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Provider 1245474329

NPI: 1245474329Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$13.6M

$13,641,242

Total Claims

370K

Beneficiaries

138K

2.7 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$271K
+283%
2019
$1.0M
+159%
2020
$2.7M
+9%
2021
$2.9M
-3%
2022
$2.8M
-7%
2023
$2.6M
-53%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (99232 (Subsequent hospital care, per day, moderate complexity)) accounts for 46% of total spending.

99232Normal range

Subsequent hospital care, per day, moderate complexity

$6.2M

208K claims · 45.8%

Your Cost: $30.10/claim|Median: $23.99
1.3× median
99233Normal range

Subsequent hospital care, per day, high complexity

$1.8M

39K claims · 13.0%

Your Cost: $45.33/claim|Median: $35.30
1.3× median
99223Normal range

Initial hospital care, per day, high complexity

$1.7M

21K claims · 12.6%

Your Cost: $82.06/claim|Median: $67.32
1.2× median
99222Normal range

Initial hospital care, per day, moderate complexity

$1.1M

19K claims · 7.8%

Your Cost: $56.92/claim|Median: $51.25
1.1× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$953K

20K claims · 7.0%

Your Cost: $46.83/claim|Median: $43.85
1.1× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$508K

16K claims · 3.7%

Your Cost: $31.19/claim|Median: $37.22
0.8× median
99231Normal range

Subsequent hospital care, per day, low complexity

$337K

24K claims · 2.5%

Your Cost: $14.01/claim|Median: $16.77
0.8× median
99219Normal range

$292K

5,363 claims · 2.1%

Your Cost: $54.53/claim|Median: $63.35
0.9× median
99220Normal range

$265K

3,627 claims · 1.9%

Your Cost: $72.94/claim|Median: $73.56
1.0× median
99217Normal range

$141K

4,601 claims · 1.0%

Your Cost: $30.65/claim|Median: $31.89
1.0× median
99225Normal range

$139K

4,996 claims · 1.0%

Your Cost: $27.79/claim|Median: $20.96
1.3× median
99221Normal range

Initial hospital care, straightforward/low

$107K

2,539 claims · 0.8%

Your Cost: $42.20/claim|Median: $39.96
1.1× median
99235Normal range

$27K

373 claims · 0.2%

Your Cost: $73.27/claim|Median: $110.13
0.7× median
99291Normal range

Critical care, first 30-74 minutes

$24K

279 claims · 0.2%

Your Cost: $86.68/claim|Median: $101.24
0.9× median
99218Normal range

$14K

283 claims · 0.1%

Your Cost: $50.93/claim|Median: $51.50
1.0× median
99226Normal range

$10K

316 claims · 0.1%

Your Cost: $31.72/claim|Median: $34.09
0.9× median
99236Normal range

Observation care same day admit and discharge

$9K

76 claims · 0.1%

Your Cost: $115.82/claim|Median: $128.23
0.9× median
99224Normal range

$5K

502 claims · 0.0%

Your Cost: $9.65/claim|Median: $17.79
0.5× median
99418Normal range

$2K

99 claims · 0.0%

Your Cost: $20.63/claim|Median: $38.93
0.5× median
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