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Provider 1235192345

NPI: 1235192345Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$11.5M

$11,454,950

Total Claims

128K

Beneficiaries

126K

1.0 claims/patient

Avg Cost/Claim

$89

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+12%
2019
$1.8M
-20%
2020
$1.4M
+53%
2021
$2.2M
-18%
2022
$1.8M
-8%
2023
$1.7M
-39%
2024
$1.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (93306 (Echocardiography, transthoracic, complete, with Doppler)) accounts for 26% of total spending.

93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$2.9M

17K claims · 25.6%

Your Cost: $175.28/claim|Median: $54.68
3.2× median
99213Top 25%

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

$2.1M

32K claims · 17.9%

Your Cost: $63.59/claim|Median: $37.81
1.7× median
93880Top 10%

Duplex ultrasound scan of carotid arteries, bilateral

$1.9M

12K claims · 16.4%

Your Cost: $159.21/claim|Median: $49.03
3.2× median
78452Top 25%

Myocardial perfusion imaging, SPECT, multiple studies

$1.5M

4,096 claims · 12.9%

Your Cost: $361.38/claim|Median: $106.14
3.4× median
99214Top 25%

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

$465K

4,908 claims · 4.1%

Your Cost: $94.71/claim|Median: $53.41
1.8× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$410K

29K claims · 3.6%

Your Cost: $13.93/claim|Median: $9.70
1.4× median
99204Top 25%

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

$338K

2,416 claims · 2.9%

Your Cost: $139.81/claim|Median: $84.03
1.7× median
93015Top 25%

$328K

5,332 claims · 2.9%

Your Cost: $61.55/claim|Median: $41.12
1.5× median
93970Top 25%

Duplex scan of extremity veins, complete, bilateral

$296K

1,912 claims · 2.6%

Your Cost: $154.62/claim|Median: $43.07
3.6× median
93925Top 10%

$177K

980 claims · 1.5%

Your Cost: $180.45/claim|Median: $54.12
3.3× median
A9500Normal range

Technetium-99m radiopharmaceutical diagnostic imaging agent

$166K

4,054 claims · 1.5%

Your Cost: $40.98/claim|Median: $64.30
0.6× median
99203Top 25%

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

$153K

1,608 claims · 1.3%

Your Cost: $94.99/claim|Median: $57.85
1.6× median
93923Top 10%

$151K

1,432 claims · 1.3%

Your Cost: $105.61/claim|Median: $38.08
2.8× median
G2066Top 5%

$117K

944 claims · 1.0%

Your Cost: $123.49/claim|Median: $14.66
8.4× median
93886Top 25%

$99K

545 claims · 0.9%

Your Cost: $181.80/claim|Median: $83.25
2.2× median
A9505Normal range

$90K

2,769 claims · 0.8%

Your Cost: $32.59/claim|Median: $27.75
1.2× median
J2785Top 25%

$67K

504 claims · 0.6%

Your Cost: $133.67/claim|Median: $61.83
2.2× median
93978Top 25%

$66K

577 claims · 0.6%

Your Cost: $113.95/claim|Median: $60.72
1.9× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$59K

348 claims · 0.5%

Your Cost: $169.89/claim|Median: $111.09
1.5× median
99212Top 25%

Office/outpatient visit, low complexity

$40K

969 claims · 0.4%

Your Cost: $41.38/claim|Median: $25.06
1.7× median
93297Top 25%

$20K

1,065 claims · 0.2%

Your Cost: $18.96/claim|Median: $8.99
2.1× median
93224Normal range

ECG monitoring, continuous, up to forty-eight hours, with analysis

$18K

208 claims · 0.2%

Your Cost: $87.34/claim|Median: $67.14
1.3× median
99406Top 25%

$10K

809 claims · 0.1%

Your Cost: $12.50/claim|Median: $6.53
1.9× median
99215Top 25%

Office/outpatient visit, high complexity

$10K

70 claims · 0.1%

Your Cost: $137.06/claim|Median: $74.09
1.8× median
93325Top 25%

$8K

208 claims · 0.1%

Your Cost: $37.83/claim|Median: $14.61
2.6× median
93299Top 10%

$6K

39 claims · 0.1%

Your Cost: $151.98/claim|Median: $19.91
7.6× median
93321Top 25%

$3K

109 claims · 0.0%

Your Cost: $27.84/claim|Median: $9.69
2.9× median
93351Top 25%

$3K

12 claims · 0.0%

Your Cost: $224.88/claim|Median: $140.02
1.6× median
99051Normal range

$2K

354 claims · 0.0%

Your Cost: $6.82/claim|Median: $7.89
0.9× median
85610Normal range

Prothrombin time (PT) blood clotting test

$2K

815 claims · 0.0%

Your Cost: $2.90/claim|Median: $2.14
1.4× median