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Provider 1134153083

NPI: 1134153083Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.6M

$16,588,273

Total Claims

291K

Beneficiaries

226K

1.3 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$2.2M
-2%
2019
$2.1M
-4%
2020
$2.0M
+28%
2021
$2.6M
+16%
2022
$3.0M
-9%
2023
$2.7M
-28%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (95165 (Professional services for allergen immunotherapy, per injection)) accounts for 26% of total spending.

95165Top 25%

Professional services for allergen immunotherapy, per injection

$4.3M

19K claims · 26.2%

Your Cost: $229.83/claim|Median: $144.04
1.6× median
99214Normal range

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

$3.7M

50K claims · 22.3%

Your Cost: $73.89/claim|Median: $53.41
1.4× median
99244Top 25%

Office or other outpatient consultation, moderate complexity

$1.4M

9,113 claims · 8.4%

Your Cost: $152.41/claim|Median: $121.58
1.3× median
31231Normal range

Nasal endoscopy, diagnostic

$1.3M

11K claims · 7.8%

Your Cost: $116.19/claim|Median: $98.77
1.2× median
95117Normal range

$918K

122K claims · 5.5%

Your Cost: $7.53/claim|Median: $8.34
0.9× median
99204Normal range

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

$843K

8,199 claims · 5.1%

Your Cost: $102.88/claim|Median: $84.03
1.2× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$807K

1,966 claims · 4.9%

Your Cost: $410.66/claim|Median: $233.73
1.8× median
99213Top 25%

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

$770K

13K claims · 4.6%

Your Cost: $59.94/claim|Median: $37.81
1.6× median
95004Normal range

Percutaneous allergy skin tests, each

$548K

2,975 claims · 3.3%

Your Cost: $184.12/claim|Median: $134.97
1.4× median
95782Normal range

$494K

712 claims · 3.0%

Your Cost: $693.77/claim|Median: $216.35
3.2× median
95027Top 25%

$299K

1,957 claims · 1.8%

Your Cost: $152.81/claim|Median: $65.29
2.3× median
92587Normal range

$190K

8,477 claims · 1.1%

Your Cost: $22.46/claim|Median: $19.24
1.2× median
92567Normal range

$151K

13K claims · 0.9%

Your Cost: $11.50/claim|Median: $11.50
1.0× median
31575Normal range

$147K

2,571 claims · 0.9%

Your Cost: $57.19/claim|Median: $68.78
0.8× median
99203Top 25%

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

$133K

1,612 claims · 0.8%

Your Cost: $82.67/claim|Median: $57.85
1.4× median
95115Normal range

$109K

18K claims · 0.7%

Your Cost: $5.90/claim|Median: $6.96
0.8× median
69436Normal range

Tympanostomy, general anesthesia

$103K

1,045 claims · 0.6%

Your Cost: $98.59/claim|Median: $205.50
0.5× median
95024Top 25%

$102K

707 claims · 0.6%

Your Cost: $144.46/claim|Median: $60.31
2.4× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$76K

343 claims · 0.5%

Your Cost: $222.54/claim|Median: $331.68
0.7× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$48K

1,675 claims · 0.3%

Your Cost: $28.86/claim|Median: $27.28
1.1× median
94060Normal range

$37K

1,053 claims · 0.2%

Your Cost: $35.61/claim|Median: $25.18
1.4× median
99243Top 25%

Office or other outpatient consultation, low complexity

$29K

286 claims · 0.2%

Your Cost: $102.27/claim|Median: $82.43
1.2× median
69210Normal range

$25K

913 claims · 0.2%

Your Cost: $27.71/claim|Median: $21.74
1.3× median
94010Normal range

$5K

185 claims · 0.0%

Your Cost: $24.79/claim|Median: $18.11
1.4× median
99223Top 10%

Initial hospital care, per day, high complexity

$4K

27 claims · 0.0%

Your Cost: $155.81/claim|Median: $67.32
2.3× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$3K

12 claims · 0.0%

Your Cost: $284.89/claim|Median: $255.03
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$3K

38 claims · 0.0%

Your Cost: $85.92/claim|Median: $74.09
1.2× median
11000Top 5%

$3K

86 claims · 0.0%

Your Cost: $34.02/claim|Median: $8.34
4.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$2K

183 claims · 0.0%

Your Cost: $13.64/claim|Median: $12.93
1.1× median
31579Normal range

$2K

34 claims · 0.0%

Your Cost: $55.73/claim|Median: $120.24
0.5× median
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