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Provider 1205425519

NPI: 1205425519Share
Active Billing Period:2022-03→2024-12(34 months)

Total Paid

$10.1M

$10,114,386

Total Claims

247K

Beneficiaries

173K

1.4 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2022
$100K
+5304%
2023
$5.4M
-15%
2024
$4.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 20% of total spending.

99214Normal range

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

$2.1M

33K claims · 20.5%

Your Cost: $63.52/claim|Median: $53.41
1.2× median
99213Normal range

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

$1.6M

34K claims · 15.4%

Your Cost: $45.38/claim|Median: $37.81
1.2× median
99291Normal range

Critical care, first 30-74 minutes

$818K

8,342 claims · 8.1%

Your Cost: $98.06/claim|Median: $101.24
1.0× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$569K

23K claims · 5.6%

Your Cost: $24.67/claim|Median: $23.99
1.0× median
99203Normal range

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

$552K

9,734 claims · 5.5%

Your Cost: $56.67/claim|Median: $57.85
1.0× median
99204Normal range

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

$453K

6,092 claims · 4.5%

Your Cost: $74.37/claim|Median: $84.03
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$393K

4,369 claims · 3.9%

Your Cost: $90.00/claim|Median: $74.09
1.2× median
99233Normal range

Subsequent hospital care, per day, high complexity

$385K

13K claims · 3.8%

Your Cost: $30.02/claim|Median: $35.30
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$226K

3,769 claims · 2.2%

Your Cost: $59.98/claim|Median: $69.35
0.9× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$209K

6,061 claims · 2.1%

Your Cost: $34.56/claim|Median: $58.55
0.6× median
99223Normal range

Initial hospital care, per day, high complexity

$178K

3,046 claims · 1.8%

Your Cost: $58.55/claim|Median: $67.32
0.9× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$170K

1,510 claims · 1.7%

Your Cost: $112.50/claim|Median: $111.09
1.0× median
76818Normal range

$145K

3,156 claims · 1.4%

Your Cost: $45.79/claim|Median: $68.15
0.7× median
99222Normal range

Initial hospital care, per day, moderate complexity

$130K

2,872 claims · 1.3%

Your Cost: $45.27/claim|Median: $51.25
0.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$123K

1,218 claims · 1.2%

Your Cost: $100.69/claim|Median: $108.91
0.9× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$119K

1,687 claims · 1.2%

Your Cost: $70.70/claim|Median: $106.79
0.7× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$118K

3,532 claims · 1.2%

Your Cost: $33.31/claim|Median: $47.65
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$116K

3,870 claims · 1.1%

Your Cost: $29.87/claim|Median: $25.06
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$103K

1,544 claims · 1.0%

Your Cost: $66.42/claim|Median: $75.18
0.9× median
97803Top 25%

Medical nutrition therapy, reassessment, group, thirty minutes

$95K

1,383 claims · 0.9%

Your Cost: $68.73/claim|Median: $24.33
2.8× median
59515Normal range

$79K

80 claims · 0.8%

Your Cost: $982.17/claim|Median: $786.24
1.2× median
99472Normal range

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

$77K

299 claims · 0.8%

Your Cost: $258.38/claim|Median: $307.98
0.8× median
76819Normal range

Fetal biophysical profile with non-stress test

$71K

2,438 claims · 0.7%

Your Cost: $29.03/claim|Median: $49.45
0.6× median
59410Normal range

$62K

84 claims · 0.6%

Your Cost: $740.45/claim|Median: $781.64
0.9× median
10060Normal range

Incision and drainage of abscess, simple

$61K

1,262 claims · 0.6%

Your Cost: $48.48/claim|Median: $75.72
0.6× median
17110Normal range

Destruction of benign lesions, up to fourteen

$60K

816 claims · 0.6%

Your Cost: $73.75/claim|Median: $59.25
1.2× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$59K

623 claims · 0.6%

Your Cost: $94.02/claim|Median: $233.73
0.4× median
76820Normal range

$57K

2,943 claims · 0.6%

Your Cost: $19.35/claim|Median: $31.79
0.6× median
43775Normal range

$54K

94 claims · 0.5%

Your Cost: $572.21/claim|Median: $619.12
0.9× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$51K

3,030 claims · 0.5%

Your Cost: $16.97/claim|Median: $30.04
0.6× median
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