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Provider 1154533826

NPI: 1154533826Share
Active Billing Period:2018-01→2024-11(80 months)

Total Paid

$14.7M

$14,704,520

Total Claims

89K

Beneficiaries

59K

1.5 claims/patient

Avg Cost/Claim

$165

Monthly Spending Trend

Yearly Spending

2018
$2.6M
+29%
2019
$3.4M
-56%
2020
$1.5M
+23%
2021
$1.8M
+4%
2022
$1.9M
+6%
2023
$2.0M
-26%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (D9223 (Deep sedation/general anesthesia, each additional 15 min)) accounts for 40% of total spending.

D9223Top 25%

Deep sedation/general anesthesia, each additional 15 min

$5.9M

23K claims · 40.2%

Your Cost: $251.49/claim|Median: $107.14
2.3× median
D9221Top 25%

$2.9M

7,660 claims · 19.6%

Your Cost: $375.95/claim|Median: $151.01
2.5× median
0360Top 25%

$1.8M

7,778 claims · 12.4%

Your Cost: $233.63/claim|Median: $95.40
2.4× median
D9220Normal range

$1.5M

7,220 claims · 10.0%

Your Cost: $202.82/claim|Median: $215.77
0.9× median
D9610Top 25%

$1.3M

28K claims · 8.6%

Your Cost: $46.01/claim|Median: $28.44
1.6× median
D9222Top 25%

Deep sedation/general anesthesia, first 15 minutes

$1.2M

9,594 claims · 7.9%

Your Cost: $121.43/claim|Median: $90.28
1.3× median
D9430Normal range

$86K

2,745 claims · 0.6%

Your Cost: $31.18/claim|Median: $31.69
1.0× median
0710Normal range

$59K

1,581 claims · 0.4%

Your Cost: $37.53/claim|Median: $18.49
2.0× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$49K

1,206 claims · 0.3%

Your Cost: $40.54/claim|Median: $763.43
0.1× median
99499Top 10%

Unlisted evaluation and management service

$5K

44 claims · 0.0%

Your Cost: $108.41/claim|Median: $30.88
3.5× median
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