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Provider 1184049322

NPI: 1184049322Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.9M

$9,906,227

Total Claims

205K

Beneficiaries

104K

2.0 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+9%
2019
$1.3M
-6%
2020
$1.2M
+6%
2021
$1.2M
+45%
2022
$1.8M
+4%
2023
$1.9M
-25%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (99309 (Nursing facility care, subsequent, low complexity)) accounts for 28% of total spending.

99309Top 10%

Nursing facility care, subsequent, low complexity

$2.7M

64K claims · 27.7%

Your Cost: $42.61/claim|Median: $14.00
3.0× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$2.4M

38K claims · 24.3%

Your Cost: $63.48/claim|Median: $35.30
1.8× median
99308Top 10%

Nursing facility care, subsequent, straightforward

$1.9M

64K claims · 19.1%

Your Cost: $29.44/claim|Median: $9.79
3.0× median
99223Top 25%

Initial hospital care, per day, high complexity

$667K

5,787 claims · 6.7%

Your Cost: $115.33/claim|Median: $67.32
1.7× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$491K

6,755 claims · 5.0%

Your Cost: $72.76/claim|Median: $43.85
1.7× median
99306Top 10%

$456K

5,407 claims · 4.6%

Your Cost: $84.25/claim|Median: $29.97
2.8× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$395K

6,009 claims · 4.0%

Your Cost: $65.72/claim|Median: $62.48
1.1× median
99255Top 25%

$258K

1,772 claims · 2.6%

Your Cost: $145.83/claim|Median: $90.45
1.6× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$240K

5,893 claims · 2.4%

Your Cost: $40.69/claim|Median: $23.99
1.7× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$218K

3,770 claims · 2.2%

Your Cost: $57.71/claim|Median: $37.22
1.6× median
99316Top 25%

$23K

404 claims · 0.2%

Your Cost: $55.91/claim|Median: $25.78
2.2× median
99462Normal range

$22K

762 claims · 0.2%

Your Cost: $28.91/claim|Median: $27.49
1.1× median
99254Top 25%

$21K

163 claims · 0.2%

Your Cost: $130.32/claim|Median: $81.43
1.6× median
99310Top 10%

$18K

247 claims · 0.2%

Your Cost: $72.67/claim|Median: $21.82
3.3× median
99463Normal range

$17K

218 claims · 0.2%

Your Cost: $78.14/claim|Median: $78.46
1.0× median
99220Normal range

$10K

108 claims · 0.1%

Your Cost: $90.28/claim|Median: $73.56
1.2× median
99318Top 5%

$10K

155 claims · 0.1%

Your Cost: $61.63/claim|Median: $15.64
3.9× median
99307Top 25%

$6K

368 claims · 0.1%

Your Cost: $15.75/claim|Median: $6.57
2.4× median
99222Normal range

Initial hospital care, per day, moderate complexity

$4K

57 claims · 0.0%

Your Cost: $68.49/claim|Median: $51.25
1.3× median
99464Normal range

$3K

52 claims · 0.0%

Your Cost: $58.27/claim|Median: $59.94
1.0× median
99219Top 25%

$1K

13 claims · 0.0%

Your Cost: $84.41/claim|Median: $63.35
1.3× median
99217Top 25%

$650

13 claims · 0.0%

Your Cost: $50.02/claim|Median: $31.89
1.6× median
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