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Provider 1245340231

NPI: 1245340231Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.9M

$10,877,903

Total Claims

205K

Beneficiaries

161K

1.3 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+17%
2019
$1.5M
-11%
2020
$1.3M
+7%
2021
$1.4M
+14%
2022
$1.6M
+21%
2023
$2.0M
-9%
2024
$1.8M

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 40% of total spending.

99214Top 25%

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

$4.4M

57K claims · 40.2%

Your Cost: $76.35/claim|Median: $53.41
1.4× median
20611Normal range

Aspiration or injection of intermediate joint or bursa

$774K

21K claims · 7.1%

Your Cost: $37.39/claim|Median: $42.51
0.9× median
J0129Normal range

Injection, abatacept, ten milligrams intravenous

$722K

1,375 claims · 6.6%

Your Cost: $524.73/claim|Median: $1,286.08
0.4× median
99204Normal range

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

$721K

6,458 claims · 6.6%

Your Cost: $111.66/claim|Median: $84.03
1.3× median
G9006Top 5%

Coordination of long-term care services, per hour

$692K

2,706 claims · 6.4%

Your Cost: $255.82/claim|Median: $204.93
1.2× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$637K

7,097 claims · 5.9%

Your Cost: $89.74/claim|Median: $75.28
1.2× median
99213Normal range

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

$528K

11K claims · 4.9%

Your Cost: $46.85/claim|Median: $37.81
1.2× median
J1745Normal range

Injection, infliximab, excludes biosimilar, 10 mg

$456K

820 claims · 4.2%

Your Cost: $556.43/claim|Median: $1,587.53
0.4× median
99203Top 25%

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

$215K

2,702 claims · 2.0%

Your Cost: $79.51/claim|Median: $57.85
1.4× median
96415Normal range

Chemotherapy infusion, each additional hour

$204K

6,461 claims · 1.9%

Your Cost: $31.60/claim|Median: $43.68
0.7× median
73120Normal range

$168K

14K claims · 1.5%

Your Cost: $11.95/claim|Median: $10.48
1.1× median
J0897Normal range

Injection, denosumab, one milligram

$157K

737 claims · 1.4%

Your Cost: $213.37/claim|Median: $493.25
0.4× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$126K

7,117 claims · 1.2%

Your Cost: $17.72/claim|Median: $9.56
1.9× median
73620Normal range

$125K

13K claims · 1.2%

Your Cost: $9.67/claim|Median: $11.93
0.8× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$121K

9,825 claims · 1.1%

Your Cost: $12.35/claim|Median: $14.92
0.8× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$112K

4,999 claims · 1.0%

Your Cost: $22.34/claim|Median: $54.77
0.4× median
J7332Normal range

$94K

1,827 claims · 0.9%

Your Cost: $51.22/claim|Median: $79.44
0.6× median
J7323Normal range

$88K

3,267 claims · 0.8%

Your Cost: $26.90/claim|Median: $101.00
0.3× median
Q5104Normal range

$82K

56 claims · 0.8%

Your Cost: $1,460.96/claim|Median: $1,412.69
1.0× median
73560Normal range

$70K

6,055 claims · 0.6%

Your Cost: $11.61/claim|Median: $10.28
1.1× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$50K

1,572 claims · 0.5%

Your Cost: $31.86/claim|Median: $29.03
1.1× median
20552Normal range

$39K

1,442 claims · 0.4%

Your Cost: $27.25/claim|Median: $23.11
1.2× median
20553Normal range

$37K

993 claims · 0.3%

Your Cost: $37.63/claim|Median: $29.47
1.3× median
J3262Top 25%

Injection, tocilizumab, one milligram

$36K

27 claims · 0.3%

Your Cost: $1,319.86/claim|Median: $702.69
1.9× median
J7324Normal range

$34K

1,499 claims · 0.3%

Your Cost: $22.66/claim|Median: $56.65
0.4× median
72100Normal range

$33K

2,034 claims · 0.3%

Your Cost: $16.09/claim|Median: $15.14
1.1× median
77080Normal range

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

$28K

1,545 claims · 0.3%

Your Cost: $18.35/claim|Median: $18.93
1.0× median
96366Normal range

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$28K

1,388 claims · 0.3%

Your Cost: $20.03/claim|Median: $40.12
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$23K

235 claims · 0.2%

Your Cost: $98.79/claim|Median: $74.09
1.3× median
73030Normal range

$22K

1,403 claims · 0.2%

Your Cost: $15.53/claim|Median: $10.94
1.4× median
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