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Provider 1275651515

NPI: 1275651515Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.2M

$8,172,304

Total Claims

373K

Beneficiaries

303K

1.2 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$594K
+95%
2019
$1.2M
+7%
2020
$1.2M
-17%
2021
$1.0M
+64%
2022
$1.7M
-8%
2023
$1.6M
-41%
2024
$914K

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 28% of total spending.

99214Normal range

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

$2.3M

112K claims · 27.6%

Your Cost: $20.14/claim|Median: $53.41
0.4× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$1.3M

33K claims · 16.1%

Your Cost: $40.14/claim|Median: $75.28
0.5× median
J1100Top 1%

$932K

14K claims · 11.4%

Your Cost: $65.51/claim|Median: $0.52
126.0× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$625K

165 claims · 7.6%

Your Cost: $3,788.13/claim|Median: $5,391.55
0.7× median
96367Normal range

$515K

32K claims · 6.3%

Your Cost: $15.99/claim|Median: $29.27
0.5× median
J1200Top 5%

$384K

13K claims · 4.7%

Your Cost: $29.02/claim|Median: $0.60
48.4× median
99213Normal range

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

$348K

40K claims · 4.3%

Your Cost: $8.80/claim|Median: $37.81
0.2× median
99204Normal range

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

$250K

12K claims · 3.1%

Your Cost: $21.14/claim|Median: $84.03
0.3× median
99223Normal range

Initial hospital care, per day, high complexity

$206K

4,530 claims · 2.5%

Your Cost: $45.43/claim|Median: $67.32
0.7× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$180K

9,521 claims · 2.2%

Your Cost: $18.91/claim|Median: $23.99
0.8× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$166K

11K claims · 2.0%

Your Cost: $15.79/claim|Median: $54.77
0.3× median
99233Normal range

Subsequent hospital care, per day, high complexity

$155K

7,281 claims · 1.9%

Your Cost: $21.27/claim|Median: $35.30
0.6× median
99215Normal range

Office/outpatient visit, high complexity

$123K

6,190 claims · 1.5%

Your Cost: $19.88/claim|Median: $74.09
0.3× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$108K

3,976 claims · 1.3%

Your Cost: $27.13/claim|Median: $111.09
0.2× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$105K

5,188 claims · 1.3%

Your Cost: $20.17/claim|Median: $9.56
2.1× median
96415Normal range

Chemotherapy infusion, each additional hour

$76K

7,689 claims · 0.9%

Your Cost: $9.82/claim|Median: $43.68
0.2× median
J0897Normal range

Injection, denosumab, one milligram

$64K

117 claims · 0.8%

Your Cost: $545.01/claim|Median: $493.25
1.1× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$63K

7,881 claims · 0.8%

Your Cost: $7.97/claim|Median: $22.44
0.4× median
J2405Top 25%

Injection, ondansetron HCl, per one milligram

$56K

12K claims · 0.7%

Your Cost: $4.86/claim|Median: $0.58
8.4× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$32K

4,874 claims · 0.4%

Your Cost: $6.53/claim|Median: $14.92
0.4× median
96417Normal range

$31K

4,492 claims · 0.4%

Your Cost: $6.91/claim|Median: $37.60
0.2× median
99222Normal range

Initial hospital care, per day, moderate complexity

$30K

861 claims · 0.4%

Your Cost: $34.81/claim|Median: $51.25
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$22K

2,862 claims · 0.3%

Your Cost: $7.57/claim|Median: $25.06
0.3× median
J7040Normal range

Normal saline solution infusion, 500 cc

$20K

6,781 claims · 0.2%

Your Cost: $2.97/claim|Median: $1.11
2.7× median
99203Normal range

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

$20K

1,472 claims · 0.2%

Your Cost: $13.33/claim|Median: $57.85
0.2× median
J2469Normal range

Injection, palonosetron HCl, twenty-five micrograms

$17K

642 claims · 0.2%

Your Cost: $26.81/claim|Median: $25.23
1.1× median
G6012Normal range

$14K

122 claims · 0.2%

Your Cost: $117.36/claim|Median: $117.36
1.0× median
99000Normal range

$8K

8,780 claims · 0.1%

Your Cost: $0.94/claim|Median: $2.30
0.4× median
J1756Normal range

Injection, iron sucrose, 1 mg

$8K

715 claims · 0.1%

Your Cost: $10.64/claim|Median: $4.58
2.3× median
77427Normal range

$7K

116 claims · 0.1%

Your Cost: $56.59/claim|Median: $83.73
0.7× median
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