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Provider 1184957268

NPI: 1184957268Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.4M

$10,374,471

Total Claims

191K

Beneficiaries

176K

1.1 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+167%
2019
$2.8M
-35%
2020
$1.8M
-1%
2021
$1.8M
-26%
2022
$1.3M
-30%
2023
$938K
-35%
2024
$606K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 49% of total spending.

99214Normal range

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

$5.1M

94K claims · 49.2%

Your Cost: $54.32/claim|Median: $53.41
1.0× median
99213Normal range

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

$1.6M

35K claims · 15.0%

Your Cost: $44.54/claim|Median: $37.81
1.2× median
99204Normal range

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

$887K

8,106 claims · 8.6%

Your Cost: $109.46/claim|Median: $84.03
1.3× median
G0483Normal range

Drug test, definitive, 22+ drug classes

$521K

5,698 claims · 5.0%

Your Cost: $91.40/claim|Median: $90.89
1.0× median
64635Normal range

$510K

2,991 claims · 4.9%

Your Cost: $170.65/claim|Median: $207.78
0.8× median
99152Top 25%

$492K

16K claims · 4.7%

Your Cost: $30.64/claim|Median: $7.34
4.2× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$343K

15K claims · 3.3%

Your Cost: $23.18/claim|Median: $35.43
0.7× median
64483Normal range

$241K

2,664 claims · 2.3%

Your Cost: $90.54/claim|Median: $124.24
0.7× median
64636Normal range

$201K

2,567 claims · 1.9%

Your Cost: $78.42/claim|Median: $63.60
1.2× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$131K

3,247 claims · 1.3%

Your Cost: $40.42/claim|Median: $37.56
1.1× median
G0482Top 10%

Drug test, definitive, 15-21 drug classes

$115K

752 claims · 1.1%

Your Cost: $152.50/claim|Median: $75.26
2.0× median
64493Normal range

$77K

830 claims · 0.7%

Your Cost: $93.11/claim|Median: $103.44
0.9× median
64494Normal range

$42K

838 claims · 0.4%

Your Cost: $50.18/claim|Median: $34.70
1.4× median
64484Normal range

$42K

1,107 claims · 0.4%

Your Cost: $37.70/claim|Median: $47.83
0.8× median
64633Normal range

$34K

197 claims · 0.3%

Your Cost: $171.54/claim|Median: $223.58
0.8× median
64479Normal range

$25K

221 claims · 0.2%

Your Cost: $112.96/claim|Median: $133.50
0.8× median
64634Normal range

$18K

181 claims · 0.2%

Your Cost: $101.00/claim|Median: $96.82
1.0× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$12K

719 claims · 0.1%

Your Cost: $16.43/claim|Median: $9.56
1.7× median
64495Normal range

$8K

150 claims · 0.1%

Your Cost: $53.53/claim|Median: $36.70
1.5× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$8K

176 claims · 0.1%

Your Cost: $44.80/claim|Median: $29.03
1.5× median
99203Top 25%

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

$2K

24 claims · 0.0%

Your Cost: $92.69/claim|Median: $57.85
1.6× median
77002Normal range

$2K

80 claims · 0.0%

Your Cost: $20.87/claim|Median: $23.55
0.9× median
J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

$2K

810 claims · 0.0%

Your Cost: $1.98/claim|Median: $0.91
2.2× median
27096Normal range

$1K

13 claims · 0.0%

Your Cost: $96.55/claim|Median: $89.16
1.1× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$1K

12 claims · 0.0%

Your Cost: $91.81/claim|Median: $111.02
0.8× median
64480Normal range

$937

15 claims · 0.0%

Your Cost: $62.44/claim|Median: $62.44
1.0× median
J1100Normal range

$201

211 claims · 0.0%

Your Cost: $0.95/claim|Median: $0.52
1.8× median
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