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Provider 1114282605

NPI: 1114282605Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.4M

$9,446,557

Total Claims

480K

Beneficiaries

394K

1.2 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2018
$1.9M
-9%
2019
$1.8M
-20%
2020
$1.4M
+28%
2021
$1.8M
-54%
2022
$841K
+5%
2023
$879K
-15%
2024
$748K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 29% of total spending.

99213Normal range

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

$2.7M

94K claims · 28.9%

Your Cost: $29.09/claim|Median: $37.81
0.8× median
99214Normal range

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

$2.3M

62K claims · 23.9%

Your Cost: $36.44/claim|Median: $53.41
0.7× median
99204Normal range

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

$598K

9,258 claims · 6.3%

Your Cost: $64.64/claim|Median: $84.03
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$340K

4,614 claims · 3.6%

Your Cost: $73.74/claim|Median: $75.18
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$333K

5,160 claims · 3.5%

Your Cost: $64.50/claim|Median: $69.35
0.9× median
43239Normal range

Upper GI endoscopy with biopsy

$311K

4,081 claims · 3.3%

Your Cost: $76.23/claim|Median: $151.68
0.5× median
99203Normal range

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

$258K

5,174 claims · 2.7%

Your Cost: $49.90/claim|Median: $57.85
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$227K

19K claims · 2.4%

Your Cost: $11.87/claim|Median: $11.48
1.0× median
87804Normal range

Influenza virus detection, rapid test

$220K

16K claims · 2.3%

Your Cost: $13.35/claim|Median: $12.59
1.1× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$179K

13K claims · 1.9%

Your Cost: $13.47/claim|Median: $9.80
1.4× median
45380Normal range

Colonoscopy with biopsy

$176K

1,526 claims · 1.9%

Your Cost: $115.29/claim|Median: $200.68
0.6× median
95886Normal range

$144K

2,164 claims · 1.5%

Your Cost: $66.60/claim|Median: $67.70
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$141K

1,908 claims · 1.5%

Your Cost: $74.11/claim|Median: $74.82
1.0× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$140K

333 claims · 1.5%

Your Cost: $421.34/claim|Median: $470.36
0.9× median
90472Normal range

Immunization administration, each additional vaccine

$118K

7,767 claims · 1.2%

Your Cost: $15.20/claim|Median: $11.79
1.3× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$102K

574 claims · 1.1%

Your Cost: $177.78/claim|Median: $255.17
0.7× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$90K

779 claims · 1.0%

Your Cost: $115.38/claim|Median: $121.58
0.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$69K

1,985 claims · 0.7%

Your Cost: $34.97/claim|Median: $54.68
0.6× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$61K

2,812 claims · 0.7%

Your Cost: $21.86/claim|Median: $36.13
0.6× median
80305Normal range

$61K

11K claims · 0.6%

Your Cost: $5.37/claim|Median: $7.44
0.7× median
95911Normal range

$59K

488 claims · 0.6%

Your Cost: $121.41/claim|Median: $122.86
1.0× median
95912Normal range

$49K

335 claims · 0.5%

Your Cost: $146.33/claim|Median: $141.23
1.0× median
99233Normal range

Subsequent hospital care, per day, high complexity

$44K

2,170 claims · 0.5%

Your Cost: $20.40/claim|Median: $35.30
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$42K

2,392 claims · 0.4%

Your Cost: $17.38/claim|Median: $25.06
0.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$37K

438 claims · 0.4%

Your Cost: $83.44/claim|Median: $80.15
1.0× median
87428Top 5%

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$36K

507 claims · 0.4%

Your Cost: $70.55/claim|Median: $39.63
1.8× median
11721Normal range

$34K

4,273 claims · 0.4%

Your Cost: $8.01/claim|Median: $8.56
0.9× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$33K

1,387 claims · 0.3%

Your Cost: $23.71/claim|Median: $43.85
0.5× median
94060Normal range

$32K

2,696 claims · 0.3%

Your Cost: $11.98/claim|Median: $25.18
0.5× median
99441Normal range

Telephone E/M by physician, 5-10 min

$32K

1,486 claims · 0.3%

Your Cost: $21.37/claim|Median: $13.30
1.6× median
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