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Provider 1164415899

NPI: 1164415899Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.2M

$10,222,634

Total Claims

135K

Beneficiaries

128K

1.1 claims/patient

Avg Cost/Claim

$76

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+8%
2019
$1.4M
-17%
2020
$1.2M
+30%
2021
$1.5M
+5%
2022
$1.6M
+11%
2023
$1.8M
-24%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (78452 (Myocardial perfusion imaging, SPECT, multiple studies)) accounts for 19% of total spending.

78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$1.9M

8,928 claims · 19.1%

Your Cost: $218.36/claim|Median: $106.14
2.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.6M

14K claims · 15.3%

Your Cost: $110.16/claim|Median: $54.68
2.0× median
99213Normal range

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

$1.2M

27K claims · 11.8%

Your Cost: $45.34/claim|Median: $37.81
1.2× median
93880Top 25%

Duplex ultrasound scan of carotid arteries, bilateral

$877K

8,213 claims · 8.6%

Your Cost: $106.74/claim|Median: $49.03
2.2× median
93970Normal range

Duplex scan of extremity veins, complete, bilateral

$861K

8,130 claims · 8.4%

Your Cost: $105.86/claim|Median: $43.07
2.5× median
93925Top 25%

$613K

4,775 claims · 6.0%

Your Cost: $128.37/claim|Median: $54.12
2.4× median
93978Normal range

$534K

5,327 claims · 5.2%

Your Cost: $100.28/claim|Median: $60.72
1.7× median
93229Normal range

$386K

1,326 claims · 3.8%

Your Cost: $290.93/claim|Median: $364.01
0.8× median
99203Normal range

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

$379K

5,518 claims · 3.7%

Your Cost: $68.67/claim|Median: $57.85
1.2× median
93015Normal range

$377K

10K claims · 3.7%

Your Cost: $35.94/claim|Median: $41.12
0.9× median
A9500Normal range

Technetium-99m radiopharmaceutical diagnostic imaging agent

$326K

8,198 claims · 3.2%

Your Cost: $39.76/claim|Median: $64.30
0.6× median
99214Normal range

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

$227K

3,695 claims · 2.2%

Your Cost: $61.41/claim|Median: $53.41
1.1× median
93224Normal range

ECG monitoring, continuous, up to forty-eight hours, with analysis

$179K

3,970 claims · 1.7%

Your Cost: $44.98/claim|Median: $67.14
0.7× median
99244Top 25%

Office or other outpatient consultation, moderate complexity

$134K

889 claims · 1.3%

Your Cost: $150.47/claim|Median: $121.58
1.2× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$134K

16K claims · 1.3%

Your Cost: $8.11/claim|Median: $9.70
0.8× median
93351Normal range

$126K

625 claims · 1.2%

Your Cost: $201.66/claim|Median: $140.02
1.4× median
93923Top 25%

$93K

1,101 claims · 0.9%

Your Cost: $84.36/claim|Median: $38.08
2.2× median
99204Normal range

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

$78K

973 claims · 0.8%

Your Cost: $79.91/claim|Median: $84.03
1.0× median
93241Normal range

$64K

365 claims · 0.6%

Your Cost: $174.03/claim|Median: $121.53
1.4× median
99441Top 25%

Telephone E/M by physician, 5-10 min

$33K

1,053 claims · 0.3%

Your Cost: $31.14/claim|Median: $13.30
2.3× median
95921Top 25%

$18K

359 claims · 0.2%

Your Cost: $50.53/claim|Median: $31.18
1.6× median
93325Normal range

$16K

723 claims · 0.2%

Your Cost: $21.80/claim|Median: $14.61
1.5× median
99243Top 25%

Office or other outpatient consultation, low complexity

$12K

103 claims · 0.1%

Your Cost: $117.86/claim|Median: $82.43
1.4× median
J0153Normal range

$12K

1,521 claims · 0.1%

Your Cost: $7.72/claim|Median: $10.08
0.8× median
93228Normal range

$11K

1,306 claims · 0.1%

Your Cost: $8.20/claim|Median: $14.08
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$8K

273 claims · 0.1%

Your Cost: $28.19/claim|Median: $25.06
1.1× median
99443Top 25%

Telephone E/M by physician, 21-30 min

$3K

52 claims · 0.0%

Your Cost: $65.24/claim|Median: $32.55
2.0× median
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