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Provider 1225309586

NPI: 1225309586Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.1M

$16,122,871

Total Claims

208K

Beneficiaries

186K

1.1 claims/patient

Avg Cost/Claim

$77

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+26%
2019
$1.4M
+7%
2020
$1.5M
+108%
2021
$3.2M
-7%
2022
$3.0M
+1%
2023
$3.0M
-8%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 33% of total spending.

99213Top 10%

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

$5.4M

75K claims · 33.5%

Your Cost: $72.37/claim|Median: $37.81
1.9× median
99203Top 10%

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

$2.5M

25K claims · 15.3%

Your Cost: $98.82/claim|Median: $57.85
1.7× median
99214Top 10%

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

$2.4M

23K claims · 15.0%

Your Cost: $107.35/claim|Median: $53.41
2.0× median
17360Normal range

$1.7M

16K claims · 10.6%

Your Cost: $109.70/claim|Median: $98.65
1.1× median
17110Top 25%

Destruction of benign lesions, up to fourteen

$920K

9,615 claims · 5.7%

Your Cost: $95.65/claim|Median: $59.25
1.6× median
96920Normal range

$708K

6,610 claims · 4.4%

Your Cost: $107.16/claim|Median: $118.58
0.9× median
11900Normal range

$491K

12K claims · 3.0%

Your Cost: $41.67/claim|Median: $31.25
1.3× median
10040Normal range

$480K

5,968 claims · 3.0%

Your Cost: $80.44/claim|Median: $70.50
1.1× median
96910Top 25%

$449K

4,829 claims · 2.8%

Your Cost: $93.04/claim|Median: $51.52
1.8× median
99204Top 10%

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

$398K

2,694 claims · 2.5%

Your Cost: $147.59/claim|Median: $84.03
1.8× median
11901Top 25%

$252K

4,664 claims · 1.6%

Your Cost: $54.00/claim|Median: $36.91
1.5× median
11102Top 25%

$187K

2,343 claims · 1.2%

Your Cost: $79.93/claim|Median: $48.69
1.6× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$72K

1,060 claims · 0.4%

Your Cost: $68.24/claim|Median: $40.11
1.7× median
99212Top 25%

Office/outpatient visit, low complexity

$36K

792 claims · 0.2%

Your Cost: $45.76/claim|Median: $25.06
1.8× median
96921Normal range

$29K

196 claims · 0.2%

Your Cost: $147.34/claim|Median: $106.73
1.4× median
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$29K

16K claims · 0.2%

Your Cost: $1.75/claim|Median: $2.91
0.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$27K

2,217 claims · 0.2%

Your Cost: $12.38/claim|Median: $9.56
1.3× median
11100Top 25%

$24K

289 claims · 0.2%

Your Cost: $84.72/claim|Median: $44.58
1.9× median
96922Normal range

$11K

53 claims · 0.1%

Your Cost: $208.02/claim|Median: $194.79
1.1× median
17111Top 25%

$8K

67 claims · 0.0%

Your Cost: $118.99/claim|Median: $80.28
1.5× median
99308Top 25%

Nursing facility care, subsequent, straightforward

$5K

261 claims · 0.0%

Your Cost: $20.96/claim|Median: $9.79
2.1× median
11104Top 25%

$5K

38 claims · 0.0%

Your Cost: $119.78/claim|Median: $76.74
1.6× median
99305Top 10%

$3K

49 claims · 0.0%

Your Cost: $66.53/claim|Median: $19.28
3.5× median
64650Normal range

$1K

14 claims · 0.0%

Your Cost: $89.20/claim|Median: $73.73
1.2× median
96900Normal range

$478

21 claims · 0.0%

Your Cost: $22.75/claim|Median: $15.84
1.4× median
17000Top 25%

$435

13 claims · 0.0%

Your Cost: $33.49/claim|Median: $21.35
1.6× median
99211Top 25%

Office/outpatient visit, minimal complexity

$432

19 claims · 0.0%

Your Cost: $22.73/claim|Median: $12.93
1.8× median
96999Normal range

$305

108 claims · 0.0%

Your Cost: $2.82/claim|Median: $29.19
0.1× median
36415Normal range

Collection of venous blood by venipuncture

$25

40 claims · 0.0%

Your Cost: $0.62/claim|Median: $1.57
0.4× median
J3490Normal range

Unclassified drugs

$2

803 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.70
0.0× median
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