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Provider 1114115706

NPI: 1114115706Share
Active Billing Period:2018-012022-06(54 months)
Billing appears to have stoppedLast active: 2022-06

Total Paid

$10.9M

$10,872,609

Total Claims

553K

Beneficiaries

300K

1.8 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+100%
2019
$2.8M
+5%
2020
$3.0M
-17%
2021
$2.5M
-52%
2022
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99309 (Nursing facility care, subsequent, low complexity)) accounts for 64% of total spending.

99309Top 25%

Nursing facility care, subsequent, low complexity

$6.9M

245K claims · 63.8%

Your Cost: $28.28/claim|Median: $14.00
2.0× median
99308Top 25%

Nursing facility care, subsequent, straightforward

$2.0M

97K claims · 18.8%

Your Cost: $21.15/claim|Median: $9.79
2.2× median
99310Top 25%

$1.5M

37K claims · 13.7%

Your Cost: $39.80/claim|Median: $21.82
1.8× median
99307Top 25%

$319K

25K claims · 2.9%

Your Cost: $12.90/claim|Median: $6.57
2.0× median
99497Normal range

$39K

2,103 claims · 0.4%

Your Cost: $18.36/claim|Median: $10.99
1.7× median
99490Normal range

Chronic care management services, 20 minutes per month

$8K

1,378 claims · 0.1%

Your Cost: $5.74/claim|Median: $6.31
0.9× median
99316Top 25%

$7K

127 claims · 0.1%

Your Cost: $51.64/claim|Median: $25.78
2.0× median
99356Normal range

$5K

406 claims · 0.1%

Your Cost: $13.47/claim|Median: $22.76
0.6× median
99306Top 25%

$5K

94 claims · 0.0%

Your Cost: $53.15/claim|Median: $29.97
1.8× median
99335Top 25%

$3K

77 claims · 0.0%

Your Cost: $41.39/claim|Median: $14.90
2.8× median
G8427Normal range

$2K

9,915 claims · 0.0%

Your Cost: $0.23/claim|Median: $0.02
11.3× median
1123FNormal range

$2K

17K claims · 0.0%

Your Cost: $0.12/claim|Median: $0.49
0.2× median
G8734Normal range

$2K

6,924 claims · 0.0%

Your Cost: $0.28/claim|Median: $0.11
2.5× median
99318Normal range

$2K

59 claims · 0.0%

Your Cost: $25.95/claim|Median: $15.64
1.7× median
99496Normal range

Transitional care management, moderate complexity face-to-face visit

$2K

79 claims · 0.0%

Your Cost: $19.22/claim|Median: $54.66
0.4× median
99334Top 10%

$1K

43 claims · 0.0%

Your Cost: $33.88/claim|Median: $9.92
3.4× median
0518FNormal range

$1K

13K claims · 0.0%

Your Cost: $0.11/claim|Median: $0.11
1.0× median
1100FNormal range

$1K

13K claims · 0.0%

Your Cost: $0.11/claim|Median: $0.41
0.3× median
3288FNormal range

$1K

11K claims · 0.0%

Your Cost: $0.13/claim|Median: $0.01
12.6× median
99491Normal range

$1K

97 claims · 0.0%

Your Cost: $12.44/claim|Median: $9.86
1.3× median
99336Normal range

$1K

50 claims · 0.0%

Your Cost: $22.30/claim|Median: $20.35
1.1× median
99498Normal range

$639

57 claims · 0.0%

Your Cost: $11.21/claim|Median: $15.46
0.7× median
99358Normal range

$119

12 claims · 0.0%

Your Cost: $9.94/claim|Median: $14.34
0.7× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$57

46 claims · 0.0%

Your Cost: $1.23/claim|Median: $36.70
0.0× median
G0438Normal range

Annual wellness visit, first visit

$55

22 claims · 0.0%

Your Cost: $2.52/claim|Median: $19.28
0.1× median
G9744Normal range

$2

34K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.09
0.0× median
G8950Normal range

$0

37 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.05
G8785Normal range

$0

446 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.19
91300Normal range

COVID-19 vaccine (Pfizer), first dose

$0

45 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
G9916Normal range

$0

151 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.42