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Provider 1235671389

NPI: 1235671389Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.4M

$15,390,977

Total Claims

318K

Beneficiaries

286K

1.1 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$89K
+2928%
2019
$2.7M
-74%
2020
$697K
+114%
2021
$1.5M
+118%
2022
$3.3M
+30%
2023
$4.2M
-31%
2024
$2.9M

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 21% of total spending.

99214Normal range

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

$3.2M

77K claims · 20.8%

Your Cost: $41.31/claim|Median: $53.41
0.8× median
99213Normal range

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

$1.9M

65K claims · 12.2%

Your Cost: $28.90/claim|Median: $37.81
0.8× median
17110Normal range

Destruction of benign lesions, up to fourteen

$1.6M

24K claims · 10.5%

Your Cost: $66.06/claim|Median: $59.25
1.1× median
99203Normal range

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

$1.1M

24K claims · 7.4%

Your Cost: $46.67/claim|Median: $57.85
0.8× median
99204Normal range

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

$1.0M

16K claims · 6.5%

Your Cost: $62.36/claim|Median: $84.03
0.7× median
17004Normal range

$949K

9,234 claims · 6.2%

Your Cost: $102.79/claim|Median: $65.58
1.6× median
J0717Top 5%

$909K

318 claims · 5.9%

Your Cost: $2,859.38/claim|Median: $1,144.80
2.5× median
11106Normal range

$822K

7,987 claims · 5.3%

Your Cost: $102.86/claim|Median: $98.47
1.0× median
11102Normal range

$411K

6,939 claims · 2.7%

Your Cost: $59.28/claim|Median: $48.69
1.2× median
15789Normal range

$362K

1,528 claims · 2.4%

Your Cost: $237.05/claim|Median: $443.51
0.5× median
88305Normal range

Surgical pathology, gross and microscopic examination

$323K

8,507 claims · 2.1%

Your Cost: $38.02/claim|Median: $35.80
1.1× median
17311Top 10%

$290K

689 claims · 1.9%

Your Cost: $421.01/claim|Median: $194.01
2.2× median
96910Normal range

$218K

7,564 claims · 1.4%

Your Cost: $28.89/claim|Median: $51.52
0.6× median
11107Top 1%

$205K

2,999 claims · 1.3%

Your Cost: $68.39/claim|Median: $42.83
1.6× median
17312Normal range

$173K

591 claims · 1.1%

Your Cost: $293.00/claim|Median: $197.44
1.5× median
11900Normal range

$156K

8,708 claims · 1.0%

Your Cost: $17.86/claim|Median: $31.25
0.6× median
11103Normal range

$151K

3,269 claims · 1.0%

Your Cost: $46.20/claim|Median: $37.08
1.2× median
17000Top 10%

$151K

3,207 claims · 1.0%

Your Cost: $47.08/claim|Median: $21.35
2.2× median
99212Normal range

Office/outpatient visit, low complexity

$146K

7,683 claims · 1.0%

Your Cost: $19.05/claim|Median: $25.06
0.8× median
A6010Top 10%

$110K

237 claims · 0.7%

Your Cost: $462.65/claim|Median: $131.56
3.5× median
17106Normal range

$88K

666 claims · 0.6%

Your Cost: $131.54/claim|Median: $246.45
0.5× median
96900Normal range

$78K

11K claims · 0.5%

Your Cost: $7.29/claim|Median: $15.84
0.5× median
10040Normal range

$73K

2,055 claims · 0.5%

Your Cost: $35.46/claim|Median: $70.50
0.5× median
17003Top 10%

$70K

2,393 claims · 0.5%

Your Cost: $29.44/claim|Median: $8.67
3.4× median
11104Normal range

$66K

872 claims · 0.4%

Your Cost: $75.55/claim|Median: $76.74
1.0× median
11402Normal range

$65K

924 claims · 0.4%

Your Cost: $69.90/claim|Median: $68.11
1.0× median
13132Normal range

$64K

340 claims · 0.4%

Your Cost: $187.04/claim|Median: $119.51
1.6× median
13121Normal range

$61K

440 claims · 0.4%

Your Cost: $138.82/claim|Median: $181.83
0.8× median
15793Normal range

$56K

479 claims · 0.4%

Your Cost: $116.34/claim|Median: $116.34
1.0× median
96401Top 10%

$46K

310 claims · 0.3%

Your Cost: $149.16/claim|Median: $40.24
3.7× median
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