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Provider 1245260298

NPI: 1245260298Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$8.0M

$8,049,654

Total Claims

75K

Beneficiaries

54K

1.4 claims/patient

Avg Cost/Claim

$108

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-20%
2019
$1.6M
-25%
2020
$1.2M
-21%
2021
$947K
-38%
2022
$589K
+41%
2023
$830K
+9%
2024
$901K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (92971) accounts for 17% of total spending.

92971Normal range

$1.4M

14K claims · 17.1%

Your Cost: $95.91/claim|Median: $99.79
1.0× median
99214Top 25%

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

$1.2M

15K claims · 15.4%

Your Cost: $82.34/claim|Median: $53.41
1.5× median
99213Top 25%

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

$867K

14K claims · 10.8%

Your Cost: $60.43/claim|Median: $37.81
1.6× median
93229Top 10%

$751K

1,047 claims · 9.3%

Your Cost: $717.59/claim|Median: $364.01
2.0× median
36475Normal range

$657K

987 claims · 8.2%

Your Cost: $665.56/claim|Median: $902.80
0.7× median
78452Top 10%

Myocardial perfusion imaging, SPECT, multiple studies

$631K

1,215 claims · 7.8%

Your Cost: $518.93/claim|Median: $106.14
4.9× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$525K

3,837 claims · 6.5%

Your Cost: $136.91/claim|Median: $54.68
2.5× median
93970Top 25%

Duplex scan of extremity veins, complete, bilateral

$253K

1,685 claims · 3.1%

Your Cost: $150.13/claim|Median: $43.07
3.5× median
93886Top 10%

$245K

1,062 claims · 3.0%

Your Cost: $231.10/claim|Median: $83.25
2.8× median
A9502Top 10%

$199K

1,230 claims · 2.5%

Your Cost: $161.52/claim|Median: $54.60
3.0× median
93880Top 5%

Duplex ultrasound scan of carotid arteries, bilateral

$152K

897 claims · 1.9%

Your Cost: $169.71/claim|Median: $49.03
3.5× median
99212Normal range

Office/outpatient visit, low complexity

$148K

4,062 claims · 1.8%

Your Cost: $36.48/claim|Median: $25.06
1.5× median
93925Top 5%

$129K

595 claims · 1.6%

Your Cost: $216.38/claim|Median: $54.12
4.0× median
93923Top 10%

$124K

1,082 claims · 1.5%

Your Cost: $114.94/claim|Median: $38.08
3.0× median
93015Normal range

$120K

2,314 claims · 1.5%

Your Cost: $51.96/claim|Median: $41.12
1.3× median
93224Normal range

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

$111K

1,959 claims · 1.4%

Your Cost: $56.83/claim|Median: $67.14
0.8× median
93975Top 25%

Duplex scan of arterial inflow and venous outflow, complete

$99K

526 claims · 1.2%

Your Cost: $188.64/claim|Median: $79.28
2.4× median
36465Normal range

$80K

77 claims · 1.0%

Your Cost: $1,038.71/claim|Median: $792.14
1.3× median
99204Normal range

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

$76K

1,021 claims · 0.9%

Your Cost: $74.40/claim|Median: $84.03
0.9× median
93025Top 1%

$55K

467 claims · 0.7%

Your Cost: $118.22/claim|Median: $118.22
1.0× median
93892Top 10%

$47K

227 claims · 0.6%

Your Cost: $205.03/claim|Median: $87.42
2.3× median
95924Top 10%

$45K

352 claims · 0.6%

Your Cost: $128.12/claim|Median: $63.41
2.0× median
93890Top 25%

$38K

200 claims · 0.5%

Your Cost: $191.31/claim|Median: $94.81
2.0× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$19K

2,109 claims · 0.2%

Your Cost: $9.00/claim|Median: $9.70
0.9× median
95913Top 5%

$18K

55 claims · 0.2%

Your Cost: $318.21/claim|Median: $166.25
1.9× median
93228Normal range

$17K

1,021 claims · 0.2%

Your Cost: $16.55/claim|Median: $14.08
1.2× median
76700Top 25%

Ultrasound, abdominal, complete

$12K

96 claims · 0.1%

Your Cost: $122.23/claim|Median: $50.69
2.4× median
77080Top 25%

Dual-energy x-ray absorptiometry (DEXA) bone density scan

$4K

71 claims · 0.0%

Your Cost: $54.81/claim|Median: $18.93
2.9× median
93922Top 5%

$3K

37 claims · 0.0%

Your Cost: $92.41/claim|Median: $26.06
3.5× median
G0166Normal range

$3K

2,282 claims · 0.0%

Your Cost: $1.29/claim|Median: $25.67
0.1× median