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Provider 1164594149

NPI: 1164594149Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.2M

$9,222,768

Total Claims

85K

Beneficiaries

74K

1.2 claims/patient

Avg Cost/Claim

$108

Monthly Spending Trend

Yearly Spending

2018
$414K
-39%
2019
$254K
+460%
2020
$1.4M
+27%
2021
$1.8M
+1%
2022
$1.8M
+8%
2023
$2.0M
-20%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (95819 (Electroencephalogram with sleep recording)) accounts for 24% of total spending.

95819Top 25%

Electroencephalogram with sleep recording

$2.2M

9,620 claims · 23.9%

Your Cost: $229.52/claim|Median: $62.75
3.7× median
95957Top 25%

$1.6M

10K claims · 17.0%

Your Cost: $155.48/claim|Median: $66.75
2.3× median
93886Normal range

$1.4M

9,602 claims · 15.5%

Your Cost: $149.08/claim|Median: $83.25
1.8× median
93880Top 25%

Duplex ultrasound scan of carotid arteries, bilateral

$958K

9,668 claims · 10.4%

Your Cost: $99.12/claim|Median: $49.03
2.0× median
99213Top 25%

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

$853K

15K claims · 9.2%

Your Cost: $58.71/claim|Median: $37.81
1.6× median
99204Top 25%

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

$601K

4,900 claims · 6.5%

Your Cost: $122.58/claim|Median: $84.03
1.5× median
99214Top 25%

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

$443K

4,899 claims · 4.8%

Your Cost: $90.46/claim|Median: $53.41
1.7× median
95910Normal range

$422K

3,896 claims · 4.6%

Your Cost: $108.35/claim|Median: $97.13
1.1× median
92540Normal range

$222K

3,757 claims · 2.4%

Your Cost: $59.10/claim|Median: $59.84
1.0× median
92546Normal range

$213K

3,735 claims · 2.3%

Your Cost: $56.95/claim|Median: $52.33
1.1× median
95886Normal range

$202K

3,425 claims · 2.2%

Your Cost: $58.92/claim|Median: $67.70
0.9× median
95923Normal range

$42K

1,095 claims · 0.5%

Your Cost: $38.21/claim|Median: $44.24
0.9× median
95911Top 25%

$34K

202 claims · 0.4%

Your Cost: $166.90/claim|Median: $122.86
1.4× median
99212Top 10%

Office/outpatient visit, low complexity

$9K

164 claims · 0.1%

Your Cost: $56.18/claim|Median: $25.06
2.2× median
99244Top 10%

Office or other outpatient consultation, moderate complexity

$8K

45 claims · 0.1%

Your Cost: $181.50/claim|Median: $121.58
1.5× median
92548Normal range

$7K

955 claims · 0.1%

Your Cost: $7.19/claim|Median: $27.60
0.3× median
95885Normal range

$4K

93 claims · 0.0%

Your Cost: $44.67/claim|Median: $39.97
1.1× median
96136Normal range

Psychological/neuropsychological testing, first 30 min

$2K

483 claims · 0.0%

Your Cost: $3.21/claim|Median: $30.49
0.1× median
93040Normal range

$407

53 claims · 0.0%

Your Cost: $7.67/claim|Median: $5.65
1.4× median
96137Normal range

Psychological/neuropsychological testing, each additional 30 min

-$486

481 claims · -0.0%

Your Cost: $-1.01/claim|Median: $92.96
92547Normal range

-$3K

3,742 claims · -0.0%

Your Cost: $-0.87/claim|Median: $3.63
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