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Provider 1144217894

NPI: 1144217894Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.8M

$15,834,999

Total Claims

543K

Beneficiaries

399K

1.4 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$2.8M
-8%
2019
$2.5M
-15%
2020
$2.1M
+11%
2021
$2.4M
-11%
2022
$2.1M
+1%
2023
$2.1M
-19%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 31% of total spending.

99214Normal range

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

$5.0M

119K claims · 31.3%

Your Cost: $41.72/claim|Median: $53.41
0.8× median
99213Normal range

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

$2.6M

86K claims · 16.3%

Your Cost: $29.80/claim|Median: $37.81
0.8× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.0M

64K claims · 6.6%

Your Cost: $16.34/claim|Median: $23.99
0.7× median
99233Normal range

Subsequent hospital care, per day, high complexity

$913K

43K claims · 5.8%

Your Cost: $21.44/claim|Median: $35.30
0.6× median
99308Normal range

Nursing facility care, subsequent, straightforward

$814K

48K claims · 5.1%

Your Cost: $16.79/claim|Median: $9.79
1.7× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$541K

6,923 claims · 3.4%

Your Cost: $78.10/claim|Median: $35.80
2.2× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$467K

8,585 claims · 3.0%

Your Cost: $54.43/claim|Median: $54.68
1.0× median
99203Normal range

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

$257K

6,118 claims · 1.6%

Your Cost: $42.07/claim|Median: $57.85
0.7× median
J0585Top 25%

Injection, onabotulinumtoxinA, 1 unit

$246K

309 claims · 1.6%

Your Cost: $795.93/claim|Median: $470.36
1.7× median
99223Normal range

Initial hospital care, per day, high complexity

$227K

5,119 claims · 1.4%

Your Cost: $44.39/claim|Median: $67.32
0.7× median
95004Normal range

Percutaneous allergy skin tests, each

$200K

1,232 claims · 1.3%

Your Cost: $162.11/claim|Median: $134.97
1.2× median
99204Normal range

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

$195K

2,984 claims · 1.2%

Your Cost: $65.45/claim|Median: $84.03
0.8× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$167K

8,231 claims · 1.1%

Your Cost: $20.30/claim|Median: $17.85
1.1× median
43239Normal range

Upper GI endoscopy with biopsy

$149K

1,972 claims · 0.9%

Your Cost: $75.35/claim|Median: $151.68
0.5× median
97110Normal range

Therapeutic exercises, each 15 min

$144K

7,711 claims · 0.9%

Your Cost: $18.73/claim|Median: $24.49
0.8× median
99291Normal range

Critical care, first 30-74 minutes

$133K

2,821 claims · 0.8%

Your Cost: $47.23/claim|Median: $101.24
0.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$119K

2,109 claims · 0.8%

Your Cost: $56.46/claim|Median: $75.18
0.8× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$112K

899 claims · 0.7%

Your Cost: $124.55/claim|Median: $255.03
0.5× median
99309Normal range

Nursing facility care, subsequent, low complexity

$108K

6,681 claims · 0.7%

Your Cost: $16.14/claim|Median: $14.00
1.2× median
45380Normal range

Colonoscopy with biopsy

$107K

957 claims · 0.7%

Your Cost: $112.13/claim|Median: $200.68
0.6× median
99222Normal range

Initial hospital care, per day, moderate complexity

$107K

3,132 claims · 0.7%

Your Cost: $34.26/claim|Median: $51.25
0.7× median
88342Top 10%

$97K

1,554 claims · 0.6%

Your Cost: $62.24/claim|Median: $23.66
2.6× median
95117Normal range

$82K

11K claims · 0.5%

Your Cost: $7.72/claim|Median: $8.34
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$81K

1,640 claims · 0.5%

Your Cost: $49.11/claim|Median: $69.35
0.7× median
64483Normal range

$78K

1,648 claims · 0.5%

Your Cost: $47.53/claim|Median: $124.24
0.4× median
88173Top 10%

$71K

696 claims · 0.5%

Your Cost: $102.41/claim|Median: $38.77
2.6× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$71K

2,959 claims · 0.4%

Your Cost: $23.90/claim|Median: $43.85
0.5× median
31231Normal range

Nasal endoscopy, diagnostic

$64K

876 claims · 0.4%

Your Cost: $72.63/claim|Median: $98.77
0.7× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$62K

728 claims · 0.4%

Your Cost: $84.65/claim|Median: $233.73
0.4× median
94060Normal range

$58K

2,694 claims · 0.4%

Your Cost: $21.66/claim|Median: $25.18
0.9× median
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