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Provider 1225063761

NPI: 1225063761Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.0M

$12,005,416

Total Claims

150K

Beneficiaries

113K

1.3 claims/patient

Avg Cost/Claim

$80

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+4%
2019
$1.4M
+16%
2020
$1.6M
+13%
2021
$1.8M
-13%
2022
$1.6M
+37%
2023
$2.1M
+7%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (59409 (Vaginal delivery only)) accounts for 36% of total spending.

59409Normal range

Vaginal delivery only

$4.3M

6,313 claims · 35.8%

Your Cost: $680.92/claim|Median: $619.91
1.1× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$1.2M

31K claims · 9.8%

Your Cost: $37.80/claim|Median: $23.99
1.6× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$968K

23K claims · 8.1%

Your Cost: $42.77/claim|Median: $37.22
1.1× median
99291Normal range

Critical care, first 30-74 minutes

$887K

6,875 claims · 7.4%

Your Cost: $129.07/claim|Median: $101.24
1.3× median
99233Normal range

Subsequent hospital care, per day, high complexity

$663K

15K claims · 5.5%

Your Cost: $43.35/claim|Median: $35.30
1.2× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$484K

8,588 claims · 4.0%

Your Cost: $56.41/claim|Median: $62.48
0.9× median
59514Normal range

Cesarean delivery only

$347K

1,028 claims · 2.9%

Your Cost: $337.86/claim|Median: $452.80
0.7× median
99223Normal range

Initial hospital care, per day, high complexity

$300K

3,678 claims · 2.5%

Your Cost: $81.60/claim|Median: $67.32
1.2× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$290K

3,597 claims · 2.4%

Your Cost: $80.58/claim|Median: $51.25
1.6× median
45385Top 25%

Colonoscopy with polyp removal, snare technique

$246K

536 claims · 2.0%

Your Cost: $458.16/claim|Median: $255.17
1.8× median
45380Normal range

Colonoscopy with biopsy

$216K

711 claims · 1.8%

Your Cost: $303.66/claim|Median: $200.68
1.5× median
43239Normal range

Upper GI endoscopy with biopsy

$215K

1,026 claims · 1.8%

Your Cost: $209.69/claim|Median: $151.68
1.4× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$215K

3,528 claims · 1.8%

Your Cost: $60.98/claim|Median: $54.68
1.1× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$213K

6,456 claims · 1.8%

Your Cost: $33.03/claim|Median: $16.77
2.0× median
99480Top 25%

Subsequent intensive care, very low birth weight infant

$153K

1,237 claims · 1.3%

Your Cost: $123.75/claim|Median: $98.15
1.3× median
93010Top 5%

Electrocardiogram, interpretation and report only

$151K

12K claims · 1.3%

Your Cost: $12.36/claim|Median: $5.60
2.2× median
99254Normal range

$142K

1,866 claims · 1.2%

Your Cost: $75.98/claim|Median: $81.43
0.9× median
99284Normal range

Emergency dept visit, high complexity

$121K

1,535 claims · 1.0%

Your Cost: $79.04/claim|Median: $69.51
1.1× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$113K

1,914 claims · 0.9%

Your Cost: $58.78/claim|Median: $43.85
1.3× median
99462Normal range

$103K

3,465 claims · 0.9%

Your Cost: $29.85/claim|Median: $27.49
1.1× median
99468Normal range

$93K

248 claims · 0.8%

Your Cost: $374.60/claim|Median: $679.18
0.6× median
99221Normal range

Initial hospital care, straightforward/low

$75K

1,835 claims · 0.6%

Your Cost: $41.13/claim|Median: $39.96
1.0× median
76705Normal range

Ultrasound, abdominal, limited

$62K

2,847 claims · 0.5%

Your Cost: $21.85/claim|Median: $23.81
0.9× median
45378Normal range

Colonoscopy, diagnostic

$61K

178 claims · 0.5%

Your Cost: $341.33/claim|Median: $225.49
1.5× median
59025Normal range

Fetal non-stress test

$45K

4,000 claims · 0.4%

Your Cost: $11.31/claim|Median: $26.45
0.4× median
99283Normal range

Emergency dept visit, moderate complexity

$44K

957 claims · 0.4%

Your Cost: $46.37/claim|Median: $42.48
1.1× median
99245Normal range

Office consultation, high complexity

$42K

274 claims · 0.4%

Your Cost: $153.66/claim|Median: $143.30
1.1× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$36K

300 claims · 0.3%

Your Cost: $119.63/claim|Median: $121.58
1.0× median
43235Normal range

Upper GI endoscopy, diagnostic, including collection

$31K

142 claims · 0.3%

Your Cost: $219.45/claim|Median: $114.30
1.9× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$30K

475 claims · 0.2%

Your Cost: $62.99/claim|Median: $106.14
0.6× median
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