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Provider 1235365354

NPI: 1235365354Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.2M

$8,219,309

Total Claims

292K

Beneficiaries

206K

1.4 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$891K
-5%
2019
$843K
+28%
2020
$1.1M
+32%
2021
$1.4M
-5%
2022
$1.4M
+7%
2023
$1.5M
-22%
2024
$1.1M

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 60% of total spending.

99213Normal range

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

$4.9M

145K claims · 59.9%

Your Cost: $33.97/claim|Median: $37.81
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$901K

37K claims · 11.0%

Your Cost: $24.52/claim|Median: $25.06
1.0× median
99214Normal range

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

$688K

20K claims · 8.4%

Your Cost: $34.42/claim|Median: $53.41
0.6× median
99203Normal range

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

$305K

5,478 claims · 3.7%

Your Cost: $55.73/claim|Median: $57.85
1.0× median
99231Top 5%

Subsequent hospital care, per day, low complexity

$204K

4,772 claims · 2.5%

Your Cost: $42.74/claim|Median: $16.77
2.5× median
99222Normal range

Initial hospital care, per day, moderate complexity

$155K

5,197 claims · 1.9%

Your Cost: $29.92/claim|Median: $51.25
0.6× median
76700Normal range

Ultrasound, abdominal, complete

$114K

2,266 claims · 1.4%

Your Cost: $50.40/claim|Median: $50.69
1.0× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$114K

1,266 claims · 1.4%

Your Cost: $90.07/claim|Median: $54.68
1.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$92K

21K claims · 1.1%

Your Cost: $4.35/claim|Median: $9.56
0.5× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$76K

4,048 claims · 0.9%

Your Cost: $18.90/claim|Median: $37.22
0.5× median
G0439Top 25%

Annual wellness visit, subsequent visit

$66K

2,381 claims · 0.8%

Your Cost: $27.88/claim|Median: $5.42
5.1× median
94060Normal range

$61K

1,902 claims · 0.7%

Your Cost: $32.08/claim|Median: $25.18
1.3× median
99307Normal range

$42K

3,852 claims · 0.5%

Your Cost: $10.88/claim|Median: $6.57
1.7× median
94726Normal range

$37K

1,897 claims · 0.5%

Your Cost: $19.69/claim|Median: $13.41
1.5× median
20552Normal range

$36K

1,943 claims · 0.4%

Your Cost: $18.28/claim|Median: $23.11
0.8× median
94729Normal range

$32K

1,578 claims · 0.4%

Your Cost: $20.21/claim|Median: $12.24
1.7× median
71046Normal range

Chest X-ray, 2 views

$31K

2,411 claims · 0.4%

Your Cost: $12.68/claim|Median: $8.92
1.4× median
G0008Top 25%

$27K

2,991 claims · 0.3%

Your Cost: $9.06/claim|Median: $2.54
3.6× median
99396Normal range

Preventive medicine, established patient, age 40-64

$27K

681 claims · 0.3%

Your Cost: $39.28/claim|Median: $76.06
0.5× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$26K

2,529 claims · 0.3%

Your Cost: $10.23/claim|Median: $9.70
1.1× median
G0438Normal range

Annual wellness visit, first visit

$25K

529 claims · 0.3%

Your Cost: $46.57/claim|Median: $19.28
2.4× median
99490Top 25%

Chronic care management services, 20 minutes per month

$22K

1,370 claims · 0.3%

Your Cost: $15.86/claim|Median: $6.31
2.5× median
99308Top 25%

Nursing facility care, subsequent, straightforward

$21K

1,080 claims · 0.3%

Your Cost: $19.18/claim|Median: $9.79
2.0× median
95806Top 25%

$17K

122 claims · 0.2%

Your Cost: $141.06/claim|Median: $64.51
2.2× median
99233Normal range

Subsequent hospital care, per day, high complexity

$16K

362 claims · 0.2%

Your Cost: $44.56/claim|Median: $35.30
1.3× median
72100Normal range

$15K

1,011 claims · 0.2%

Your Cost: $15.16/claim|Median: $15.14
1.0× median
90756Normal range

Influenza virus vaccine, quadrivalent

$13K

703 claims · 0.2%

Your Cost: $18.14/claim|Median: $14.34
1.3× median
90688Normal range

$13K

1,109 claims · 0.2%

Your Cost: $11.36/claim|Median: $9.00
1.3× median
90674Normal range

$12K

743 claims · 0.1%

Your Cost: $16.45/claim|Median: $15.16
1.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$12K

304 claims · 0.1%

Your Cost: $38.80/claim|Median: $72.71
0.5× median
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