K

1.1 claims/patient

Avg Cost/Claim

$70

Monthly Spending Trend

Yearly Spending

2018
$561K
+6%
2019
$595K
+1%
2020
$603K
+106%
2021
$1.2M
+188%
2022
$3.6M
+62%
2023
$5.8M
-17%
2024
$4.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 33% of total spending.

99213Top 25%

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

$5.7M

94K claims · 33.1%

Your Cost: $60.77/claim|Median: $37.81
1.6× median
99214Top 10%

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

$5.0M

50K claims · 29.1%

Your Cost: $99.64/claim|Median: $53.41
1.9× median
99203Top 25%

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

$3.0M

36K claims · 17.6%

Your Cost: $84.38/claim|Median: $57.85
1.5× median
99204Top 25%

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

$1.1M

7,977 claims · 6.4%

Your Cost: $138.00/claim|Median: $84.03
1.6× median
17110Top 25%

Destruction of benign lesions, up to fourteen

$957K

10K claims · 5.6%

Your Cost: $92.78/claim|Median: $59.25
1.6× median
11900Top 25%

$443K

9,675 claims · 2.6%

Your Cost: $45.80/claim|Median: $31.25
1.5× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$435K

7,563 claims · 2.5%

Your Cost: $57.53/claim|Median: $40.11
1.4× median
99212Normal range

Office/outpatient visit, low complexity

$215K

6,291 claims · 1.2%

Your Cost: $34.17/claim|Median: $25.06
1.4× median
11102Top 25%

$156K

2,243 claims · 0.9%

Your Cost: $69.37/claim|Median: $48.69
1.4× median
11901Normal range

$60K

1,485 claims · 0.4%

Your Cost: $40.67/claim|Median: $36.91
1.1× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$30K

513 claims · 0.2%

Your Cost: $58.71/claim|Median: $35.80
1.6× median
11100Top 25%

$25K

399 claims · 0.1%

Your Cost: $62.36/claim|Median: $44.58
1.4× median
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$19K

17K claims · 0.1%

Your Cost: $1.13/claim|Median: $2.91
0.4× median
10040Normal range

$6K

1,945 claims · 0.0%

Your Cost: $3.25/claim|Median: $70.50
0.0× median
95004Normal range

Percutaneous allergy skin tests, each

$5K

25 claims · 0.0%

Your Cost: $199.99/claim|Median: $134.97
1.5× median
88304Top 10%

$4K

81 claims · 0.0%

Your Cost: $43.66/claim|Median: $12.88
3.4× median
17000Top 25%

$4K

85 claims · 0.0%

Your Cost: $41.49/claim|Median: $21.35
1.9× median
96920Normal range

$2K

44 claims · 0.0%

Your Cost: $53.22/claim|Median: $118.58
0.4× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$2K

190 claims · 0.0%

Your Cost: $12.03/claim|Median: $9.56
1.3× median
17311Normal range

$2K

15 claims · 0.0%

Your Cost: $127.27/claim|Median: $194.01
0.7× median
17004Normal range

$1K

13 claims · 0.0%

Your Cost: $83.90/claim|Median: $65.58
1.3× median
81025Normal range

Urine pregnancy test

$612

174 claims · 0.0%

Your Cost: $3.52/claim|Median: $4.81
0.7× median
11101Top 25%

$455

13 claims · 0.0%

Your Cost: $35.00/claim|Median: $23.72
1.5× median
11300Normal range

$215

12 claims · 0.0%

Your Cost: $17.88/claim|Median: $38.09
0.5× median
99051Normal range

$0

130 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.89
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