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Provider 1164627295

NPI: 1164627295Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$12.7M

$12,651,779

Total Claims

178K

Beneficiaries

169K

1.1 claims/patient

Avg Cost/Claim

$71

Monthly Spending Trend

Yearly Spending

2018
$2.3M
-12%
2019
$2.0M
-20%
2020
$1.6M
+3%
2021
$1.7M
+7%
2022
$1.8M
+3%
2023
$1.8M
-22%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (93306 (Echocardiography, transthoracic, complete, with Doppler)) accounts for 17% of total spending.

93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$2.2M

14K claims · 17.4%

Your Cost: $158.82/claim|Median: $54.68
2.9× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$1.7M

6,758 claims · 13.5%

Your Cost: $252.68/claim|Median: $106.14
2.4× median
99214Normal range

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

$1.4M

44K claims · 11.3%

Your Cost: $32.61/claim|Median: $53.41
0.6× median
93229Normal range

$1.3M

2,661 claims · 9.9%

Your Cost: $470.44/claim|Median: $364.01
1.3× median
A9502Top 25%

$856K

7,336 claims · 6.8%

Your Cost: $116.64/claim|Median: $54.60
2.1× median
J2785Top 10%

$831K

4,806 claims · 6.6%

Your Cost: $172.92/claim|Median: $61.83
2.8× median
93000Top 10%

Electrocardiogram, complete, with interpretation and report

$694K

35K claims · 5.5%

Your Cost: $20.04/claim|Median: $9.70
2.1× median
93880Top 25%

Duplex ultrasound scan of carotid arteries, bilateral

$533K

4,789 claims · 4.2%

Your Cost: $111.38/claim|Median: $49.03
2.3× median
93015Top 25%

$432K

6,256 claims · 3.4%

Your Cost: $69.00/claim|Median: $41.12
1.7× median
93224Top 25%

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

$407K

4,500 claims · 3.2%

Your Cost: $90.39/claim|Median: $67.14
1.3× median
93970Top 25%

Duplex scan of extremity veins, complete, bilateral

$377K

3,219 claims · 3.0%

Your Cost: $117.10/claim|Median: $43.07
2.7× median
93925Normal range

$321K

4,139 claims · 2.5%

Your Cost: $77.45/claim|Median: $54.12
1.4× median
93351Top 25%

$263K

1,096 claims · 2.1%

Your Cost: $239.63/claim|Median: $140.02
1.7× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$227K

6,266 claims · 1.8%

Your Cost: $36.22/claim|Median: $21.76
1.7× median
99215Normal range

Office/outpatient visit, high complexity

$212K

4,360 claims · 1.7%

Your Cost: $48.68/claim|Median: $74.09
0.7× median
99204Normal range

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

$133K

1,952 claims · 1.1%

Your Cost: $68.12/claim|Median: $84.03
0.8× median
99454Top 10%

$113K

2,751 claims · 0.9%

Your Cost: $41.23/claim|Median: $9.15
4.5× median
99213Normal range

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

$94K

4,091 claims · 0.7%

Your Cost: $23.06/claim|Median: $37.81
0.6× median
93228Top 5%

$94K

2,649 claims · 0.7%

Your Cost: $35.42/claim|Median: $14.08
2.5× median
93978Top 25%

$85K

697 claims · 0.7%

Your Cost: $121.54/claim|Median: $60.72
2.0× median
99457Top 10%

$68K

2,296 claims · 0.5%

Your Cost: $29.79/claim|Median: $6.05
4.9× median
76706Normal range

$51K

844 claims · 0.4%

Your Cost: $60.53/claim|Median: $44.93
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$51K

3,741 claims · 0.4%

Your Cost: $13.51/claim|Median: $25.06
0.5× median
93784Normal range

$38K

995 claims · 0.3%

Your Cost: $38.61/claim|Median: $38.61
1.0× median
93298Top 25%

$27K

1,252 claims · 0.2%

Your Cost: $21.76/claim|Median: $14.28
1.5× median
93297Top 25%

$27K

1,913 claims · 0.2%

Your Cost: $14.16/claim|Median: $8.99
1.6× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$19K

229 claims · 0.2%

Your Cost: $83.13/claim|Median: $121.58
0.7× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$13K

150 claims · 0.1%

Your Cost: $86.84/claim|Median: $111.09
0.8× median
93241Normal range

$12K

205 claims · 0.1%

Your Cost: $57.29/claim|Median: $121.53
0.5× median
99233Normal range

Subsequent hospital care, per day, high complexity

$11K

446 claims · 0.1%

Your Cost: $25.14/claim|Median: $35.30
0.7× median