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Provider 1225440969

NPI: 1225440969Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.1M

$8,087,602

Total Claims

30K

Beneficiaries

24K

1.2 claims/patient

Avg Cost/Claim

$266

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+46%
2019
$1.7M
-31%
2020
$1.1M
-9%
2021
$1.0M
+2%
2022
$1.1M
-8%
2023
$975K
+10%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (64635) accounts for 37% of total spending.

64635Top 25%

$3.0M

5,425 claims · 37.0%

Your Cost: $552.16/claim|Median: $207.78
2.7× median
64483Top 25%

$1.3M

5,535 claims · 15.8%

Your Cost: $230.18/claim|Median: $124.24
1.9× median
64493Top 25%

$1.1M

3,687 claims · 13.4%

Your Cost: $294.38/claim|Median: $103.44
2.8× median
64494Top 5%

$665K

1,755 claims · 8.2%

Your Cost: $378.67/claim|Median: $34.70
10.9× median
64633Top 10%

$602K

966 claims · 7.4%

Your Cost: $623.19/claim|Median: $223.58
2.8× median
64479Top 10%

$382K

1,306 claims · 4.7%

Your Cost: $292.19/claim|Median: $133.50
2.2× median
64634Top 5%

$371K

483 claims · 4.6%

Your Cost: $767.49/claim|Median: $96.82
7.9× median
64484Top 5%

$295K

1,351 claims · 3.6%

Your Cost: $218.21/claim|Median: $47.83
4.6× median
64490Top 25%

$177K

471 claims · 2.2%

Your Cost: $376.83/claim|Median: $111.43
3.4× median
64491Top 5%

$91K

200 claims · 1.1%

Your Cost: $452.68/claim|Median: $40.21
11.3× median
G0260Top 25%

$54K

207 claims · 0.7%

Your Cost: $262.51/claim|Median: $169.32
1.6× median
64495Top 5%

$40K

133 claims · 0.5%

Your Cost: $297.24/claim|Median: $36.70
8.1× median
64480Top 1%

$35K

184 claims · 0.4%

Your Cost: $192.00/claim|Median: $62.44
3.1× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$10K

53 claims · 0.1%

Your Cost: $186.41/claim|Median: $111.02
1.7× median
64640Top 25%

$5K

29 claims · 0.1%

Your Cost: $161.43/claim|Median: $74.80
2.2× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$4K

85 claims · 0.0%

Your Cost: $42.61/claim|Median: $29.03
1.5× median
64636Normal range

$3K

2,517 claims · 0.0%

Your Cost: $1.37/claim|Median: $63.60
0.0× median
77002Normal range

$141

204 claims · 0.0%

Your Cost: $0.69/claim|Median: $23.55
0.0× median
G8907Normal range

$0

2,777 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.38
G8918Normal range

$0

2,729 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.03
77003Normal range

$0

329 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.36
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