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Provider 1184960924

NPI: 1184960924Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$8.9M

$8,878,112

Total Claims

67K

Beneficiaries

16K

4.1 claims/patient

Avg Cost/Claim

$132

Monthly Spending Trend

Yearly Spending

2018
$96K
+1141%
2019
$1.2M
+65%
2020
$2.0M
-22%
2021
$1.5M
+20%
2022
$1.8M
-20%
2023
$1.5M
-47%
2024
$777K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (99469 (Subsequent intensive care, very low birth weight infant)) accounts for 37% of total spending.

99469Normal range

Subsequent intensive care, very low birth weight infant

$3.3M

14K claims · 36.8%

Your Cost: $231.02/claim|Median: $293.45
0.8× median
99479Normal range

Subsequent intensive care, 2,501-5,000 grams

$1.6M

23K claims · 18.1%

Your Cost: $70.23/claim|Median: $103.70
0.7× median
99468Normal range

$1.3M

2,322 claims · 14.1%

Your Cost: $540.61/claim|Median: $679.18
0.8× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$1.1M

15K claims · 12.1%

Your Cost: $70.32/claim|Median: $98.15
0.7× median
99472Normal range

Subsequent pediatric critical care, per day, age 2-5

$949K

3,352 claims · 10.7%

Your Cost: $283.13/claim|Median: $307.98
0.9× median
99477Normal range

$368K

1,774 claims · 4.1%

Your Cost: $207.31/claim|Median: $276.41
0.7× median
99464Normal range

$163K

3,471 claims · 1.8%

Your Cost: $46.94/claim|Median: $59.94
0.8× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$143K

3,171 claims · 1.6%

Your Cost: $45.09/claim|Median: $37.22
1.2× median
99465Normal range

$27K

311 claims · 0.3%

Your Cost: $88.18/claim|Median: $99.16
0.9× median
99478Normal range

$17K

221 claims · 0.2%

Your Cost: $75.93/claim|Median: $106.11
0.7× median
54150Normal range

$2K

39 claims · 0.0%

Your Cost: $53.34/claim|Median: $84.60
0.6× median
99231Normal range

Subsequent hospital care, per day, low complexity

$121

13 claims · 0.0%

Your Cost: $9.31/claim|Median: $16.77
0.6× median
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