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Provider 1114387206

NPI: 1114387206Share
Active Billing Period:2018-012020-03(27 months)
Billing appears to have stoppedLast active: 2020-03

Total Paid

$11.6M

$11,632,297

Total Claims

50K

Beneficiaries

23K

2.2 claims/patient

Avg Cost/Claim

$234

Monthly Spending Trend

Yearly Spending

2018
$4.4M
+37%
2019
$6.0M
-80%
2020
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (99469 (Subsequent intensive care, very low birth weight infant)) accounts for 33% of total spending.

99469Top 10%

Subsequent intensive care, very low birth weight infant

$3.9M

8,668 claims · 33.3%

Your Cost: $446.93/claim|Median: $293.45
1.5× median
99472Top 10%

Subsequent pediatric critical care, per day, age 2-5

$3.4M

7,063 claims · 29.5%

Your Cost: $486.08/claim|Median: $307.98
1.6× median
99479Top 10%

Subsequent intensive care, 2,501-5,000 grams

$1.8M

12K claims · 15.3%

Your Cost: $150.47/claim|Median: $103.70
1.5× median
99480Top 10%

Subsequent intensive care, very low birth weight infant

$781K

5,335 claims · 6.7%

Your Cost: $146.44/claim|Median: $98.15
1.5× median
99460Top 5%

Initial hospital or birthing center care, newborn, per day

$559K

4,433 claims · 4.8%

Your Cost: $126.07/claim|Median: $62.48
2.0× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$444K

4,743 claims · 3.8%

Your Cost: $93.60/claim|Median: $37.22
2.5× median
99462Top 5%

$321K

6,029 claims · 2.8%

Your Cost: $53.17/claim|Median: $27.49
1.9× median
99468Top 5%

$256K

234 claims · 2.2%

Your Cost: $1,096.07/claim|Median: $679.18
1.6× median
99239Top 5%

Hospital discharge day management, more than 30 minutes

$69K

532 claims · 0.6%

Your Cost: $129.52/claim|Median: $43.85
3.0× median
99478Top 10%

$52K

342 claims · 0.4%

Your Cost: $151.88/claim|Median: $106.11
1.4× median
99223Top 5%

Initial hospital care, per day, high complexity

$42K

217 claims · 0.4%

Your Cost: $191.96/claim|Median: $67.32
2.9× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$22K

285 claims · 0.2%

Your Cost: $77.51/claim|Median: $35.30
2.2× median