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Provider 1114387800

NPI: 1114387800Share
Active Billing Period:2018-01→2023-08(68 months)
Billing appears to have stoppedLast active: 2023-08

Total Paid

$15.9M

$15,904,460

Total Claims

18K

Beneficiaries

17K

1.1 claims/patient

Avg Cost/Claim

$863

Monthly Spending Trend

Yearly Spending

2018
$674K
+170%
2019
$1.8M
+32%
2020
$2.4M
+10%
2021
$2.6M
+95%
2022
$5.1M
-37%
2023
$3.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (G9654) accounts for 58% of total spending.

G9654Normal range

$9.2M

11K claims · 57.9%

Your Cost: $844.80/claim|Median: $844.80
1.0× median
00170Top 5%

Anesthesia for intraoral procedures

$5.1M

5,880 claims · 32.3%

Your Cost: $874.31/claim|Median: $132.89
6.6× median
41899Top 25%

Unlisted procedure, dentoalveolar structures

$1.1M

787 claims · 7.0%

Your Cost: $1,409.05/claim|Median: $763.43
1.8× median
99199Top 1%

Unlisted special service, procedure, or report

$422K

404 claims · 2.7%

Your Cost: $1,044.80/claim|Median: $5.39
193.8× median
0031ATop 5%

COVID-19 vaccine admin, J&J, single dose

$15K

166 claims · 0.1%

Your Cost: $90.21/claim|Median: $32.49
2.8× median
0001ATop 5%

COVID-19 vaccine admin, Pfizer, 1st dose

$3K

38 claims · 0.0%

Your Cost: $87.18/claim|Median: $33.72
2.6× median
91303Normal range

COVID-19 vaccine (J&J/Janssen), single dose

$2

167 claims · 0.0%

Your Cost: $0.01/claim|Median: $0.01
0.9× median
91300Normal range

COVID-19 vaccine (Pfizer), first dose

$1

74 claims · 0.0%

Your Cost: $0.01/claim|Median: $0.01
0.9× median
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