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Provider 1205901097

NPI: 1205901097Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.1M

$14,050,491

Total Claims

104K

Beneficiaries

102K

1.0 claims/patient

Avg Cost/Claim

$136

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+12%
2019
$2.1M
-5%
2020
$2.0M
+9%
2021
$2.2M
-8%
2022
$2.0M
+7%
2023
$2.2M
-31%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (93303 (Echocardiography, transthoracic, limited)) accounts for 45% of total spending.

93303Top 25%

Echocardiography, transthoracic, limited

$6.3M

20K claims · 45.1%

Your Cost: $314.69/claim|Median: $112.83
2.8× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$2.8M

10K claims · 19.9%

Your Cost: $275.41/claim|Median: $54.68
5.0× median
93320Top 25%

$1.5M

21K claims · 10.7%

Your Cost: $71.57/claim|Median: $28.68
2.5× median
99205Top 5%

Office/outpatient visit, new patient, high complexity

$717K

2,475 claims · 5.1%

Your Cost: $289.82/claim|Median: $111.09
2.6× median
93325Top 25%

$664K

21K claims · 4.7%

Your Cost: $31.54/claim|Median: $14.61
2.2× median
99215Top 5%

Office/outpatient visit, high complexity

$644K

2,513 claims · 4.6%

Your Cost: $256.32/claim|Median: $74.09
3.5× median
99214Top 5%

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

$459K

3,201 claims · 3.3%

Your Cost: $143.35/claim|Median: $53.41
2.7× median
93000Top 5%

Electrocardiogram, complete, with interpretation and report

$431K

18K claims · 3.1%

Your Cost: $24.10/claim|Median: $9.70
2.5× median
99213Top 5%

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

$314K

3,348 claims · 2.2%

Your Cost: $93.83/claim|Median: $37.81
2.5× median
99204Top 10%

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

$102K

650 claims · 0.7%

Your Cost: $156.70/claim|Median: $84.03
1.9× median
99203Top 5%

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

$64K

464 claims · 0.5%

Your Cost: $137.31/claim|Median: $57.85
2.4× median
93225Normal range

$8K

231 claims · 0.1%

Your Cost: $33.89/claim|Median: $34.59
1.0× median
93227Top 10%

$6K

146 claims · 0.0%

Your Cost: $41.71/claim|Median: $18.60
2.2× median
93010Top 5%

Electrocardiogram, interpretation and report only

$5K

364 claims · 0.0%

Your Cost: $13.75/claim|Median: $5.60
2.5× median
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