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Provider 1205179132

NPI: 1205179132Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$8.2M

$8,225,073

Total Claims

65K

Beneficiaries

35K

1.8 claims/patient

Avg Cost/Claim

$127

Monthly Spending Trend

Yearly Spending

2018
$2.2M
-36%
2019
$1.4M
-54%
2020
$650K
+17%
2021
$758K
-38%
2022
$473K
+137%
2023
$1.1M
+39%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (Z0104) accounts for 27% of total spending.

Z0104Top 25%

$2.2M

15K claims · 26.6%

Your Cost: $144.25/claim|Median: $141.22
1.0× median
99480Top 25%

Subsequent intensive care, very low birth weight infant

$2.2M

18K claims · 26.4%

Your Cost: $122.91/claim|Median: $98.15
1.3× median
99479Top 25%

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

$1.4M

10K claims · 16.8%

Your Cost: $134.69/claim|Median: $103.70
1.3× median
Z0102Normal range

$971K

4,965 claims · 11.8%

Your Cost: $195.64/claim|Median: $193.72
1.0× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$497K

2,615 claims · 6.0%

Your Cost: $189.93/claim|Median: $293.45
0.6× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$205K

3,149 claims · 2.5%

Your Cost: $65.06/claim|Median: $62.48
1.0× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$179K

2,472 claims · 2.2%

Your Cost: $72.35/claim|Median: $43.85
1.7× median
99215Normal range

Office/outpatient visit, high complexity

$134K

1,690 claims · 1.6%

Your Cost: $79.26/claim|Median: $74.09
1.1× median
99472Normal range

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

$74K

414 claims · 0.9%

Your Cost: $177.84/claim|Median: $307.98
0.6× median
99464Top 25%

$68K

834 claims · 0.8%

Your Cost: $81.26/claim|Median: $59.94
1.4× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$42K

774 claims · 0.5%

Your Cost: $54.43/claim|Median: $37.22
1.5× median
Z4306Normal range

$36K

726 claims · 0.4%

Your Cost: $49.34/claim|Median: $49.73
1.0× median
99080Top 10%

$34K

471 claims · 0.4%

Your Cost: $73.09/claim|Median: $6.15
11.9× median
99245Normal range

Office consultation, high complexity

$34K

287 claims · 0.4%

Your Cost: $118.84/claim|Median: $143.30
0.8× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$29K

274 claims · 0.4%

Your Cost: $107.55/claim|Median: $51.25
2.1× median
Z0106Normal range

$25K

336 claims · 0.3%

Your Cost: $74.59/claim|Median: $76.54
1.0× median
Z0100Normal range

$24K

62 claims · 0.3%

Your Cost: $386.99/claim|Median: $387.19
1.0× median
99463Top 5%

$23K

171 claims · 0.3%

Your Cost: $133.12/claim|Median: $78.46
1.7× median
Z4304Normal range

$20K

377 claims · 0.2%

Your Cost: $53.32/claim|Median: $53.44
1.0× median
99462Normal range

$20K

611 claims · 0.2%

Your Cost: $32.35/claim|Median: $27.49
1.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$15K

151 claims · 0.2%

Your Cost: $101.66/claim|Median: $111.09
0.9× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$15K

262 claims · 0.2%

Your Cost: $56.16/claim|Median: $23.99
2.3× median
99367Top 25%

$14K

280 claims · 0.2%

Your Cost: $49.57/claim|Median: $35.65
1.4× median
Z4303Normal range

$9K

301 claims · 0.1%

Your Cost: $29.35/claim|Median: $29.71
1.0× median
99291Top 10%

Critical care, first 30-74 minutes

$9K

42 claims · 0.1%

Your Cost: $205.72/claim|Median: $101.24
2.0× median
99221Normal range

Initial hospital care, straightforward/low

$4K

77 claims · 0.0%

Your Cost: $47.68/claim|Median: $39.96
1.2× median
99233Normal range

Subsequent hospital care, per day, high complexity

$3K

56 claims · 0.0%

Your Cost: $53.10/claim|Median: $35.30
1.5× median
S0302Top 5%

$3K

36 claims · 0.0%

Your Cost: $74.75/claim|Median: $9.05
8.3× median
94375Normal range

$2K

162 claims · 0.0%

Your Cost: $14.21/claim|Median: $17.23
0.8× median
99401Normal range

$13

27 claims · 0.0%

Your Cost: $0.47/claim|Median: $16.53
0.0× median
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