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Provider 1235236944

NPI: 1235236944Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.9M

$11,926,223

Total Claims

85K

Beneficiaries

49K

1.7 claims/patient

Avg Cost/Claim

$141

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+1%
2019
$2.1M
-26%
2020
$1.5M
-3%
2021
$1.5M
+18%
2022
$1.7M
-7%
2023
$1.6M
-5%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (99480 (Subsequent intensive care, very low birth weight infant)) accounts for 28% of total spending.

99480Top 25%

Subsequent intensive care, very low birth weight infant

$3.3M

26K claims · 27.5%

Your Cost: $125.14/claim|Median: $98.15
1.3× median
99469Top 25%

Subsequent intensive care, very low birth weight infant

$3.0M

7,517 claims · 25.6%

Your Cost: $405.50/claim|Median: $293.45
1.4× median
99479Top 25%

Subsequent intensive care, 2,501-5,000 grams

$2.5M

19K claims · 21.0%

Your Cost: $129.23/claim|Median: $103.70
1.2× median
92650Top 10%

$1.4M

14K claims · 11.9%

Your Cost: $100.67/claim|Median: $31.90
3.2× median
92586Top 25%

$1.1M

14K claims · 8.9%

Your Cost: $76.44/claim|Median: $51.18
1.5× median
99472Top 10%

Subsequent pediatric critical care, per day, age 2-5

$258K

541 claims · 2.2%

Your Cost: $477.34/claim|Median: $307.98
1.5× median
99464Top 5%

$243K

2,663 claims · 2.0%

Your Cost: $91.27/claim|Median: $59.94
1.5× median
99468Top 25%

$77K

82 claims · 0.6%

Your Cost: $936.33/claim|Median: $679.18
1.4× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$25K

336 claims · 0.2%

Your Cost: $75.14/claim|Median: $37.22
2.0× median
99239Top 5%

Hospital discharge day management, more than 30 minutes

$14K

130 claims · 0.1%

Your Cost: $110.19/claim|Median: $43.85
2.5× median
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