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Provider 1144372905

NPI: 1144372905Share
Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$9.1M

$9,136,209

Total Claims

148K

Beneficiaries

88K

1.7 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+11%
2019
$1.2M
+12%
2020
$1.4M
+21%
2021
$1.6M
+0%
2022
$1.6M
-17%
2023
$1.4M
-39%
2024
$832K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (90960 (End-stage renal disease services, per month, age 20+)) accounts for 32% of total spending.

90960Top 25%

End-stage renal disease services, per month, age 20+

$2.9M

22K claims · 31.6%

Your Cost: $129.15/claim|Median: $52.76
2.4× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$2.3M

42K claims · 24.8%

Your Cost: $53.79/claim|Median: $35.30
1.5× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$1.8M

48K claims · 19.6%

Your Cost: $37.44/claim|Median: $23.99
1.6× median
99214Normal range

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

$747K

17K claims · 8.2%

Your Cost: $43.54/claim|Median: $53.41
0.8× median
90961Top 25%

$741K

6,576 claims · 8.1%

Your Cost: $112.61/claim|Median: $47.22
2.4× median
99223Normal range

Initial hospital care, per day, high complexity

$229K

2,686 claims · 2.5%

Your Cost: $85.12/claim|Median: $67.32
1.3× median
99222Normal range

Initial hospital care, per day, moderate complexity

$114K

2,020 claims · 1.2%

Your Cost: $56.19/claim|Median: $51.25
1.1× median
99255Top 25%

$54K

313 claims · 0.6%

Your Cost: $172.49/claim|Median: $90.45
1.9× median
99443Normal range

Telephone E/M by physician, 21-30 min

$53K

1,002 claims · 0.6%

Your Cost: $52.63/claim|Median: $32.55
1.6× median
90962Top 25%

$43K

511 claims · 0.5%

Your Cost: $84.05/claim|Median: $40.91
2.1× median
99231Normal range

Subsequent hospital care, per day, low complexity

$41K

1,840 claims · 0.4%

Your Cost: $22.20/claim|Median: $16.77
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$37K

594 claims · 0.4%

Your Cost: $62.37/claim|Median: $74.09
0.8× median
99204Normal range

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

$37K

456 claims · 0.4%

Your Cost: $80.65/claim|Median: $84.03
1.0× median
99213Normal range

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

$33K

1,073 claims · 0.4%

Your Cost: $31.05/claim|Median: $37.81
0.8× median
90935Normal range

Hemodialysis, one evaluation

$26K

691 claims · 0.3%

Your Cost: $38.13/claim|Median: $23.72
1.6× median
99254Top 25%

$24K

189 claims · 0.3%

Your Cost: $125.44/claim|Median: $81.43
1.5× median
99291Normal range

Critical care, first 30-74 minutes

$5K

49 claims · 0.1%

Your Cost: $102.03/claim|Median: $101.24
1.0× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$5K

170 claims · 0.1%

Your Cost: $29.22/claim|Median: $22.44
1.3× median
99308Top 5%

Nursing facility care, subsequent, straightforward

$3K

68 claims · 0.0%

Your Cost: $43.60/claim|Median: $9.79
4.5× median
G2211Normal range

$361

99 claims · 0.0%

Your Cost: $3.64/claim|Median: $2.40
1.5× median
99441Normal range

Telephone E/M by physician, 5-10 min

$282

12 claims · 0.0%

Your Cost: $23.47/claim|Median: $13.30
1.8× median
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