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Provider 1104900455

NPI: 1104900455Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.6M

$9,585,658

Total Claims

191K

Beneficiaries

174K

1.1 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$607K
+53%
2019
$927K
+4%
2020
$960K
+24%
2021
$1.2M
+40%
2022
$1.7M
+23%
2023
$2.0M
+8%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 17% of total spending.

99214Normal range

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

$1.7M

32K claims · 17.5%

Your Cost: $52.23/claim|Median: $53.41
1.0× median
99284Normal range

Emergency dept visit, high complexity

$1.3M

21K claims · 13.1%

Your Cost: $60.52/claim|Median: $69.51
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$1.0M

14K claims · 10.7%

Your Cost: $74.63/claim|Median: $74.09
1.0× median
99213Normal range

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

$610K

17K claims · 6.4%

Your Cost: $36.92/claim|Median: $37.81
1.0× median
99223Top 25%

Initial hospital care, per day, high complexity

$544K

5,400 claims · 5.7%

Your Cost: $100.81/claim|Median: $67.32
1.5× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$453K

7,523 claims · 4.7%

Your Cost: $60.19/claim|Median: $35.30
1.7× median
99283Top 25%

Emergency dept visit, moderate complexity

$408K

6,441 claims · 4.3%

Your Cost: $63.32/claim|Median: $42.48
1.5× median
99204Normal range

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

$404K

5,475 claims · 4.2%

Your Cost: $73.83/claim|Median: $84.03
0.9× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$374K

8,844 claims · 3.9%

Your Cost: $42.28/claim|Median: $23.99
1.8× median
99464Normal range

$308K

7,127 claims · 3.2%

Your Cost: $43.15/claim|Median: $59.94
0.7× median
99291Normal range

Critical care, first 30-74 minutes

$293K

2,422 claims · 3.1%

Your Cost: $120.85/claim|Median: $101.24
1.2× median
99309Top 5%

Nursing facility care, subsequent, low complexity

$190K

3,406 claims · 2.0%

Your Cost: $55.93/claim|Median: $14.00
4.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$187K

1,927 claims · 1.9%

Your Cost: $96.98/claim|Median: $111.09
0.9× median
99203Normal range

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

$182K

3,916 claims · 1.9%

Your Cost: $46.57/claim|Median: $57.85
0.8× median
99308Top 5%

Nursing facility care, subsequent, straightforward

$182K

4,533 claims · 1.9%

Your Cost: $40.15/claim|Median: $9.79
4.1× median
99285Normal range

Emergency dept visit, high/urgent complexity

$143K

2,145 claims · 1.5%

Your Cost: $66.55/claim|Median: $85.65
0.8× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$135K

1,294 claims · 1.4%

Your Cost: $104.25/claim|Median: $108.91
1.0× median
99231Normal range

Subsequent hospital care, per day, low complexity

$112K

4,839 claims · 1.2%

Your Cost: $23.22/claim|Median: $16.77
1.4× median
99220Top 25%

$112K

1,135 claims · 1.2%

Your Cost: $98.69/claim|Median: $73.56
1.3× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$109K

1,679 claims · 1.1%

Your Cost: $64.91/claim|Median: $43.85
1.5× median
99222Normal range

Initial hospital care, per day, moderate complexity

$105K

1,461 claims · 1.1%

Your Cost: $71.60/claim|Median: $51.25
1.4× median
99282Normal range

Emergency dept visit, low complexity

$85K

1,485 claims · 0.9%

Your Cost: $56.92/claim|Median: $37.72
1.5× median
99418Normal range

$75K

1,870 claims · 0.8%

Your Cost: $40.31/claim|Median: $38.93
1.0× median
99292Top 10%

$73K

597 claims · 0.8%

Your Cost: $122.70/claim|Median: $57.64
2.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$72K

1,337 claims · 0.8%

Your Cost: $53.90/claim|Median: $75.18
0.7× median
99217Normal range

$44K

1,125 claims · 0.5%

Your Cost: $39.18/claim|Median: $31.89
1.2× median
99465Normal range

$43K

508 claims · 0.4%

Your Cost: $84.08/claim|Median: $99.16
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$41K

897 claims · 0.4%

Your Cost: $46.05/claim|Median: $69.35
0.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$38K

701 claims · 0.4%

Your Cost: $54.44/claim|Median: $74.82
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$28K

1,382 claims · 0.3%

Your Cost: $20.43/claim|Median: $25.06
0.8× median
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