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Provider 1265831432

NPI: 1265831432Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.2M

$9,182,491

Total Claims

151K

Beneficiaries

67K

2.2 claims/patient

Avg Cost/Claim

$61

Monthly Spending Trend

Yearly Spending

2018
$502K
+144%
2019
$1.2M
+15%
2020
$1.4M
+39%
2021
$2.0M
-13%
2022
$1.7M
-5%
2023
$1.6M
-56%
2024
$718K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (99233 (Subsequent hospital care, per day, high complexity)) accounts for 62% of total spending.

99233Top 25%

Subsequent hospital care, per day, high complexity

$5.7M

96K claims · 61.6%

Your Cost: $59.21/claim|Median: $35.30
1.7× median
90960Top 25%

End-stage renal disease services, per month, age 20+

$1.4M

14K claims · 15.3%

Your Cost: $99.42/claim|Median: $52.76
1.9× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$903K

24K claims · 9.8%

Your Cost: $37.57/claim|Median: $23.99
1.6× median
99223Top 25%

Initial hospital care, per day, high complexity

$593K

5,382 claims · 6.5%

Your Cost: $110.22/claim|Median: $67.32
1.6× median
99214Normal range

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

$234K

3,757 claims · 2.6%

Your Cost: $62.39/claim|Median: $53.41
1.2× median
90961Normal range

$170K

2,187 claims · 1.8%

Your Cost: $77.66/claim|Median: $47.22
1.6× median
36902Normal range

$89K

1,467 claims · 1.0%

Your Cost: $60.33/claim|Median: $178.61
0.3× median
93970Normal range

Duplex scan of extremity veins, complete, bilateral

$36K

395 claims · 0.4%

Your Cost: $91.87/claim|Median: $43.07
2.1× median
99215Normal range

Office/outpatient visit, high complexity

$23K

373 claims · 0.2%

Your Cost: $61.37/claim|Median: $74.09
0.8× median
90966Normal range

$17K

316 claims · 0.2%

Your Cost: $54.25/claim|Median: $56.49
1.0× median
99213Normal range

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

$16K

294 claims · 0.2%

Your Cost: $52.86/claim|Median: $37.81
1.4× median
G0438Normal range

Annual wellness visit, first visit

$10K

193 claims · 0.1%

Your Cost: $53.22/claim|Median: $19.28
2.8× median
99152Normal range

$5K

556 claims · 0.1%

Your Cost: $9.25/claim|Median: $7.34
1.3× median
76775Normal range

$4K

130 claims · 0.0%

Your Cost: $29.53/claim|Median: $28.03
1.1× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$4K

46 claims · 0.0%

Your Cost: $82.55/claim|Median: $51.25
1.6× median
99204Normal range

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

$4K

37 claims · 0.0%

Your Cost: $99.29/claim|Median: $84.03
1.2× median
G0365Normal range

$3K

100 claims · 0.0%

Your Cost: $34.40/claim|Median: $31.17
1.1× median
93990Top 5%

$3K

29 claims · 0.0%

Your Cost: $106.60/claim|Median: $29.24
3.6× median
99203Top 25%

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

$2K

28 claims · 0.0%

Your Cost: $82.02/claim|Median: $57.85
1.4× median
90962Normal range

$2K

49 claims · 0.0%

Your Cost: $37.31/claim|Median: $40.91
0.9× median
76770Normal range

Ultrasound, retroperitoneal, complete

$1K

14 claims · 0.0%

Your Cost: $71.59/claim|Median: $37.35
1.9× median
36901Normal range

$591

15 claims · 0.0%

Your Cost: $39.40/claim|Median: $69.67
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$296

15 claims · 0.0%

Your Cost: $19.75/claim|Median: $25.06
0.8× median
Q9967Normal range

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$205

1,468 claims · 0.0%

Your Cost: $0.14/claim|Median: $3.42
0.0× median
G2211Normal range

$187

423 claims · 0.0%

Your Cost: $0.44/claim|Median: $2.40
0.2× median
90970Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.56
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