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Provider 1225085855

NPI: 1225085855Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.4M

$16,360,901

Total Claims

732K

Beneficiaries

563K

1.3 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+38%
2019
$1.5M
+6%
2020
$1.6M
+50%
2021
$2.3M
+24%
2022
$2.9M
+25%
2023
$3.6M
-4%
2024
$3.5M

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 28% of total spending.

99214Normal range

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

$4.5M

88K claims · 27.7%

Your Cost: $51.38/claim|Median: $53.41
1.0× median
99213Normal range

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

$4.4M

127K claims · 26.8%

Your Cost: $34.51/claim|Median: $37.81
0.9× median
11721Normal range

$579K

51K claims · 3.5%

Your Cost: $11.41/claim|Median: $8.56
1.3× median
99203Normal range

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

$439K

9,777 claims · 2.7%

Your Cost: $44.85/claim|Median: $57.85
0.8× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$412K

22K claims · 2.5%

Your Cost: $18.78/claim|Median: $23.99
0.8× median
97110Normal range

Therapeutic exercises, each 15 min

$405K

21K claims · 2.5%

Your Cost: $18.85/claim|Median: $24.49
0.8× median
99212Top 25%

Office/outpatient visit, low complexity

$397K

10K claims · 2.4%

Your Cost: $39.36/claim|Median: $25.06
1.6× median
99204Normal range

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

$333K

4,924 claims · 2.0%

Your Cost: $67.66/claim|Median: $84.03
0.8× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$260K

11K claims · 1.6%

Your Cost: $23.74/claim|Median: $36.13
0.7× median
90837Normal range

Psychotherapy, 60 minutes

$207K

3,058 claims · 1.3%

Your Cost: $67.85/claim|Median: $85.66
0.8× median
97140Normal range

Manual therapy techniques, per 15 minutes

$197K

16K claims · 1.2%

Your Cost: $12.55/claim|Median: $16.79
0.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$191K

3,169 claims · 1.2%

Your Cost: $60.16/claim|Median: $72.71
0.8× median
J2357Normal range

Injection, omalizumab, 5 mg

$190K

195 claims · 1.2%

Your Cost: $975.35/claim|Median: $920.37
1.1× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$181K

1,986 claims · 1.1%

Your Cost: $91.16/claim|Median: $74.78
1.2× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$172K

10K claims · 1.1%

Your Cost: $16.96/claim|Median: $20.04
0.8× median
99308Normal range

Nursing facility care, subsequent, straightforward

$172K

17K claims · 1.0%

Your Cost: $10.27/claim|Median: $9.79
1.0× median
76856Normal range

Ultrasound, pelvic, complete

$159K

2,450 claims · 1.0%

Your Cost: $65.06/claim|Median: $47.58
1.4× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$148K

337 claims · 0.9%

Your Cost: $437.91/claim|Median: $470.36
0.9× median
59409Normal range

Vaginal delivery only

$145K

245 claims · 0.9%

Your Cost: $590.67/claim|Median: $619.91
1.0× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$141K

9,190 claims · 0.9%

Your Cost: $15.31/claim|Median: $12.06
1.3× median
99223Normal range

Initial hospital care, per day, high complexity

$131K

2,834 claims · 0.8%

Your Cost: $46.26/claim|Median: $67.32
0.7× median
99291Normal range

Critical care, first 30-74 minutes

$123K

2,650 claims · 0.8%

Your Cost: $46.42/claim|Median: $101.24
0.5× median
H1000Top 25%

Prenatal care, at-risk assessment

$107K

1,228 claims · 0.7%

Your Cost: $87.33/claim|Median: $50.36
1.7× median
90834Normal range

Psychotherapy, 45 minutes

$104K

2,317 claims · 0.6%

Your Cost: $44.94/claim|Median: $63.65
0.7× median
97113Normal range

$103K

2,577 claims · 0.6%

Your Cost: $39.99/claim|Median: $51.02
0.8× median
17110Normal range

Destruction of benign lesions, up to fourteen

$102K

2,194 claims · 0.6%

Your Cost: $46.40/claim|Median: $59.25
0.8× median
76830Normal range

Ultrasound, transvaginal

$98K

1,509 claims · 0.6%

Your Cost: $65.01/claim|Median: $57.47
1.1× median
95004Normal range

Percutaneous allergy skin tests, each

$94K

1,352 claims · 0.6%

Your Cost: $69.59/claim|Median: $134.97
0.5× median
99233Normal range

Subsequent hospital care, per day, high complexity

$87K

3,173 claims · 0.5%

Your Cost: $27.28/claim|Median: $35.30
0.8× median
L3000Normal range

Foot insert, removable, molded to patient model

$86K

744 claims · 0.5%

Your Cost: $115.72/claim|Median: $205.41
0.6× median
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