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Provider 1124032461

NPI: 1124032461Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$8.0M

$8,021,342

Total Claims

178K

Beneficiaries

107K

1.7 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$898K
-21%
2019
$713K
+32%
2020
$938K
+25%
2021
$1.2M
-3%
2022
$1.1M
+46%
2023
$1.7M
-10%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99291 (Critical care, first 30-74 minutes)) accounts for 24% of total spending.

99291Normal range

Critical care, first 30-74 minutes

$1.9M

21K claims · 24.2%

Your Cost: $94.68/claim|Median: $101.24
0.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$1.9M

51K claims · 23.2%

Your Cost: $36.48/claim|Median: $35.30
1.0× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.5M

48K claims · 19.3%

Your Cost: $31.91/claim|Median: $23.99
1.3× median
99223Normal range

Initial hospital care, per day, high complexity

$674K

10K claims · 8.4%

Your Cost: $66.78/claim|Median: $67.32
1.0× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$463K

11K claims · 5.8%

Your Cost: $42.58/claim|Median: $43.85
1.0× median
99222Normal range

Initial hospital care, per day, moderate complexity

$281K

4,512 claims · 3.5%

Your Cost: $62.21/claim|Median: $51.25
1.2× median
99451Top 25%

$216K

6,255 claims · 2.7%

Your Cost: $34.50/claim|Median: $20.05
1.7× median
49083Normal range

$191K

2,464 claims · 2.4%

Your Cost: $77.70/claim|Median: $78.44
1.0× median
99213Normal range

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

$153K

4,001 claims · 1.9%

Your Cost: $38.19/claim|Median: $37.81
1.0× median
76705Normal range

Ultrasound, abdominal, limited

$151K

3,111 claims · 1.9%

Your Cost: $48.64/claim|Median: $23.81
2.0× median
99214Normal range

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

$134K

3,792 claims · 1.7%

Your Cost: $35.23/claim|Median: $53.41
0.7× median
99221Normal range

Initial hospital care, straightforward/low

$84K

2,736 claims · 1.0%

Your Cost: $30.58/claim|Median: $39.96
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$79K

1,542 claims · 1.0%

Your Cost: $51.24/claim|Median: $74.09
0.7× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$64K

2,069 claims · 0.8%

Your Cost: $30.89/claim|Median: $37.22
0.8× median
99231Normal range

Subsequent hospital care, per day, low complexity

$56K

2,324 claims · 0.7%

Your Cost: $24.08/claim|Median: $16.77
1.4× median
94016Top 25%

$48K

2,463 claims · 0.6%

Your Cost: $19.53/claim|Median: $13.31
1.5× median
99497Top 10%

$32K

615 claims · 0.4%

Your Cost: $52.36/claim|Median: $10.99
4.8× median
99254Normal range

$13K

244 claims · 0.2%

Your Cost: $53.84/claim|Median: $81.43
0.7× median
99203Normal range

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

$11K

209 claims · 0.1%

Your Cost: $52.04/claim|Median: $57.85
0.9× median
99292Normal range

$5K

123 claims · 0.1%

Your Cost: $41.13/claim|Median: $57.64
0.7× median
99204Normal range

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

$4K

63 claims · 0.1%

Your Cost: $63.73/claim|Median: $84.03
0.8× median
99252Normal range

$3K

109 claims · 0.0%

Your Cost: $26.49/claim|Median: $38.63
0.7× median
94618Normal range

$3K

199 claims · 0.0%

Your Cost: $12.95/claim|Median: $14.59
0.9× median
99253Normal range

$2K

59 claims · 0.0%

Your Cost: $39.53/claim|Median: $55.16
0.7× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$1K

12 claims · 0.0%

Your Cost: $92.49/claim|Median: $111.09
0.8× median
99283Normal range

Emergency dept visit, moderate complexity

$563

13 claims · 0.0%

Your Cost: $43.29/claim|Median: $42.48
1.0× median
99251Normal range

$335

13 claims · 0.0%

Your Cost: $25.75/claim|Median: $28.38
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$270

13 claims · 0.0%

Your Cost: $20.76/claim|Median: $25.06
0.8× median
99406Top 25%

$232

24 claims · 0.0%

Your Cost: $9.66/claim|Median: $6.53
1.5× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$1

78 claims · 0.0%

Your Cost: $0.01/claim|Median: $5.50
0.0× median
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