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Provider 1235831132

NPI: 1235831132Share
Active Billing Period:2023-03→2024-11(21 months)

Total Paid

$9.9M

$9,919,989

Total Claims

28K

Beneficiaries

14K

2.0 claims/patient

Avg Cost/Claim

$355

Monthly Spending Trend

Yearly Spending

2023
$2.9M
+147%
2024
$7.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (Q4191) accounts for 37% of total spending.

Q4191Top 1%

$3.7M

684 claims · 36.9%

Your Cost: $5,357.61/claim|Median: $2,767.89
1.9× median
Q4271Top 1%

$1.5M

396 claims · 15.5%

Your Cost: $3,893.49/claim|Median: $2,176.37
1.8× median
Q4281Top 1%

$1.3M

232 claims · 13.0%

Your Cost: $5,578.66/claim|Median: $2,789.38
2.0× median
Q4188Top 1%

$1.1M

514 claims · 11.1%

Your Cost: $2,135.33/claim|Median: $1,162.00
1.8× median
Q4238Normal range

$1.0M

193 claims · 10.4%

Your Cost: $5,352.11/claim|Median: $5,352.11
1.0× median
Q4205Normal range

Membrane graft or membrane wrap, per sq cm

$600K

134 claims · 6.1%

Your Cost: $4,479.01/claim|Median: $6,155.05
0.7× median
Q4236Top 1%

$432K

73 claims · 4.4%

Your Cost: $5,917.62/claim|Median: $4,838.39
1.2× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$100K

9,401 claims · 1.0%

Your Cost: $10.66/claim|Median: $36.13
0.3× median
15271Normal range

Skin substitute graft, first twenty-five square centimeters

$70K

2,020 claims · 0.7%

Your Cost: $34.59/claim|Median: $33.75
1.0× median
99348Normal range

$44K

9,147 claims · 0.4%

Your Cost: $4.86/claim|Median: $17.17
0.3× median
99308Normal range

Nursing facility care, subsequent, straightforward

$16K

1,319 claims · 0.2%

Your Cost: $12.07/claim|Median: $9.79
1.2× median
99342Normal range

$10K

895 claims · 0.1%

Your Cost: $11.01/claim|Median: $32.19
0.3× median
11045Normal range

$7K

1,156 claims · 0.1%

Your Cost: $6.13/claim|Median: $27.04
0.2× median
15275Normal range

$5K

244 claims · 0.0%

Your Cost: $20.04/claim|Median: $51.83
0.4× median
99213Normal range

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

$2K

385 claims · 0.0%

Your Cost: $4.69/claim|Median: $37.81
0.1× median
93922Normal range

$1K

186 claims · 0.0%

Your Cost: $6.38/claim|Median: $26.06
0.2× median
11000Normal range

$516

673 claims · 0.0%

Your Cost: $0.77/claim|Median: $8.34
0.1× median
99203Normal range

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

$434

12 claims · 0.0%

Your Cost: $36.16/claim|Median: $57.85
0.6× median
15272Normal range

$227

54 claims · 0.0%

Your Cost: $4.21/claim|Median: $4.21
1.0× median
99304Normal range

$113

162 claims · 0.0%

Your Cost: $0.70/claim|Median: $13.51
0.1× median
11721Normal range

$0

32 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.56
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