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Provider 1184821373

NPI: 1184821373Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$9.6M

$9,565,511

Total Claims

48K

Beneficiaries

47K

1.0 claims/patient

Avg Cost/Claim

$197

Monthly Spending Trend

Yearly Spending

2018
$370K
+207%
2019
$1.1M
-39%
2020
$694K
+30%
2021
$905K
+23%
2022
$1.1M
+184%
2023
$3.2M
-31%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (43659) accounts for 47% of total spending.

43659Top 25%

$4.5M

935 claims · 46.6%

Your Cost: $4,768.51/claim|Median: $963.93
4.9× median
99214Normal range

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

$1.7M

27K claims · 18.2%

Your Cost: $65.42/claim|Median: $53.41
1.2× median
43775Top 5%

$914K

314 claims · 9.6%

Your Cost: $2,910.50/claim|Median: $619.12
4.7× median
99244Top 1%

Office or other outpatient consultation, moderate complexity

$370K

1,052 claims · 3.9%

Your Cost: $351.70/claim|Median: $121.58
2.9× median
99215Normal range

Office/outpatient visit, high complexity

$335K

5,064 claims · 3.5%

Your Cost: $66.10/claim|Median: $74.09
0.9× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$331K

3,524 claims · 3.5%

Your Cost: $94.06/claim|Median: $111.09
0.8× median
43644Top 1%

$319K

86 claims · 3.3%

Your Cost: $3,712.21/claim|Median: $819.04
4.5× median
99213Top 25%

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

$260K

4,354 claims · 2.7%

Your Cost: $59.71/claim|Median: $37.81
1.6× median
43239Normal range

Upper GI endoscopy with biopsy

$195K

885 claims · 2.0%

Your Cost: $220.52/claim|Median: $151.68
1.5× median
49329Top 1%

$179K

82 claims · 1.9%

Your Cost: $2,181.60/claim|Median: $230.67
9.5× median
99223Normal range

Initial hospital care, per day, high complexity

$129K

1,316 claims · 1.3%

Your Cost: $97.92/claim|Median: $67.32
1.5× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$62K

1,629 claims · 0.6%

Your Cost: $37.83/claim|Median: $23.99
1.6× median
43259Top 25%

$60K

261 claims · 0.6%

Your Cost: $231.00/claim|Median: $139.04
1.7× median
99233Normal range

Subsequent hospital care, per day, high complexity

$52K

968 claims · 0.5%

Your Cost: $53.64/claim|Median: $35.30
1.5× median
64488Top 10%

$45K

139 claims · 0.5%

Your Cost: $325.59/claim|Median: $50.96
6.4× median
99203Top 25%

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

$37K

381 claims · 0.4%

Your Cost: $97.70/claim|Median: $57.85
1.7× median
43249Normal range

Upper GI endoscopy with balloon dilation of esophagus

$36K

159 claims · 0.4%

Your Cost: $227.14/claim|Median: $153.37
1.5× median
99245Normal range

Office consultation, high complexity

$11K

96 claims · 0.1%

Your Cost: $116.46/claim|Median: $143.30
0.8× median
99204Top 25%

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

$7K

56 claims · 0.1%

Your Cost: $131.43/claim|Median: $84.03
1.6× median
99284Top 25%

Emergency dept visit, high complexity

$6K

52 claims · 0.1%

Your Cost: $120.56/claim|Median: $69.51
1.7× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$5K

91 claims · 0.1%

Your Cost: $55.28/claim|Median: $22.44
2.5× median
99283Normal range

Emergency dept visit, moderate complexity

$4K

87 claims · 0.0%

Your Cost: $41.97/claim|Median: $42.48
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$3K

188 claims · 0.0%

Your Cost: $17.58/claim|Median: $25.06
0.7× median
99253Normal range

$1K

30 claims · 0.0%

Your Cost: $47.53/claim|Median: $55.16
0.9× median
99441Normal range

Telephone E/M by physician, 5-10 min

$1K

67 claims · 0.0%

Your Cost: $19.77/claim|Median: $13.30
1.5× median
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