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Provider 1184679201

NPI: 1184679201Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.5M

$11,546,658

Total Claims

111K

Beneficiaries

73K

1.5 claims/patient

Avg Cost/Claim

$104

Monthly Spending Trend

Yearly Spending

2018
$805K
+14%
2019
$915K
+2%
2020
$935K
+25%
2021
$1.2M
+55%
2022
$1.8M
+78%
2023
$3.2M
-16%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (95715) accounts for 23% of total spending.

95715Top 5%

$2.7M

1,074 claims · 23.3%

Your Cost: $2,500.81/claim|Median: $615.45
4.1× median
99214Normal range

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

$1.9M

35K claims · 16.6%

Your Cost: $54.17/claim|Median: $53.41
1.0× median
95819Top 10%

Electroencephalogram with sleep recording

$1.0M

3,003 claims · 8.8%

Your Cost: $337.46/claim|Median: $62.75
5.4× median
95886Top 25%

$777K

5,777 claims · 6.7%

Your Cost: $134.52/claim|Median: $67.70
2.0× median
95700Top 1%

$674K

390 claims · 5.8%

Your Cost: $1,729.20/claim|Median: $154.31
11.2× median
95816Top 25%

$658K

2,845 claims · 5.7%

Your Cost: $231.43/claim|Median: $56.87
4.1× median
99204Normal range

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

$636K

7,035 claims · 5.5%

Your Cost: $90.41/claim|Median: $84.03
1.1× median
95911Normal range

$505K

3,065 claims · 4.4%

Your Cost: $164.80/claim|Median: $122.86
1.3× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$475K

1,112 claims · 4.1%

Your Cost: $426.82/claim|Median: $233.73
1.8× median
95912Normal range

$461K

2,622 claims · 4.0%

Your Cost: $175.80/claim|Median: $141.23
1.2× median
97530Normal range

Therapeutic activities, each 15 min

$281K

10K claims · 2.4%

Your Cost: $27.33/claim|Median: $33.11
0.8× median
95712Top 25%

$267K

302 claims · 2.3%

Your Cost: $885.76/claim|Median: $308.45
2.9× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$239K

10K claims · 2.1%

Your Cost: $22.83/claim|Median: $20.04
1.1× median
97110Normal range

Therapeutic exercises, each 15 min

$211K

10K claims · 1.8%

Your Cost: $20.15/claim|Median: $24.49
0.8× median
97140Normal range

Manual therapy techniques, per 15 minutes

$190K

9,827 claims · 1.6%

Your Cost: $19.38/claim|Median: $16.79
1.2× median
64615Normal range

$145K

1,576 claims · 1.3%

Your Cost: $91.92/claim|Median: $82.82
1.1× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$112K

839 claims · 1.0%

Your Cost: $133.85/claim|Median: $121.58
1.1× median
95724Normal range

$77K

308 claims · 0.7%

Your Cost: $248.77/claim|Median: $222.23
1.1× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$39K

1,031 claims · 0.3%

Your Cost: $38.15/claim|Median: $22.44
1.7× median
99441Top 25%

Telephone E/M by physician, 5-10 min

$32K

950 claims · 0.3%

Your Cost: $34.07/claim|Median: $13.30
2.6× median
95957Top 25%

$27K

151 claims · 0.2%

Your Cost: $180.80/claim|Median: $66.75
2.7× median
97161Top 25%

Physical therapy evaluation, low complexity

$27K

400 claims · 0.2%

Your Cost: $67.19/claim|Median: $47.89
1.4× median
93890Top 25%

$12K

66 claims · 0.1%

Your Cost: $188.46/claim|Median: $94.81
2.0× median
95923Top 25%

$12K

135 claims · 0.1%

Your Cost: $89.15/claim|Median: $44.24
2.0× median
92546Normal range

$12K

165 claims · 0.1%

Your Cost: $72.56/claim|Median: $52.33
1.4× median
92540Normal range

$10K

153 claims · 0.1%

Your Cost: $66.60/claim|Median: $59.84
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$9K

126 claims · 0.1%

Your Cost: $74.17/claim|Median: $74.09
1.0× median
93886Top 25%

$9K

53 claims · 0.1%

Your Cost: $166.00/claim|Median: $83.25
2.0× median
95913Normal range

$8K

42 claims · 0.1%

Your Cost: $183.18/claim|Median: $166.25
1.1× median
95812Top 25%

$6K

23 claims · 0.1%

Your Cost: $254.46/claim|Median: $104.99
2.4× median
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