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Provider 1154541076

NPI: 1154541076Share
Active Billing Period:2018-012024-06(75 months)

Extreme procedure concentration — 57% of $12.7M billed through just 2 codes

Total Paid

$12.7M

$12,714,310

Total Claims

92K

Beneficiaries

23K

3.9 claims/patient

Avg Cost/Claim

$139

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+12%
2019
$2.5M
-34%
2020
$1.7M
+0%
2021
$1.7M
-32%
2022
$1.1M
+96%
2023
$2.2M
-47%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (99361 (Physician direction of emergency medical systems, online)) accounts for 57% of total spending.

99361Top 1%

Physician direction of emergency medical systems, online

$7.3M

4,076 claims · 57.3%

Your Cost: $1,788.55/claim|Median: $1,788.55
1.0× median
T1018Top 25%

School-based IEP services, per encounter

$5.4M

88K claims · 42.7%

Your Cost: $61.98/claim|Median: $39.53
1.6× median