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Provider 1215986468

NPI: 1215986468Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.1M

$15,090,623

Total Claims

225K

Beneficiaries

107K

2.1 claims/patient

Avg Cost/Claim

$67

Monthly Spending Trend

Yearly Spending

2018
$1.8M
-5%
2019
$1.7M
+46%
2020
$2.5M
+37%
2021
$3.4M
-39%
2022
$2.1M
-3%
2023
$2.0M
-19%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99291 (Critical care, first 30-74 minutes)) accounts for 31% of total spending.

99291Top 25%

Critical care, first 30-74 minutes

$4.7M

33K claims · 31.1%

Your Cost: $142.11/claim|Median: $101.24
1.4× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$4.2M

64K claims · 27.9%

Your Cost: $65.61/claim|Median: $35.30
1.9× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$2.0M

49K claims · 13.6%

Your Cost: $42.13/claim|Median: $23.99
1.8× median
99214Normal range

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

$1.1M

22K claims · 7.4%

Your Cost: $51.37/claim|Median: $53.41
1.0× median
99308Top 10%

Nursing facility care, subsequent, straightforward

$975K

28K claims · 6.5%

Your Cost: $35.34/claim|Median: $9.79
3.6× median
99309Top 10%

Nursing facility care, subsequent, low complexity

$722K

15K claims · 4.8%

Your Cost: $49.28/claim|Median: $14.00
3.5× median
99255Top 25%

$621K

3,674 claims · 4.1%

Your Cost: $169.07/claim|Median: $90.45
1.9× median
99204Normal range

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

$188K

2,154 claims · 1.2%

Your Cost: $87.33/claim|Median: $84.03
1.0× median
99306Top 5%

$115K

1,161 claims · 0.8%

Your Cost: $99.44/claim|Median: $29.97
3.3× median
99223Normal range

Initial hospital care, per day, high complexity

$109K

1,323 claims · 0.7%

Your Cost: $82.62/claim|Median: $67.32
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$103K

1,588 claims · 0.7%

Your Cost: $65.07/claim|Median: $74.09
0.9× median
94010Normal range

$39K

2,325 claims · 0.3%

Your Cost: $16.68/claim|Median: $18.11
0.9× median
99254Top 25%

$32K

248 claims · 0.2%

Your Cost: $130.14/claim|Median: $81.43
1.6× median
99310Top 10%

$26K

336 claims · 0.2%

Your Cost: $77.03/claim|Median: $21.82
3.5× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$23K

216 claims · 0.2%

Your Cost: $107.26/claim|Median: $111.09
1.0× median
94060Normal range

$14K

555 claims · 0.1%

Your Cost: $25.78/claim|Median: $25.18
1.0× median
71046Normal range

Chest X-ray, 2 views

$8K

612 claims · 0.1%

Your Cost: $12.99/claim|Median: $8.92
1.5× median
99203Normal range

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

$6K

104 claims · 0.0%

Your Cost: $58.17/claim|Median: $57.85
1.0× median
99292Normal range

$6K

71 claims · 0.0%

Your Cost: $82.30/claim|Median: $57.64
1.4× median
99222Normal range

Initial hospital care, per day, moderate complexity

$4K

64 claims · 0.0%

Your Cost: $64.07/claim|Median: $51.25
1.3× median
94618Normal range

$3K

150 claims · 0.0%

Your Cost: $20.16/claim|Median: $14.59
1.4× median
90688Normal range

$2K

182 claims · 0.0%

Your Cost: $13.16/claim|Median: $9.00
1.5× median
94729Normal range

$2K

90 claims · 0.0%

Your Cost: $24.80/claim|Median: $12.24
2.0× median
90471Top 10%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$2K

104 claims · 0.0%

Your Cost: $21.02/claim|Median: $9.80
2.1× median
94726Normal range

$2K

86 claims · 0.0%

Your Cost: $23.59/claim|Median: $13.41
1.8× median
99305Top 25%

$540

13 claims · 0.0%

Your Cost: $41.54/claim|Median: $19.28
2.2× median
99307Top 25%

$340

19 claims · 0.0%

Your Cost: $17.88/claim|Median: $6.57
2.7× median
99213Normal range

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

$289

17 claims · 0.0%

Your Cost: $16.99/claim|Median: $37.81
0.4× median
94664Normal range

$88

12 claims · 0.0%

Your Cost: $7.36/claim|Median: $8.88
0.8× median
85018Normal range

$88

87 claims · 0.0%

Your Cost: $1.01/claim|Median: $1.71
0.6× median
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