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Provider 1255405460

NPI: 1255405460Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$8.8M

$8,830,987

Total Claims

115K

Beneficiaries

112K

1.0 claims/patient

Avg Cost/Claim

$77

Monthly Spending Trend

Yearly Spending

2018
$1.2M
-1%
2019
$1.2M
-16%
2020
$973K
+18%
2021
$1.1M
+4%
2022
$1.2M
+39%
2023
$1.7M
-6%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 37% of total spending.

99214Top 25%

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

$3.3M

34K claims · 37.0%

Your Cost: $95.52/claim|Median: $53.41
1.8× median
99243Top 10%

Office or other outpatient consultation, low complexity

$1.7M

14K claims · 19.5%

Your Cost: $123.86/claim|Median: $82.43
1.5× median
99244Top 25%

Office or other outpatient consultation, moderate complexity

$1.0M

5,937 claims · 11.7%

Your Cost: $173.65/claim|Median: $121.58
1.4× median
99213Top 25%

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

$564K

8,922 claims · 6.4%

Your Cost: $63.21/claim|Median: $37.81
1.7× median
99204Top 10%

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

$494K

3,385 claims · 5.6%

Your Cost: $146.00/claim|Median: $84.03
1.7× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$398K

12K claims · 4.5%

Your Cost: $34.48/claim|Median: $27.28
1.3× median
69210Normal range

$238K

7,722 claims · 2.7%

Your Cost: $30.77/claim|Median: $21.74
1.4× median
92567Top 25%

$234K

15K claims · 2.6%

Your Cost: $15.70/claim|Median: $11.50
1.4× median
99203Normal range

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

$138K

2,498 claims · 1.6%

Your Cost: $55.15/claim|Median: $57.85
1.0× median
31575Normal range

$133K

1,484 claims · 1.5%

Your Cost: $89.86/claim|Median: $68.78
1.3× median
92582Top 25%

$123K

1,631 claims · 1.4%

Your Cost: $75.36/claim|Median: $46.66
1.6× median
30903Normal range

$109K

549 claims · 1.2%

Your Cost: $198.48/claim|Median: $213.62
0.9× median
92504Normal range

$71K

3,172 claims · 0.8%

Your Cost: $22.52/claim|Median: $16.07
1.4× median
92588Normal range

Vestibular evoked myogenic potential testing, each side

$60K

1,669 claims · 0.7%

Your Cost: $36.22/claim|Median: $31.08
1.2× median
V5298Normal range

$53K

38 claims · 0.6%

Your Cost: $1,391.17/claim|Median: $1,373.37
1.0× median
70486Normal range

$51K

651 claims · 0.6%

Your Cost: $78.57/claim|Median: $44.28
1.8× median
92587Normal range

$50K

1,906 claims · 0.6%

Your Cost: $26.30/claim|Median: $19.24
1.4× median
31231Normal range

Nasal endoscopy, diagnostic

$31K

213 claims · 0.4%

Your Cost: $146.54/claim|Median: $98.77
1.5× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$17K

58 claims · 0.2%

Your Cost: $291.98/claim|Median: $331.68
0.9× median
92555Top 25%

$15K

604 claims · 0.2%

Your Cost: $24.53/claim|Median: $14.17
1.7× median
92579Top 25%

$14K

289 claims · 0.2%

Your Cost: $47.82/claim|Median: $30.58
1.6× median
30140Normal range

$5K

22 claims · 0.1%

Your Cost: $242.21/claim|Median: $240.99
1.0× median
69200Top 25%

$3K

31 claims · 0.0%

Your Cost: $105.51/claim|Median: $51.29
2.1× median
69436Normal range

Tympanostomy, general anesthesia

$3K

27 claims · 0.0%

Your Cost: $114.37/claim|Median: $205.50
0.6× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$2K

13 claims · 0.0%

Your Cost: $184.91/claim|Median: $111.09
1.7× median
92550Top 25%

$642

31 claims · 0.0%

Your Cost: $20.70/claim|Median: $14.15
1.5× median
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