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Provider 1275646754

NPI: 1275646754Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$10.9M

$10,903,607

Total Claims

24K

Beneficiaries

22K

1.1 claims/patient

Avg Cost/Claim

$453

Monthly Spending Trend

Yearly Spending

2018
$22K
+4417%
2019
$976K
+35%
2020
$1.3M
+3%
2021
$1.4M
+53%
2022
$2.1M
+29%
2023
$2.7M
-10%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (00170 (Anesthesia for intraoral procedures)) accounts for 98% of total spending.

00170Top 5%

Anesthesia for intraoral procedures

$10.7M

13K claims · 97.9%

Your Cost: $840.13/claim|Median: $132.89
6.3× median
99213Normal range

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

$140K

6,832 claims · 1.3%

Your Cost: $20.52/claim|Median: $37.81
0.5× median
99214Normal range

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

$31K

898 claims · 0.3%

Your Cost: $34.55/claim|Median: $53.41
0.6× median
64483Normal range

$18K

259 claims · 0.2%

Your Cost: $67.84/claim|Median: $124.24
0.5× median
00104Normal range

$10K

295 claims · 0.1%

Your Cost: $32.25/claim|Median: $51.82
0.6× median
99152Normal range

$9K

1,029 claims · 0.1%

Your Cost: $8.82/claim|Median: $7.34
1.2× median
00920Normal range

$5K

95 claims · 0.0%

Your Cost: $56.05/claim|Median: $88.17
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$4K

248 claims · 0.0%

Your Cost: $16.52/claim|Median: $25.06
0.7× median
00731Normal range

$3K

77 claims · 0.0%

Your Cost: $37.37/claim|Median: $64.75
0.6× median
00813Normal range

$2K

36 claims · 0.0%

Your Cost: $56.05/claim|Median: $71.82
0.8× median
01922Normal range

$2K

14 claims · 0.0%

Your Cost: $126.21/claim|Median: $166.77
0.8× median
99203Normal range

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

$787

17 claims · 0.0%

Your Cost: $46.28/claim|Median: $57.85
0.8× median
77002Normal range

$633

33 claims · 0.0%

Your Cost: $19.17/claim|Median: $23.55
0.8× median
64493Normal range

$528

15 claims · 0.0%

Your Cost: $35.18/claim|Median: $103.44
0.3× median
36620Normal range

$249

13 claims · 0.0%

Your Cost: $19.13/claim|Median: $23.48
0.8× median
64495Normal range

$242

15 claims · 0.0%

Your Cost: $16.15/claim|Median: $36.70
0.4× median
64494Normal range

$241

15 claims · 0.0%

Your Cost: $16.10/claim|Median: $34.70
0.5× median
J1100Normal range

$202

872 claims · 0.0%

Your Cost: $0.23/claim|Median: $0.52
0.4× median
Q9966Normal range

$67

593 claims · 0.0%

Your Cost: $0.11/claim|Median: $0.75
0.2× median