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Provider 1154356087

NPI: 1154356087Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$18.5M

$18,451,746

Total Claims

92K

Beneficiaries

82K

1.1 claims/patient

Avg Cost/Claim

$201

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+51%
2019
$3.4M
-62%
2020
$1.3M
+161%
2021
$3.3M
+15%
2022
$3.8M
-10%
2023
$3.5M
-74%
2024
$904K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (36475) accounts for 22% of total spending.

36475Normal range

$4.0M

3,549 claims · 21.8%

Your Cost: $1,131.58/claim|Median: $902.80
1.3× median
37238Normal range

$2.2M

1,251 claims · 12.2%

Your Cost: $1,792.90/claim|Median: $912.05
2.0× median
37252Top 25%

$1.9M

3,241 claims · 10.5%

Your Cost: $600.01/claim|Median: $175.56
3.4× median
36482Normal range

$1.9M

1,698 claims · 10.0%

Your Cost: $1,091.38/claim|Median: $560.60
1.9× median
36012Top 10%

$1.4M

3,301 claims · 7.8%

Your Cost: $433.57/claim|Median: $112.32
3.9× median
93971Normal range

Duplex scan of extremity veins, unilateral or limited

$1.0M

15K claims · 5.6%

Your Cost: $67.74/claim|Median: $25.43
2.7× median
37253Top 10%

$891K

3,529 claims · 4.8%

Your Cost: $252.45/claim|Median: $49.64
5.1× median
36465Normal range

$839K

963 claims · 4.5%

Your Cost: $870.84/claim|Median: $792.14
1.1× median
99214Normal range

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

$678K

10K claims · 3.7%

Your Cost: $65.63/claim|Median: $53.41
1.2× median
36471Top 25%

$670K

4,590 claims · 3.6%

Your Cost: $145.86/claim|Median: $105.39
1.4× median
99213Normal range

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

$444K

10K claims · 2.4%

Your Cost: $43.69/claim|Median: $37.81
1.2× median
36478Normal range

$444K

570 claims · 2.4%

Your Cost: $778.46/claim|Median: $864.49
0.9× median
93979Normal range

$417K

6,444 claims · 2.3%

Your Cost: $64.65/claim|Median: $34.72
1.9× median
93970Normal range

Duplex scan of extremity veins, complete, bilateral

$324K

3,690 claims · 1.8%

Your Cost: $87.68/claim|Median: $43.07
2.0× median
93925Normal range

$280K

3,086 claims · 1.5%

Your Cost: $90.61/claim|Median: $54.12
1.7× median
93923Top 25%

$203K

2,855 claims · 1.1%

Your Cost: $71.10/claim|Median: $38.08
1.9× median
99203Normal range

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

$172K

2,740 claims · 0.9%

Your Cost: $62.83/claim|Median: $57.85
1.1× median
75822Normal range

$105K

1,831 claims · 0.6%

Your Cost: $57.44/claim|Median: $57.44
1.0× median
75825Normal range

$85K

1,229 claims · 0.5%

Your Cost: $69.06/claim|Median: $57.00
1.2× median
76775Normal range

$77K

2,754 claims · 0.4%

Your Cost: $28.03/claim|Median: $28.03
1.0× median
36470Normal range

$56K

767 claims · 0.3%

Your Cost: $73.19/claim|Median: $77.35
0.9× median
99152Top 25%

$56K

2,298 claims · 0.3%

Your Cost: $24.35/claim|Median: $7.34
3.3× median
76937Top 25%

$47K

3,028 claims · 0.3%

Your Cost: $15.64/claim|Median: $6.99
2.2× median
75820Normal range

$33K

872 claims · 0.2%

Your Cost: $37.28/claim|Median: $38.06
1.0× median
36476Normal range

$31K

151 claims · 0.2%

Your Cost: $202.76/claim|Median: $199.25
1.0× median
93978Normal range

$30K

362 claims · 0.2%

Your Cost: $82.24/claim|Median: $60.72
1.4× median
36011Normal range

$28K

127 claims · 0.2%

Your Cost: $223.65/claim|Median: $107.90
2.1× median
93922Top 25%

$16K

235 claims · 0.1%

Your Cost: $66.11/claim|Median: $26.06
2.5× median
99153Normal range

$11K

1,124 claims · 0.1%

Your Cost: $9.84/claim|Median: $5.60
1.8× median
95923Top 25%

$1K

13 claims · 0.0%

Your Cost: $80.64/claim|Median: $44.24
1.8× median
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