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Provider 1275640609

NPI: 1275640609Share
Active Billing Period:2018-01→2024-12(82 months)

Total Paid

$8.0M

$8,016,677

Total Claims

192K

Beneficiaries

185K

1.0 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$12K
+122%
2019
$27K
+2071%
2020
$576K
+219%
2021
$1.8M
+8%
2022
$2.0M
+13%
2023
$2.2M
-40%
2024
$1.3M

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 40% of total spending.

99214Top 25%

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

$3.2M

39K claims · 40.1%

Your Cost: $81.95/claim|Median: $53.41
1.5× median
99213Top 25%

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

$1.7M

28K claims · 21.2%

Your Cost: $60.33/claim|Median: $37.81
1.6× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$684K

7,379 claims · 8.5%

Your Cost: $92.67/claim|Median: $54.68
1.7× median
99204Top 25%

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

$478K

3,577 claims · 6.0%

Your Cost: $133.71/claim|Median: $84.03
1.6× median
99203Top 25%

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

$326K

3,713 claims · 4.1%

Your Cost: $87.90/claim|Median: $57.85
1.5× median
99396Normal range

Preventive medicine, established patient, age 40-64

$318K

4,293 claims · 4.0%

Your Cost: $73.97/claim|Median: $76.06
1.0× median
92004Top 5%

Ophthalmological exam, comprehensive, new patient

$133K

1,002 claims · 1.7%

Your Cost: $132.61/claim|Median: $59.72
2.2× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$93K

7,227 claims · 1.2%

Your Cost: $12.81/claim|Median: $9.70
1.3× median
99215Top 25%

Office/outpatient visit, high complexity

$84K

698 claims · 1.1%

Your Cost: $121.05/claim|Median: $74.09
1.6× median
93010Normal range

Electrocardiogram, interpretation and report only

$66K

13K claims · 0.8%

Your Cost: $4.87/claim|Median: $5.60
0.9× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$62K

2,672 claims · 0.8%

Your Cost: $23.07/claim|Median: $17.85
1.3× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$58K

613 claims · 0.7%

Your Cost: $94.80/claim|Median: $72.71
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$58K

1,663 claims · 0.7%

Your Cost: $34.76/claim|Median: $25.06
1.4× median
99392Normal range

Preventive medicine, established patient, age 1-4

$54K

887 claims · 0.7%

Your Cost: $60.74/claim|Median: $75.18
0.8× median
92014Top 10%

Ophthalmological exam, comprehensive, established patient

$51K

511 claims · 0.6%

Your Cost: $100.28/claim|Median: $47.08
2.1× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$45K

640 claims · 0.6%

Your Cost: $70.21/claim|Median: $106.14
0.7× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$43K

464 claims · 0.5%

Your Cost: $93.41/claim|Median: $76.22
1.2× median
G0446Top 25%

$30K

1,889 claims · 0.4%

Your Cost: $15.68/claim|Median: $4.40
3.6× median
G0444Normal range

Annual depression screening, fifteen minutes

$29K

2,906 claims · 0.4%

Your Cost: $10.13/claim|Median: $4.23
2.4× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$29K

3,442 claims · 0.4%

Your Cost: $8.46/claim|Median: $9.80
0.9× median
36415Normal range

Collection of venous blood by venipuncture

$28K

18K claims · 0.3%

Your Cost: $1.53/claim|Median: $1.57
1.0× median
46940Top 1%

$27K

100 claims · 0.3%

Your Cost: $274.69/claim|Median: $274.69
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$26K

425 claims · 0.3%

Your Cost: $61.87/claim|Median: $69.35
0.9× median
99386Top 25%

Preventive visit, new patient, 40-64 yr

$26K

207 claims · 0.3%

Your Cost: $124.70/claim|Median: $87.82
1.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$25K

435 claims · 0.3%

Your Cost: $56.78/claim|Median: $74.82
0.8× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$18K

209 claims · 0.2%

Your Cost: $84.99/claim|Median: $35.30
2.4× median
94010Normal range

$18K

709 claims · 0.2%

Your Cost: $24.96/claim|Median: $18.11
1.4× median
99443Top 25%

Telephone E/M by physician, 21-30 min

$17K

223 claims · 0.2%

Your Cost: $77.26/claim|Median: $32.55
2.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$17K

251 claims · 0.2%

Your Cost: $67.78/claim|Median: $80.15
0.8× median
G2211Top 25%

$16K

1,364 claims · 0.2%

Your Cost: $11.47/claim|Median: $2.40
4.8× median
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