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Provider 1114340528

NPI: 1114340528Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.0M

$7,965,914

Total Claims

199K

Beneficiaries

108K

1.8 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$933K
+1%
2019
$945K
+11%
2020
$1.1M
+14%
2021
$1.2M
+16%
2022
$1.4M
-5%
2023
$1.3M
-14%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (95144) accounts for 22% of total spending.

95144Normal range

$1.8M

37K claims · 22.1%

Your Cost: $47.55/claim|Median: $109.74
0.4× median
99213Top 10%

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

$1.5M

18K claims · 18.6%

Your Cost: $80.86/claim|Median: $37.81
2.1× median
95004Top 5%

Percutaneous allergy skin tests, each

$1.3M

4,056 claims · 16.4%

Your Cost: $322.75/claim|Median: $134.97
2.4× median
94200Top 10%

$892K

43K claims · 11.2%

Your Cost: $20.64/claim|Median: $7.93
2.6× median
99211Top 25%

Office/outpatient visit, minimal complexity

$842K

36K claims · 10.6%

Your Cost: $23.39/claim|Median: $12.93
1.8× median
95117Top 25%

$457K

41K claims · 5.7%

Your Cost: $11.11/claim|Median: $8.34
1.3× median
99214Top 5%

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

$385K

3,176 claims · 4.8%

Your Cost: $121.31/claim|Median: $53.41
2.3× median
99243Top 10%

Office or other outpatient consultation, low complexity

$201K

1,589 claims · 2.5%

Your Cost: $126.81/claim|Median: $82.43
1.5× median
99204Top 10%

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

$187K

1,152 claims · 2.3%

Your Cost: $162.11/claim|Median: $84.03
1.9× median
94010Top 25%

$186K

6,142 claims · 2.3%

Your Cost: $30.32/claim|Median: $18.11
1.7× median
94060Top 25%

$69K

1,360 claims · 0.9%

Your Cost: $50.54/claim|Median: $25.18
2.0× median
99244Top 10%

Office or other outpatient consultation, moderate complexity

$56K

311 claims · 0.7%

Your Cost: $180.84/claim|Median: $121.58
1.5× median
95024Top 25%

$40K

364 claims · 0.5%

Your Cost: $110.99/claim|Median: $60.31
1.8× median
94664Top 25%

$38K

2,181 claims · 0.5%

Your Cost: $17.35/claim|Median: $8.88
2.0× median
99203Top 10%

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

$29K

260 claims · 0.4%

Your Cost: $112.42/claim|Median: $57.85
1.9× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$24K

1,620 claims · 0.3%

Your Cost: $15.09/claim|Median: $10.88
1.4× median
69209Normal range

$5K

408 claims · 0.1%

Your Cost: $12.80/claim|Median: $8.70
1.5× median
95044Top 10%

$4K

12 claims · 0.1%

Your Cost: $353.53/claim|Median: $209.40
1.7× median
95012Normal range

$156

15 claims · 0.0%

Your Cost: $10.40/claim|Median: $10.98
0.9× median
J7613Normal range

Albuterol inhalation solution, concentrated, per milligram

$103

954 claims · 0.0%

Your Cost: $0.11/claim|Median: $0.08
1.3× median
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