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Provider 1225356868

NPI: 1225356868Share
Active Billing Period:2018-01→2022-12(50 months)
Billing appears to have stoppedLast active: 2022-12

Total Paid

$15.0M

$14,968,911

Total Claims

236K

Beneficiaries

192K

1.2 claims/patient

Avg Cost/Claim

$63

Monthly Spending Trend

Yearly Spending

2018
$5.5M
+9%
2019
$6.0M
-43%
2020
$3.4M
-100%
2021
$9K
+164%
2022
$23K

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 40% of total spending.

99214Top 25%

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

$6.0M

78K claims · 40.1%

Your Cost: $77.32/claim|Median: $53.41
1.4× median
99203Top 25%

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

$1.8M

23K claims · 12.1%

Your Cost: $78.43/claim|Median: $57.85
1.4× median
99213Normal range

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

$1.4M

26K claims · 9.2%

Your Cost: $52.55/claim|Median: $37.81
1.4× median
99204Top 25%

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

$969K

7,953 claims · 6.5%

Your Cost: $121.85/claim|Median: $84.03
1.5× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$548K

17K claims · 3.7%

Your Cost: $32.01/claim|Median: $23.99
1.3× median
99233Normal range

Subsequent hospital care, per day, high complexity

$459K

10K claims · 3.1%

Your Cost: $44.72/claim|Median: $35.30
1.3× median
76811Top 25%

Ultrasound, pregnant uterus, detailed, single fetus

$447K

2,639 claims · 3.0%

Your Cost: $169.30/claim|Median: $106.79
1.6× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$414K

1,072 claims · 2.8%

Your Cost: $386.43/claim|Median: $470.36
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$284K

8,576 claims · 1.9%

Your Cost: $33.17/claim|Median: $54.68
0.6× median
99223Normal range

Initial hospital care, per day, high complexity

$284K

3,058 claims · 1.9%

Your Cost: $92.82/claim|Median: $67.32
1.4× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$243K

5,084 claims · 1.6%

Your Cost: $47.88/claim|Median: $43.85
1.1× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$219K

3,835 claims · 1.5%

Your Cost: $57.17/claim|Median: $58.55
1.0× median
76821Top 25%

$189K

2,375 claims · 1.3%

Your Cost: $79.48/claim|Median: $46.75
1.7× median
76820Top 25%

$136K

2,953 claims · 0.9%

Your Cost: $46.09/claim|Median: $31.79
1.4× median
76818Normal range

$123K

1,661 claims · 0.8%

Your Cost: $73.97/claim|Median: $68.15
1.1× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$106K

1,723 claims · 0.7%

Your Cost: $61.45/claim|Median: $36.79
1.7× median
59025Normal range

Fetal non-stress test

$97K

3,247 claims · 0.6%

Your Cost: $29.92/claim|Median: $26.45
1.1× median
59400Normal range

Routine obstetric care, vaginal delivery, including postpartum

$91K

82 claims · 0.6%

Your Cost: $1,106.46/claim|Median: $1,482.45
0.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$71K

743 claims · 0.5%

Your Cost: $96.12/claim|Median: $108.91
0.9× median
76819Normal range

Fetal biophysical profile with non-stress test

$64K

1,054 claims · 0.4%

Your Cost: $60.30/claim|Median: $49.45
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$62K

745 claims · 0.4%

Your Cost: $83.43/claim|Median: $74.09
1.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$53K

365 claims · 0.4%

Your Cost: $145.52/claim|Median: $111.09
1.3× median
90839Normal range

Psychotherapy for crisis, first 60 min

$51K

617 claims · 0.3%

Your Cost: $82.30/claim|Median: $83.98
1.0× median
93010Normal range

Electrocardiogram, interpretation and report only

$42K

7,335 claims · 0.3%

Your Cost: $5.79/claim|Median: $5.60
1.0× median
95886Normal range

$42K

458 claims · 0.3%

Your Cost: $92.47/claim|Median: $67.70
1.4× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$42K

714 claims · 0.3%

Your Cost: $59.30/claim|Median: $40.11
1.5× median
64615Normal range

$41K

455 claims · 0.3%

Your Cost: $90.88/claim|Median: $82.82
1.1× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$40K

2,500 claims · 0.3%

Your Cost: $16.00/claim|Median: $9.70
1.6× median
76813Top 25%

Ultrasound for fetal nuchal translucency measurement

$36K

367 claims · 0.2%

Your Cost: $98.48/claim|Median: $70.87
1.4× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$35K

497 claims · 0.2%

Your Cost: $70.07/claim|Median: $58.16
1.2× median
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