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Provider 1205928587

NPI: 1205928587Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.8M

$10,803,093

Total Claims

170K

Beneficiaries

111K

1.5 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+6%
2019
$1.9M
+9%
2020
$2.0M
-41%
2021
$1.2M
+41%
2022
$1.7M
-46%
2023
$916K
+45%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (99469 (Subsequent intensive care, very low birth weight infant)) accounts for 20% of total spending.

99469Normal range

Subsequent intensive care, very low birth weight infant

$2.1M

8,003 claims · 19.7%

Your Cost: $266.52/claim|Median: $293.45
0.9× median
99479Normal range

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

$1.6M

19K claims · 14.4%

Your Cost: $83.84/claim|Median: $103.70
0.8× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$1.4M

24K claims · 12.9%

Your Cost: $58.33/claim|Median: $62.48
0.9× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$1.3M

28K claims · 12.0%

Your Cost: $46.47/claim|Median: $37.22
1.2× median
92586Normal range

$1.3M

21K claims · 11.7%

Your Cost: $59.54/claim|Median: $51.18
1.2× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$780K

10K claims · 7.2%

Your Cost: $76.52/claim|Median: $98.15
0.8× median
92650Normal range

$579K

27K claims · 5.4%

Your Cost: $21.68/claim|Median: $31.90
0.7× median
99462Normal range

$542K

21K claims · 5.0%

Your Cost: $25.97/claim|Median: $27.49
0.9× median
99468Normal range

$437K

708 claims · 4.0%

Your Cost: $616.99/claim|Median: $679.18
0.9× median
99464Normal range

$228K

5,204 claims · 2.1%

Your Cost: $43.86/claim|Median: $59.94
0.7× median
54150Normal range

$189K

2,693 claims · 1.7%

Your Cost: $70.05/claim|Median: $84.60
0.8× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$139K

1,955 claims · 1.3%

Your Cost: $71.02/claim|Median: $43.85
1.6× median
99477Normal range

$135K

570 claims · 1.2%

Your Cost: $236.43/claim|Median: $276.41
0.9× median
99472Normal range

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

$51K

348 claims · 0.5%

Your Cost: $146.46/claim|Median: $307.98
0.5× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$31K

362 claims · 0.3%

Your Cost: $84.27/claim|Median: $51.25
1.6× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$21K

435 claims · 0.2%

Your Cost: $48.99/claim|Median: $23.99
2.0× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$16K

237 claims · 0.1%

Your Cost: $67.44/claim|Median: $35.30
1.9× median
99465Normal range

$15K

161 claims · 0.1%

Your Cost: $95.41/claim|Median: $99.16
1.0× median
99223Top 10%

Initial hospital care, per day, high complexity

$4K

32 claims · 0.0%

Your Cost: $137.17/claim|Median: $67.32
2.0× median
99231Normal range

Subsequent hospital care, per day, low complexity

$1K

66 claims · 0.0%

Your Cost: $18.43/claim|Median: $16.77
1.1× median
99217Top 25%

$737

16 claims · 0.0%

Your Cost: $46.07/claim|Median: $31.89
1.4× median
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