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Provider 1265593594

NPI: 1265593594Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.8M

$10,811,019

Total Claims

80K

Beneficiaries

58K

1.4 claims/patient

Avg Cost/Claim

$135

Monthly Spending Trend

Yearly Spending

2018
$2.2M
-14%
2019
$1.9M
+6%
2020
$2.0M
-45%
2021
$1.1M
+34%
2022
$1.5M
-10%
2023
$1.3M
-35%
2024
$857K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (L3000 (Foot insert, removable, molded to patient model)) accounts for 74% of total spending.

L3000Top 25%

Foot insert, removable, molded to patient model

$8.0M

28K claims · 73.9%

Your Cost: $286.06/claim|Median: $205.41
1.4× median
99213Normal range

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

$1.6M

31K claims · 14.6%

Your Cost: $51.40/claim|Median: $37.81
1.4× median
99203Top 25%

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

$519K

6,344 claims · 4.8%

Your Cost: $81.78/claim|Median: $57.85
1.4× median
L4360Normal range

$221K

1,401 claims · 2.0%

Your Cost: $157.42/claim|Median: $149.34
1.1× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$98K

8,606 claims · 0.9%

Your Cost: $11.38/claim|Median: $12.06
0.9× median
A4550Top 25%

$84K

1,833 claims · 0.8%

Your Cost: $45.73/claim|Median: $4.85
9.4× median
99214Top 25%

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

$82K

1,027 claims · 0.8%

Your Cost: $79.62/claim|Median: $53.41
1.5× median
73718Top 5%

$80K

221 claims · 0.7%

Your Cost: $362.57/claim|Median: $95.31
3.8× median
Q4038Top 1%

$60K

250 claims · 0.6%

Your Cost: $238.23/claim|Median: $27.24
8.7× median
73721Top 25%

MRI joint of lower extremity without contrast

$32K

131 claims · 0.3%

Your Cost: $241.86/claim|Median: $127.34
1.9× median
L4396Top 5%

$22K

136 claims · 0.2%

Your Cost: $163.45/claim|Median: $95.98
1.7× median
11750Normal range

$15K

180 claims · 0.1%

Your Cost: $82.76/claim|Median: $82.40
1.0× median
99204Top 25%

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

$10K

86 claims · 0.1%

Your Cost: $115.24/claim|Median: $84.03
1.4× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$6K

203 claims · 0.1%

Your Cost: $31.70/claim|Median: $36.13
0.9× median
L1902Normal range

$5K

107 claims · 0.0%

Your Cost: $49.71/claim|Median: $46.30
1.1× median
L4210Normal range

$5K

156 claims · 0.0%

Your Cost: $30.05/claim|Median: $41.53
0.7× median
29425Normal range

$3K

88 claims · 0.0%

Your Cost: $30.77/claim|Median: $71.70
0.4× median
J1030Top 10%

Injection, methylprednisolone acetate, forty milligrams

$2K

156 claims · 0.0%

Your Cost: $11.96/claim|Median: $4.38
2.7× median
L3060Normal range

Foot insert, removable, soft foam, longitudinal arch support

$1K

17 claims · 0.0%

Your Cost: $67.76/claim|Median: $50.97
1.3× median
20550Normal range

$1K

51 claims · 0.0%

Your Cost: $21.78/claim|Median: $29.96
0.7× median
11721Normal range

$1K

126 claims · 0.0%

Your Cost: $8.40/claim|Median: $8.56
1.0× median
11056Normal range

Paring or cutting of benign hyperkeratotic lesions, two to four

$746

152 claims · 0.0%

Your Cost: $4.91/claim|Median: $11.01
0.4× median
A5500Normal range

Diabetic therapeutic shoe, depth, each

$535

93 claims · 0.0%

Your Cost: $5.76/claim|Median: $33.21
0.2× median
99212Normal range

Office/outpatient visit, low complexity

$346

14 claims · 0.0%

Your Cost: $24.74/claim|Median: $25.06
1.0× median
29700Normal range

$219

30 claims · 0.0%

Your Cost: $7.30/claim|Median: $23.63
0.3× median
73620Normal range

$172

23 claims · 0.0%

Your Cost: $7.50/claim|Median: $11.93
0.6× median
J1020Top 25%

$156

26 claims · 0.0%

Your Cost: $6.01/claim|Median: $2.63
2.3× median
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$16

13 claims · 0.0%

Your Cost: $1.20/claim|Median: $2.91
0.4× median
J1100Normal range

$2

14 claims · 0.0%

Your Cost: $0.13/claim|Median: $0.52
0.2× median
J1010Normal range

$2

14 claims · 0.0%

Your Cost: $0.12/claim|Median: $3.44
0.0× median
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