Provider 1205853041
NPI: 1205853041Share
Active Billing Period:2018-01→2024-12(84 months)
Total Paid
$15.3M
$15,329,035
Total Claims
35K
Beneficiaries
34K
1.0 claims/patient
Avg Cost/Claim
$444
Monthly Spending Trend
Yearly Spending
2018
$1.8M
+11%
2019
$1.9M
-15%
2020
$1.6M
+26%
2021
$2.1M
+25%
2022
$2.6M
-3%
2023
$2.5M
+9%
2024
$2.8M
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 8 distinct procedure codes. The top code (43239 (Upper GI endoscopy with biopsy)) accounts for 41% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
43239Top 25%
Upper GI endoscopy with biopsy
$6.3M
15K claims · 41.1%
Your Cost: $431.14/claim|Median: $151.68
2.8× median45378Top 25%
Colonoscopy, diagnostic
$3.5M
7,880 claims · 22.8%
Your Cost: $443.16/claim|Median: $225.49
2.0× median$2.8M
5,538 claims
$497.14
$255.17
1.9×
Top 25%
45385Top 25%
Colonoscopy with polyp removal, snare technique
$2.8M
5,538 claims · 18.0%
Your Cost: $497.14/claim|Median: $255.17
1.9× median45380Top 25%
Colonoscopy with biopsy
$2.7M
5,595 claims · 17.9%
Your Cost: $491.42/claim|Median: $200.68
2.4× median$20K
51 claims
$384.21
$114.30
3.4×
Top 25%
43235Top 25%
Upper GI endoscopy, diagnostic, including collection
$20K
51 claims · 0.1%
Your Cost: $384.21/claim|Median: $114.30
3.4× median0490Top 5%
$16K
13 claims · 0.1%
Your Cost: $1,246.15/claim|Median: $58.18
21.4× medianG8907Normal range
$0
436 claims · 0.0%
Your Cost: $0.00/claim|Median: $0.38
G8918Normal range
$0
430 claims · 0.0%
Your Cost: $0.00/claim|Median: $1.03