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Provider 1124248844

NPI: 1124248844Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$11.7M

$11,705,062

Total Claims

64K

Beneficiaries

63K

1.0 claims/patient

Avg Cost/Claim

$182

Monthly Spending Trend

Yearly Spending

2018
$833K
+65%
2019
$1.4M
+2%
2020
$1.4M
+31%
2021
$1.8M
+2%
2022
$1.9M
+15%
2023
$2.1M
+3%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 33% of total spending.

99214Top 10%

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

$3.9M

36K claims · 33.3%

Your Cost: $107.71/claim|Median: $53.41
2.0× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$2.3M

3,923 claims · 19.9%

Your Cost: $594.05/claim|Median: $233.73
2.5× median
99204Top 10%

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

$1.4M

9,587 claims · 12.2%

Your Cost: $148.96/claim|Median: $84.03
1.8× median
95811Top 25%

Sleep study with CPAP titration, polysomnography

$1.4M

2,221 claims · 11.7%

Your Cost: $616.65/claim|Median: $255.03
2.4× median
95819Top 5%

Electroencephalogram with sleep recording

$1.1M

2,735 claims · 9.4%

Your Cost: $401.64/claim|Median: $62.75
6.4× median
99205Top 10%

Office/outpatient visit, new patient, high complexity

$383K

1,832 claims · 3.3%

Your Cost: $209.15/claim|Median: $111.09
1.9× median
95886Top 10%

$347K

1,994 claims · 3.0%

Your Cost: $174.17/claim|Median: $67.70
2.6× median
95912Top 25%

$296K

1,239 claims · 2.5%

Your Cost: $239.25/claim|Median: $141.23
1.7× median
64615Top 25%

$189K

1,379 claims · 1.6%

Your Cost: $137.40/claim|Median: $82.82
1.7× median
95911Top 25%

$147K

707 claims · 1.3%

Your Cost: $207.93/claim|Median: $122.86
1.7× median
99215Top 5%

Office/outpatient visit, high complexity

$83K

468 claims · 0.7%

Your Cost: $177.26/claim|Median: $74.09
2.4× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$49K

98 claims · 0.4%

Your Cost: $504.20/claim|Median: $470.36
1.1× median
95782Top 25%

$37K

37 claims · 0.3%

Your Cost: $988.85/claim|Median: $216.35
4.6× median
G2211Top 10%

$19K

1,417 claims · 0.2%

Your Cost: $13.62/claim|Median: $2.40
5.7× median
95800Normal range

$16K

128 claims · 0.1%

Your Cost: $123.63/claim|Median: $86.65
1.4× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$5K

145 claims · 0.0%

Your Cost: $33.49/claim|Median: $35.30
0.9× median
E0562Top 25%

Humidifier, heated, used with positive airway pressure device

$3K

26 claims · 0.0%

Your Cost: $111.65/claim|Median: $18.68
6.0× median
64405Top 25%

$3K

30 claims · 0.0%

Your Cost: $95.95/claim|Median: $48.36
2.0× median
A7035Normal range

$430

28 claims · 0.0%

Your Cost: $15.35/claim|Median: $13.01
1.2× median
A7037Normal range

$280

27 claims · 0.0%

Your Cost: $10.38/claim|Median: $10.56
1.0× median
A7038Normal range

$275

95 claims · 0.0%

Your Cost: $2.89/claim|Median: $3.53
0.8× median
J1030Top 10%

Injection, methylprednisolone acetate, forty milligrams

$176

17 claims · 0.0%

Your Cost: $10.34/claim|Median: $4.38
2.4× median
A7039Normal range

$142

27 claims · 0.0%

Your Cost: $5.26/claim|Median: $4.54
1.2× median
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