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Provider 1265435416

NPI: 1265435416Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$8.6M

$8,592,765

Total Claims

353K

Beneficiaries

327K

1.1 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$941K
+11%
2019
$1.0M
+8%
2020
$1.1M
+56%
2021
$1.8M
+8%
2022
$1.9M
-47%
2023
$1.0M
-19%
2024
$816K

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 59% of total spending.

99214Normal range

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

$5.1M

77K claims · 58.8%

Your Cost: $65.44/claim|Median: $53.41
1.2× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$1.5M

41K claims · 17.8%

Your Cost: $37.42/claim|Median: $35.43
1.1× median
99213Normal range

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

$457K

35K claims · 5.3%

Your Cost: $13.05/claim|Median: $37.81
0.3× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$230K

2,000 claims · 2.7%

Your Cost: $114.84/claim|Median: $111.02
1.0× median
99204Top 25%

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

$184K

1,601 claims · 2.1%

Your Cost: $114.84/claim|Median: $84.03
1.4× median
01938Normal range

$180K

3,890 claims · 2.1%

Your Cost: $46.39/claim|Median: $46.15
1.0× median
01936Normal range

$167K

4,331 claims · 1.9%

Your Cost: $38.60/claim|Median: $55.01
0.7× median
01935Normal range

$112K

4,202 claims · 1.3%

Your Cost: $26.62/claim|Median: $60.16
0.4× median
64493Normal range

$110K

1,323 claims · 1.3%

Your Cost: $82.94/claim|Median: $103.44
0.8× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$83K

7,909 claims · 1.0%

Your Cost: $10.49/claim|Median: $22.44
0.5× median
27096Top 25%

$80K

391 claims · 0.9%

Your Cost: $203.61/claim|Median: $89.16
2.3× median
J7999Top 5%

$71K

741 claims · 0.8%

Your Cost: $95.57/claim|Median: $6.94
13.8× median
64483Normal range

$69K

686 claims · 0.8%

Your Cost: $100.40/claim|Median: $124.24
0.8× median
62321Normal range

$60K

478 claims · 0.7%

Your Cost: $126.04/claim|Median: $132.67
0.9× median
64484Top 25%

$55K

564 claims · 0.6%

Your Cost: $97.89/claim|Median: $47.83
2.0× median
01937Normal range

$55K

1,092 claims · 0.6%

Your Cost: $49.95/claim|Median: $46.39
1.1× median
99443Normal range

Telephone E/M by physician, 21-30 min

$28K

1,591 claims · 0.3%

Your Cost: $17.65/claim|Median: $32.55
0.5× median
76942Normal range

$20K

1,427 claims · 0.2%

Your Cost: $14.24/claim|Median: $24.73
0.6× median
01160Normal range

$13K

422 claims · 0.2%

Your Cost: $31.14/claim|Median: $50.97
0.6× median
62370Normal range

$10K

1,465 claims · 0.1%

Your Cost: $6.84/claim|Median: $30.01
0.2× median
99358Top 25%

$9K

239 claims · 0.1%

Your Cost: $37.21/claim|Median: $14.34
2.6× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$5K

322 claims · 0.1%

Your Cost: $14.53/claim|Median: $29.03
0.5× median
98968Normal range

$3K

80 claims · 0.0%

Your Cost: $32.18/claim|Median: $28.39
1.1× median
01940Normal range

$2K

41 claims · 0.0%

Your Cost: $49.54/claim|Median: $57.16
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$2K

80 claims · 0.0%

Your Cost: $24.99/claim|Median: $25.06
1.0× median
98967Normal range

$2K

298 claims · 0.0%

Your Cost: $6.12/claim|Median: $18.97
0.3× median
62367Normal range

$2K

695 claims · 0.0%

Your Cost: $2.62/claim|Median: $8.27
0.3× median
64494Normal range

$831

16 claims · 0.0%

Your Cost: $51.94/claim|Median: $34.70
1.5× median
99203Normal range

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

$801

180 claims · 0.0%

Your Cost: $4.45/claim|Median: $57.85
0.1× median
95970Normal range

$638

266 claims · 0.0%

Your Cost: $2.40/claim|Median: $11.04
0.2× median
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