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Provider 1215940796

NPI: 1215940796Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$11.4M

$11,402,295

Total Claims

358K

Beneficiaries

350K

1.0 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$695K
+124%
2019
$1.6M
-11%
2020
$1.4M
+6%
2021
$1.5M
+37%
2022
$2.0M
+24%
2023
$2.5M
-28%
2024
$1.8M

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 34% of total spending.

99214Top 25%

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

$3.9M

41K claims · 34.1%

Your Cost: $93.85/claim|Median: $53.41
1.8× median
99213Top 25%

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

$1.5M

27K claims · 13.5%

Your Cost: $57.79/claim|Median: $37.81
1.5× median
99204Top 25%

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

$1.5M

12K claims · 12.9%

Your Cost: $118.33/claim|Median: $84.03
1.4× median
93976Top 25%

$1.4M

14K claims · 11.9%

Your Cost: $100.00/claim|Median: $42.06
2.4× median
52281Top 25%

$752K

3,725 claims · 6.6%

Your Cost: $201.90/claim|Median: $120.41
1.7× median
99203Normal range

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

$364K

6,089 claims · 3.2%

Your Cost: $59.83/claim|Median: $57.85
1.0× median
51728Top 25%

$356K

1,240 claims · 3.1%

Your Cost: $286.85/claim|Median: $118.19
2.4× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$258K

1,587 claims · 2.3%

Your Cost: $162.84/claim|Median: $111.09
1.5× median
76872Top 25%

$240K

2,574 claims · 2.1%

Your Cost: $93.07/claim|Median: $53.54
1.7× median
51725Normal range

$236K

2,900 claims · 2.1%

Your Cost: $81.21/claim|Median: $61.44
1.3× median
76857Normal range

Pelvic ultrasound, limited

$109K

3,362 claims · 1.0%

Your Cost: $32.48/claim|Median: $26.23
1.2× median
76775Normal range

$88K

2,516 claims · 0.8%

Your Cost: $34.95/claim|Median: $28.03
1.2× median
91122Top 10%

$85K

452 claims · 0.7%

Your Cost: $187.38/claim|Median: $97.26
1.9× median
51784Normal range

$79K

2,314 claims · 0.7%

Your Cost: $34.21/claim|Median: $30.27
1.1× median
76870Normal range

$74K

1,309 claims · 0.7%

Your Cost: $56.87/claim|Median: $34.90
1.6× median
52224Normal range

$41K

119 claims · 0.4%

Your Cost: $342.48/claim|Median: $343.46
1.0× median
2010F

$37K

36K claims · 0.3%

51703Top 1%

$33K

306 claims · 0.3%

Your Cost: $107.19/claim|Median: $15.74
6.8× median
97750Top 10%

$32K

453 claims · 0.3%

Your Cost: $71.12/claim|Median: $30.89
2.3× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$30K

697 claims · 0.3%

Your Cost: $43.66/claim|Median: $22.44
1.9× median
51741Normal range

$30K

3,616 claims · 0.3%

Your Cost: $8.36/claim|Median: $9.69
0.9× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$29K

657 claims · 0.3%

Your Cost: $44.52/claim|Median: $29.03
1.5× median
93975Top 25%

Duplex scan of arterial inflow and venous outflow, complete

$28K

139 claims · 0.2%

Your Cost: $203.23/claim|Median: $79.28
2.6× median
1159FTop 10%

$26K

14K claims · 0.2%

Your Cost: $1.90/claim|Median: $0.01
189.8× median
3008FNormal range

$21K

31K claims · 0.2%

Your Cost: $0.67/claim|Median: $0.06
11.2× median
1036FTop 25%

$20K

13K claims · 0.2%

Your Cost: $1.59/claim|Median: $0.01
158.9× median
97032Top 5%

Electrical stimulation, manual

$19K

453 claims · 0.2%

Your Cost: $41.54/claim|Median: $9.42
4.4× median
3319FTop 1%

$17K

15K claims · 0.2%

Your Cost: $1.14/claim|Median: $1.14
1.0× median
51729Normal range

$17K

67 claims · 0.1%

Your Cost: $254.93/claim|Median: $175.67
1.5× median
1125FTop 25%

$14K

18K claims · 0.1%

Your Cost: $0.80/claim|Median: $0.03
26.6× median
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