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Provider 1144527003

NPI: 1144527003Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.5M

$17,547,955

Total Claims

1.4M

Beneficiaries

1.2M

1.2 claims/patient

Avg Cost/Claim

$12

Monthly Spending Trend

Yearly Spending

2018
$151K
+694%
2019
$1.2M
+249%
2020
$4.2M
-7%
2021
$3.9M
-13%
2022
$3.4M
-14%
2023
$2.9M
-37%
2024
$1.8M

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 25% of total spending.

99214Normal range

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

$4.4M

103K claims · 25.0%

Your Cost: $42.58/claim|Median: $53.41
0.8× median
99213Normal range

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

$2.7M

110K claims · 15.5%

Your Cost: $24.61/claim|Median: $37.81
0.7× median
96138Normal range

$1.3M

72K claims · 7.4%

Your Cost: $18.03/claim|Median: $19.87
0.9× median
L0648Normal range

$574K

2,485 claims · 3.3%

Your Cost: $230.92/claim|Median: $369.72
0.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$487K

34K claims · 2.8%

Your Cost: $14.22/claim|Median: $35.43
0.4× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$476K

156K claims · 2.7%

Your Cost: $3.05/claim|Median: $3.67
0.8× median
92548Top 25%

$473K

8,424 claims · 2.7%

Your Cost: $56.09/claim|Median: $27.60
2.0× median
99204Normal range

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

$422K

6,599 claims · 2.4%

Your Cost: $63.96/claim|Median: $84.03
0.8× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$405K

4,348 claims · 2.3%

Your Cost: $93.15/claim|Median: $111.02
0.8× median
97110Normal range

Therapeutic exercises, each 15 min

$301K

13K claims · 1.7%

Your Cost: $23.56/claim|Median: $24.49
1.0× median
80348Normal range

$287K

29K claims · 1.6%

Your Cost: $9.76/claim|Median: $6.63
1.5× median
80365Normal range

$263K

32K claims · 1.5%

Your Cost: $8.11/claim|Median: $5.24
1.5× median
80354Normal range

$234K

29K claims · 1.3%

Your Cost: $7.96/claim|Median: $5.61
1.4× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$216K

14K claims · 1.2%

Your Cost: $15.09/claim|Median: $20.83
0.7× median
98942Normal range

$184K

8,402 claims · 1.0%

Your Cost: $21.87/claim|Median: $28.40
0.8× median
98980Top 25%

$180K

5,938 claims · 1.0%

Your Cost: $30.34/claim|Median: $8.81
3.4× median
64635Normal range

$179K

1,211 claims · 1.0%

Your Cost: $148.01/claim|Median: $207.78
0.7× median
80361Normal range

$179K

32K claims · 1.0%

Your Cost: $5.53/claim|Median: $7.53
0.7× median
80362Normal range

$178K

29K claims · 1.0%

Your Cost: $6.04/claim|Median: $5.83
1.0× median
80369Normal range

$175K

32K claims · 1.0%

Your Cost: $5.40/claim|Median: $5.73
0.9× median
64493Normal range

$166K

3,561 claims · 0.9%

Your Cost: $46.60/claim|Median: $103.44
0.5× median
80346Normal range

$164K

32K claims · 0.9%

Your Cost: $5.05/claim|Median: $8.14
0.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$160K

24K claims · 0.9%

Your Cost: $6.79/claim|Median: $9.56
0.7× median
62321Normal range

$158K

1,472 claims · 0.9%

Your Cost: $107.60/claim|Median: $132.67
0.8× median
80375Normal range

$140K

29K claims · 0.8%

Your Cost: $4.77/claim|Median: $4.44
1.1× median
98981Top 25%

$138K

5,354 claims · 0.8%

Your Cost: $25.70/claim|Median: $8.63
3.0× median
64483Normal range

$131K

1,675 claims · 0.7%

Your Cost: $78.06/claim|Median: $124.24
0.6× median
80324Normal range

$130K

29K claims · 0.7%

Your Cost: $4.40/claim|Median: $6.08
0.7× median
96160Normal range

Patient-focused health risk assessment

$126K

103K claims · 0.7%

Your Cost: $1.22/claim|Median: $2.10
0.6× median
80358Normal range

$124K

25K claims · 0.7%

Your Cost: $5.02/claim|Median: $5.06
1.0× median
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